Mountaire Biosecurity Audit

• Premise ID (All Caps):

• Route Number:

• Grower Number/s:

• Farm Name/s:

• Conducted on

  Date

• Farm Name:

• Grower #:

• Is there another contract/farm associated with this premise?

  Yes

  No

  N/A

• Farm Name:

• Grower #:

• Is there another contract/farm associated with this premise?

  Yes

  No

  N/A

• Farm Name:

• Grower #:

• Premise ID (All Caps):

• Are you currently on the farm with internet access?

  Yes

  No

  N/A
• Select the blue "locate me" button. Press the i-circle button on upper right and select hybrid. Press the blue arrow button in upper right corner. Press use location to import the address into the audit field.
  Address

• Select the blue "locate me" button in previous question. Press the i-circle button on upper right and select hybrid. Press the blue arrow button in upper right corner. Press the x button to remove the address window. Zoom in and take screenshot.

• Enter Premise Address:

  Yes

  No

  N/A

• Latitude:

  Yes

  No

  N/A

• Longitude:

  Yes

  No

  N/A

• Go to Maps app on iPhone and search farm address. Press the x button to remove the address window. Press the i-circle button on upper right and select hybrid. Zoom in and take screenshot.

• Mark PBA: Press add media and choose photo library. Select iPhone screenshots and upload the screenshot of the premise. Press pencil tool in upper right corner and draw the PBA line in red, then tap done and close.

  Media

• Note: As defined in the Mountaire Biosecurity Policy, the LOS is the walls and doors of each chicken house's on the google maps image.

• Note: A house on a premise with an "x" on it does not place birds.

• Definitions:
  PBA: The Perimeter Buffer Area is a functional zone surrounding the poultry houses and all other facilities/lanes associated with raising the poultry. This perimeter of this functional zone separates it from all adjoining areas/properties unrelated to poultry production.
  LOS: The Line of Separation is a functional line separating the poultry house/s and the poultry inside from exposure to potential disease sources. For Mountaire, it is defined as the walls/doors of the poultry building.

• Notes:

• Have the personnel that regularly enter the PBA completed training?

  Yes

  No

  N/A

• Who are the people trained on this site?

  Select Farm Owners Caretakers/Laborers Vendors/Visitors

  • Farm Owners
  • Caretakers/Laborers
  • Vendors/Visitors

• List the names of trained personnel (farm owners):

• Has this training been completed at a minimum annually (farm owners)?

  Yes

  No

  N/A

• What was the most recent date of completion (farm owners)?

  Date

• Is there an additional farm owner trained?

  Yes

  No

  N/A

• List the names of trained personnel (farm owners):

• Has this training been completed at a minimum annually (farm owners)?

  Yes

  No

  N/A

• What was the most recent date of completion (farm owners)?

  Date

• List the names of trained personnel (caretakers/laborers):

• Has this training been completed at a minimum annually (caretakers/laborers)?

  Yes

  No

  N/A

• What was the most recent date of completion (caretakers/laborers)?

  Date

• Is there additional caretakers/laborers trained?

  Yes

  No

  N/A

• List the names of trained personnel (caretakers/laborers):

• Has this training been completed at a minimum annually (caretakers/laborers)?

  Yes

  No

  N/A

• What was the most recent date of completion (caretakers/laborers)?

  Date

• Is there additional caretakers/laborers trained?

  Yes

  No

  N/A

• List the names of trained personnel (caretakers/laborers):

• Has this training been completed at a minimum annually (caretakers/laborers)?

  Yes

  No

  N/A

• What was the most recent date of completion (caretakers/laborers)?

  Date

• Are there additional caretakers/laborers trained?

  Yes

  No

  N/A

• List the names of trained personnel (caretakers/laborers):

• Yes

  No

  N/A

• What was the most recent date of completion (caretakers/laborers)?

  Date

• Are there additional caretakers/laborers trained?

  Yes

  No

  N/A

• List the names of trained personnel (caretakers/laborers):

• Has this training been completed at a minimum annually (caretakers/laborers)?

  Yes

  No

  N/A

• What was the most recent date of completion (caretakers/laborers)?

  Date

• Are there additional caretakers/laborers trained?

  Yes

  No

  N/A

• List the names of trained personnel (caretakers/laborers):

• Has this training been completed at a minimum annually (caretakers/laborers)?

  Yes

  No

  N/A

• What was the most recent date of completion (caretakers/laborers)?

  Date

• List the names of trained personnel (vendors/visitors):

• Has this training been completed at a minimum annually (vendors/visitors)?

  Yes

  No

  N/A

• What was the most recent date of completion (vendors/visitors)?

  Date

• Notes:

Site-Dedicated Personnel

• Definition: Site dedicated personnel are defined as the person/s performing the daily/regular farm tasks (i.e. farm caretakers, farm owner, etc.)

• What PPE is used by site-dedication personnel when entering the LOS with growing birds?

