Flock Supervisor Investigation

Requirements Statement:
-For week 1 (0-7 days of age) action threshold is >5/1000/day for more than 2 consecutive days.
-For week 2-harvest (8 days-harvest) action threshold is >3/1000/day for more than 2 consecutive days, or > 5/1000 for 1 day.
Chick Health

Increments of "0.1" - round to the tenth decimal place, are only accepted. (As Needed)

EX: 2.3 is okay, but 2.28 is NOT accepted.

Is This First Week Mortality?

Is this delayed reporting?

Reason for Delay:

Grower

Reporting not immediate as required by contract

Retrained for conformance

Other:

Describe

Flock Supervisor

Other:

Describe

Age of birds at time of mortality increase:

Mortality Day 1 (x /1000)

Mortality Day 2 (x /1000)

Mortality Day 3 (x /1000)

Age of birds (in days) at time of submission:

Mortality Today (x /1000)

Mortality Yesterday (x /1000)

Mortality 2 Days Ago (x /1000)

Chick Quality, Select Following:

Chick Quality (0-7 Days)
Select One Of The Following:

Infectious Disease (Omphalitis, Asper, etc...)

Non-Infectious Disease (Dehydration, Red Hocks, Navel)

Mixed

Other

Describe:

Age of birds (in days) at time of submission:

Mortality Today (x /1000)

Mortality Yesterday (x /1000)

Mortality 2 Days Ago (x /1000)

Chick Quality, Select Following:

Chick Quality (0-7 Days)
Select One Of The Following:

Infectious Disease (Omphalitis, Asper, etc...)

Non-Infectious Disease (Dehydration, Red Hocks, Navel)

Mixed

Other

Describe:

Correction

Describe The Correction:

On Farm Necropsy

Submitted to Laboratory?

AI Swabs Submitted

Was a Feed Sample Submitted

Script Request

Script Request Submitted?

Tack A Picture Of Your Script Request Form

Has a written and/or verbal instruction on administering medication occurred?

Date communicated

Was This house Treated last flock?

Is This The Second Flock In This House Being Treated?

Is This The Third Flock In This House Being Treated?

Is This The Fourth Flock In This House Being Treated?

Is This The Fifth Flock In This House Being Treated?

Is This More Than The Fifth Flock Being Treated In This House?

Flock Supervisor Sign-off and Date
Please sign when complete

Is this delayed reporting?

Reason for Delay:

Grower

Reporting not immediate as required by contract

Retrained for conformance

Other:

Describe

Flock Supervisor

Other:

Describe

Age of birds at time of mortality increase:

Mortality Day 1 (x /1000)

Mortality Day 2 (x /1000)

Mortality Day 3 (x /1000)

Age of birds (in days) at time of submission:

Mortality Today (x /1000)

Mortality Yesterday (x /1000)

Mortality 2 Days Ago (x /1000)

Swab Clarification

Are birds greater than 21 days of age?

Is the mortality (deads, NOT culls) greater than 3/1000 for 2 consecutive days or 5/1000 for 1 day?

Will or have birds or AI swabs been submitted to the lab in response?

On-Farm Issues

Water

Describe Issue:

Temperature Extremes

Describe The Issue:

Air Quality

Describe The Issue:

Feed

Describe The Issue:

Lights

Describe The Issue:

Catch Mortality

Suffocation

Culling

Other

Other

Describe The Issue:

Infectious Disease
Guts

Select One Of The Following:

Necrotic Enteritis

Cocci

Describe: (Maxima or Tenella)

RSS

Other

Describe The Issue:

Respiratory

Select One Of The Following

Airsac

Is there a known/predisposing cause?

Vaccine Reaction

ILT

Polyserositis (bacterial infection in multiple organs)

Is there a known/predisposing cause?

Pericarditis (bacterial infection around heart)

Is there a known/predisposing cause?

Other

Describe the Issue:

Lameness

Select One Of The Following:

Bacteria (FHN) (Synovitis)

Reovirus (Ruptured Tendons)

Kinky Back

Kick Stand

Other

Describe The Issue:

Other

Dermatitis

Mixed

Uneven

Eye Ulcers (AB eyes)

Spike

Feed Knockdown

Unknown

Describe:

Comments (If Applicable)

Age of birds (in days) at time of submission:

Mortality Today (x /1000)

Mortality Yesterday (x /1000)

Mortality 2 Days Ago (x /1000)

Swab Clarification

Are birds greater than 21 days of age?

Is the mortality (deads, NOT culls) greater than 3/1000 for 2 consecutive days or 5/1000 for 1 day?

Will or have birds or AI swabs been submitted to the lab in response?

On-Farm Issues

Water

Describe Issue:

Temperature Extremes

Describe The Issue:

Air Quality

Describe The Issue:

Feed

Describe The Issue:

Lights

Describe The Issue:

Catch Mortality

Suffocation

Culling

Other

Other

Describe The Issue:

Infectious Disease
Guts

Select One Of The Following:

Necrotic Enteritis

Cocci

Describe: (Maxima or Tenella)

RSS

Other

Describe The Issue:

Respiratory

Select One Of The Following:

Airsac

Is there a known/predisposing cause?

Vaccine Reaction

ILT

Polyserositis (Bacterial infections in multiple organs)

Is there a known/predisposing cause?

Pericarditis (Bacterial infection around heart)

Is there a known/predisposing cause?

Other

Describe the Issue:

Lameness

Select One Of The Following:

Bacteria (FHN) (Synovitis)

Reovirus (Ruptured Tendons)

Kinky Back

Kick Stand

Other

Describe The Issue:

Other

Dermatitis

Mixed

Uneven

Eye Ulcers (AB Eyes)

Spike

Feed Knockdown

Unknown

Describe:

Comments (If Applicable)

Correction

Describe The Correction:

On Farm Necropsy

Submitted to Laboratory?

AI Swabs Submitted

Was a Feed Sample Submitted

Script Request

Script Request Submitted?

Tack A Picture Of Your Script Request Form

Has a written and/or verbal instruction on administering medication occurred?

Date communicated

Was This house Treated last flock?

Is This The Second Flock In This House Being Treated?

Is This The Third Flock In This House Being Treated?

Is This The Fourth Flock In This House Being Treated?

Is This The Fifth Flock In This House Being Treated?

Is This More Than The Fifth Flock Being Treated In This House?

Flock Supervisor Sign-off and Date
Please sign when complete

Veterinary Review Plan

Antibiotic Treatment (Details in Prescription)

Penicillin

Tetracycline

Lincomycin

Tylosin

BMD

SULFA (SDM, Sulmet)

Other

Describe Treatment:

Non-Antibiotic Treatment (Run According to Label Directions Unless Instructed Otherwise By Vet)

Amprol

Copper Sulfate

Manage / Maintain

Ioprin / Asperdine

Activo

CID Clean

Water Acidifier (PWT, SB Plus, Amacil)

Celmanax

Lumance

Other

Describe The Treatment

Management

Cull Affected Birds

Describe Alternative Management:

Further Actions:

Reviewing Veterinarian Signature

For VET use ONLY.

Select VET

Delayed Review by Veterinarian

iAuditor Platform or Mobile Issue

Other

Vet Review Date:

Prescription

For Vet Use ONLY.

Script Completed (NOTE: Farm Name, House #, Date are the Title)

Notes:

Add media
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.