Ministry for Primary Industries

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Licensed Fish Receiver Premise Inspection Form

Inspection Details

• Date and Time

  Date

• Officer

• Warrant No

LFR Premise Details

• Photo Of Premise

  Media

• LFR Name

• Client Number

• Premise Description

• Contact

• Contact Position

Sector

• Sector

  Deepwater Commercial

  Inshore Commercial

  International

• Fishery

  Select ANG BCO CRA FLA HOK ORH ORO OYS PAU SAM SCA SCI SNA SQU STN TUNA OTHER

  • ANG
  • BCO
  • CRA
  • FLA
  • HOK
  • ORH
  • ORO
  • OYS
  • PAU
  • SAM
  • SCA
  • SCI
  • SNA
  • SQU
  • STN
  • TUNA
  • OTHER

Origin of Inspected Landings/Fishers Identified

Identifier

• Identifier (enter Vessel ID & Name)

• Permit No Used

• Skipper

Areas For Inspection

• Fish Receiving Areas

  Inspected

  Breach

  N/A

• Freezers

  Inspected

  Breach

  N/A

• Inventory Systems

  Inspected

  Breach

  N/A

• Landing Documents

  Inspected

  Breach

  N/A

• LFR License

  Inspected

  Breach

  N/A

• LFR Returns

  Inspected

  Breach

  N/A

• Other 1 (specify)

  Inspected

  Breach

  N/A

• Other 2 (specify)

  Inspected

  Breach

  N/A

• Other Documents (specify)

  Inspected

  Breach

  N/A

• Packing Area

  Inspected

  Breach

  N/A

• Processing Area

  Inspected

  Breach

  N/A

• Purchase Invoices

  Inspected

  Breach

  N/A

• Sales Documents

  Inspected

  Breach

  N/A

• Trucks

  Inspected

  Breach

  N/A

Unloading Sheet

• Date of Transaction

  Yes

  No

  N/A

• Vessel Name

  Yes

  No

  N/A

• Date of Transaction

  Yes

  No

  N/A

• Person by Whom Fish Taken if Different From Person Above

  Yes

  No

  N/A

• Number and Type of Containers

  Yes

  No

  N/A

• Species, Landed State and Weight in Kilos of the Fish Received

  Yes

  No

  N/A

• Reference to the Eventual Purchase Invoice in Respect of the Fish

  Yes

  No

  N/A

Purchase Invoice

• Date of Transaction

  Yes

  No

  N/A

• Vessel Name

  Yes

  No

  N/A

• Name of the Quota Holder/Permit Holder by Whom the Fish Were Caught and Their QRN or FIN #

  Yes

  No

  N/A

• Species, Landed State and Greenweight in Kilos of the Fish

  Yes

  No

  N/A

• Any Deductions of the Fish Received but not Paid for and any Allowance for Ice

  Yes

  No

  N/A

• A Reference to the Unloading Docket Number Prepared in Respect of the Fish

  Yes

  No

  N/A

Defined State/Conversion Factors

• Has the Correct Defined State(s) of the Fish Been Recorded on the Unl;oading Sheet or Purchase Invoice

  Yes

  No

  N/A

• Have the Correct Conversion Factor(s) Been Applied to the Landed State to Obtain Greenweight

  Yes

  No

  N/A

Stock on Hand Inventory

• LFR Maintains a Stock Inventory Which is Updated at Intervals not Exceeding 1 Month

  Yes

  No

  N/A

Comparisons

• Uplift Landing Information for Comparison with CELR and LFR Returns

  Yes

  No

  N/A

• Comments/Follow - Up

• Yes

  No

  N/A

• Yes

  No

  N/A