  Select Site-dedicated footwear Site-dedicated disposable footwear Site-dedicated clothing House-dedicated footwear Other

  • Site-dedicated footwear
  • Site-dedicated disposable footwear
  • Site-dedicated clothing
  • House-dedicated footwear
  • Other

• Do all individuals crossing the PBA and LOS have job duties relevant to the biosecure site?

  Yes

  No

  N/A

• Are there procedures required for site-dedicated personnel who have recently had contact with other poultry (i.e. another premise) or avian species before re-entering the PBA and/or LOS?

  Yes

  No

  N/A

• What are the procedures that are required?

  Select Site-dedicated footwear or disposable shoecovers Are trained on Mountaire biosecurity protocols Shower and wear clean clothes and footwear between premises Ensure vehicle is clean of poultry manure/litter Site-dedicated vehicle/transport is used?

  • Site-dedicated footwear or disposable shoecovers
  • Are trained on Mountaire biosecurity protocols
  • Shower and wear clean clothes and footwear between premises
  • Ensure vehicle is clean of poultry manure/litter
  • Site-dedicated vehicle/transport is used?

Non-Site Dedicated Personnel

• Definition: Non-Site Dedicated Personnel are defined as the person/s visiting the site to perform poultry related tasks (i.e. flock supervisor, vaccination crew, vendors, repair personnel, etc.)

• What PPE is used by non-site dedicated personnel when entering the LOS?

  Select Coveralls Hairnet Disposible Shoe Covers Gloves Other None

  • Coveralls
  • Hairnet
  • Disposible Shoe Covers
  • Gloves
  • Other
  • None

• Do all individuals crossing the PBA and LOS have job duties relevant to the biosecure site?

  Yes

  No

  N/A

• Are there procedures required for non-site dedicated personnel who have recently had contact with other poultry (i.e. other premise) or avian species before re-entering this site?

  Yes

  No

  N/A

• What are the procedures that are required?

  Select Coveralls Hairnet Disposible Shoe Covers Gloves Other None

  • Coveralls
  • Hairnet
  • Disposible Shoe Covers
  • Gloves
  • Other
  • None

• Notes:

• Which documents are posted or readily available?

  Select Farm Specific Biosecurity Plan Mountaire Biosecurity Policy Training Documents Risk Assessment Other Biosecurity Documents

  • Farm Specific Biosecurity Plan
  • Mountaire Biosecurity Policy
  • Training Documents
  • Risk Assessment
  • Other Biosecurity Documents

• If other, what are the other documents posted?

• Is a Line of Separation (LOS) established ?

  Yes

  No

  N/A

• Is a Perimeter Buffer Area (PBA) established ?

  Yes

  No

  N/A

• Are only farm-essential personnel allowed to enter the PBA?

  Yes

  No

  N/A

• For site-dedicated personnel, are there biosecurity procedures required when crossing the LOS?

  Yes

  No

  N/A

• If yes, what are they ?

  Select Liquid Disinfectant Footpan Dry Bleach Footpan Disposable Footwear House Dedicated Footwear Site Dedicated Footwear Coveralls Gloves Hand Disinfection Hairnet Other

  • Liquid Disinfectant Footpan
  • Dry Bleach Footpan
  • Disposable Footwear
  • House Dedicated Footwear
  • Site Dedicated Footwear
  • Coveralls
  • Gloves
  • Hand Disinfection
  • Hairnet
  • Other

• What other procedures are required?

• Are there "No Admittance" signs posted at farm entrance?

  Yes

  No

  N/A

• For premises owned by the same grower, are the placements scheduled in a manner that allows for all-in all-out status of all premises?

  Yes

  No

  N/A

• Notes:

• Are houses birdproof?

  Yes

  No

  N/A

• Are weeds/grass maintained around the premise?

  Yes

  No

  N/A

• Are house doors kept closed except during catch or cleanout/crusting/windrowing?

  Yes

  No

  N/A

• Where are rodent bait stations or baiting (attic) placed?

  Select House Perimeter Along Inside House Walls Attic Other

  • House Perimeter
  • Along Inside House Walls
  • Attic
  • Other

• If other, where are the stations placed?

• How often are bait stations checked/replenished?

  Select Every Flock Monthly Quarterly Seasonally Other

  • Every Flock
  • Monthly
  • Quarterly
  • Seasonally
  • Other

• How often are they replaced/replinished?

• Is a Mountaire-approved insecticide treatment performed between every flock?

  Yes

  No

  N/A

• Notes:

Equipment

• Definition: Equipment is defined as any object coming into contact with growing poultry (i.e. dead bird buckets, tools for repairs, ladders, etc.).

• Is all of the equipment that comes into contact with growing birds dedicated solely to this premise?

  Yes

  No

  N/A

• Are there procedures for the cleaning, disinfection, or restriction of sharing equipment?

  Yes

  No

  N/A

• What are these procedures?

