One Health - RCA Current Version - DO NOT USE Checklist

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

Describe The Issue:

Infectious Disease

Respiratory

Select One Of The Following:

Airsac

Vaccine Reaction

ILT

Polyserositis

Other

Describe The Issue:

Guts

Select One Of The Following:

Necrotic Enteritis

Cocci

RSS

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

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

Describe The Issue:

Infectious Disease

Respiratory

Select One Of The Following:

Airsac

Vaccine Reaction

ILT

Polyserositis

Other

Describe The Issue:

Guts

Select One Of The Following:

Necrotic Enteritis

Cocci

RSS

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

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

One Health - RCA Current Version - DO NOT USE Checklist

Enter your details to print your FREE checklist

Still haven't found the checklists you were looking for?