General Information

Farm Name:

Grower #:

Is there another contract/farm associated with this premise?

Farm Name:

Grower #:

Is there another contract/farm associated with this premise?

Farm Name:

Grower #:

Premise ID (All Caps):

Are you currently on the farm with internet access?

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.

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:

Latitude:

Longitude

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.

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:

Training

Have the personnel that regularly enter the PBA completed training?

Who are the people trained on this site?

List the names of trained personnel (farm owners):

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

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

Is there an additional farm owner trained?

List the names of trained personnel (farm owners):

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

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

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

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

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

Is there additional caretakers/laborers trained?

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

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

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

Is there additional caretakers/laborers trained?

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

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

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

Are there additional caretakers/laborers trained?

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

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

Are there additional caretakers/laborers trained?

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

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

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

Are there additional caretakers/laborers trained?

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

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

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

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

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

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

Notes:

Personnel

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?

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

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?

What are the procedures that are required?
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?

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

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?

What are the procedures that are required?

Notes:

Other Biosecurity Measures

Which documents are posted or readily available?

If other, what are the other documents posted?

Is a Line of Separation (LOS) established ?

Is a Perimeter Buffer Area (PBA) established ?

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

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

If yes, what are they ?

What other procedures are required?

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

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?

Notes:

Wild Birds, Rodents, & Insects

Are houses birdproof?

Are weeds/grass maintained around the premise?

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

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

If other, where are the stations placed?

How often are bait stations checked/replenished?

How often are they replaced/replinished?

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

Notes:

Equipment & Vehicles

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?

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

What are these procedures?
Vehicles
Where are vehicles allowed on this property?

Where else are vehicles allowed?

Notes:

Mortality Disposal Procedure

How often is mortality collected?

If other, how often is mortality collected?

What is the primary disposal method?

If other, what is the primary disposal method?

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

Notes:

Procedures Regarding Litter Management, Cleaning/Disinfection Between Flocks, Manure Storage/Removal/Disposal

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

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

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

Are litter or pad amendments used?

Which amendments are used?

Notes:

Water Sanitation Procedure

Water Supply
What is the source for drinking water?

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

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

What is the source?

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

Are any surfaces cleaned or flushed with surface water?

Are subsequent measures of disinfection taken to prevent disease transmission?

What are the measures taken?

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

Water Sanitation Procedure

Is the company recommended water sanitation program being followed?

Which water sanitizers are used ?

If other, what sanitizers are used?

Notes:

Feed & Replacement Litter

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

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

Notes:

Reporting of Elevated Morbidity and Mortality

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)?

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)?

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

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

Is the Flock Advisor contacted regarding biosecurity questions?

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

Notes:

Signatures

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.

Flock Advisor Name:

Flock Advisor Signature:

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.

Producer or Caretaker Name:

Producer or Caretaker Signature:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.