  Select Equipment is dry and wet cleaned with soap and water, and sanitized with a disinfectant Equipment is dry and wet cleaned with soap and water, and followed with a heating disinfection (133° F for at least 3 hours)

  • Equipment is dry and wet cleaned with soap and water, and sanitized with a disinfectant
  • Equipment is dry and wet cleaned with soap and water, and followed with a heating disinfection (133° F for at least 3 hours)

Vehicles

• Where are vehicles allowed on this property?

  Select Driveway Parking Area Other

  • Driveway
  • Parking Area
  • Other

• Where else are vehicles allowed?

• Notes:

• How often is mortality collected?

  Daily

  Other

• If other, how often is mortality collected?

• What is the primary disposal method?

  Select On Site Incineration On Site Dead Pits On Site Composting On Site Burial Freezers Rendering/Pickup Other

  • On Site Incineration
  • On Site Dead Pits
  • On Site Composting
  • On Site Burial
  • Freezers
  • Rendering/Pickup
  • Other

• If other, what is the primary disposal method?

• Are mortality disposal procedures completed properly, preventing the movement of disease between premises?

  Yes

  No

  N/A

• Notes:

• Is used litter stored outside the LOS and within the PBA?

  Yes

  No

  N/A

• Is the storage method of litter completed in a manner that prevents disease from moving from premise to premise?

  Yes

  No

  N/A

• If litter is not stored on site, are you following proper nutrient management litter export documentation requirements?

  Yes

  No

  N/A

• Are litter or pad amendments used?

  Yes

  No

  N/A

• Which amendments are used?

  Select PLT Alum Other

  • PLT
  • Alum
  • Other

• Notes:

Water Supply

• What is the source for drinking water?

  Select Municipal System Well Surface Water Source

  • Municipal System
  • Well
  • Surface Water Source

• Is water treatment used to reduce the level of disease agents?

  Yes

  No

  N/A

• Is the source for water used for evaporative cooling the same as the source for drinking water?

  Yes

  No

  N/A

• What is the source?

  Select Municipal System Well Surface Water Source

  • Municipal System
  • Well
  • Surface Water Source

• Is water treatment used to reduce the level of disease agents?

  Yes

  No

  N/A

• Are any surfaces cleaned or flushed with surface water?

  Yes

  No

  N/A

• Are subsequent measures of disinfection taken to prevent disease transmission?

  Yes

  No

  N/A

• What are the measures taken?

  Select Disinfectant applied Heat treatment

  • Disinfectant applied
  • Heat treatment

• If water treatment is not possible, has a risk analysis been performed to determine actions needed to mitigate risks?

  Yes

  No

  N/A

Water Sanitation Procedure

• Is the company recommended water sanitation program being followed?

  Yes

  No

  N/A

• Which water sanitizers are used ?

  Select Sodium Hypochlorite (Bleach) Chlorine Dioxide Hydrogen Peroxide Type Other

  • Sodium Hypochlorite (Bleach)
  • Chlorine Dioxide
  • Hydrogen Peroxide Type
  • Other

• If other, what sanitizers are used?

• Notes:

• Are feed, feed ingredients, bedding, & litter delivered, stored, & maintained in a manner that limits exposure/contamination by wild birds, rodents, insects, & other animals?

  Yes

  No

  N/A

• Are feed spills within the PBA cleaned up and disposed of in a timely fashion?

  Yes

  No

  N/A

• Notes:

• Broilers: Flock Advisor is contacted if daily mortality exceeds 3/K for two consecutive days or 5/K for one day (for birds that are >7 days of age)?

  Yes

  No

  N/A

• Pullets: Flock Advisor is contacted if daily mortality exceeds 3/K for two consecutive days or 5/K for one day (for birds that are >7 days of age)?

  Yes

  No

  N/A

• Breeders: Flock Advisor is contacted if daily mortality exceeds 2/K for one day or an egg production drop of >10% in a day?

  Yes

  No

  N/A

• Is the Flock Advisor contacted if there is a drastic change in feed consumption, water<br>consumption, or bird behavior?

  Yes

  No

  N/A

• Is the Flock Advisor contacted regarding biosecurity questions?

  Yes

  No

  N/A

• If Flock Advisor is unavailable, is the Growout Office contacted immediately as backup?

  Yes

  No

  N/A

• Notes:

• I (Mountaire Flock Supervisor) confirm that I have received training on Mountaire Biosecurity Program, making me certified to train person/s and complete the site specific audit on this premise.

  Yes

  No

  N/A

• Flock Advisor Name:

• Flock Advisor Signature:

  Sign

• I (Mountaire Producer or Caretaker) confirm that I have received training, understand/reviewed the site specific audit, and will follow Mountaire's Biosecurity Program. I will inform my flock supervisor immediately of any newly hired poultry caretakers.

  Yes

  No

  N/A

• Producer or Caretaker Name:

• Producer or Caretaker Signature:

  Sign