Title Page

  • Operator

  • Address
  • Employee Name

  • Conducted on

Source of Seedling and Perennial Stock

  • Do you understand the current organic standards?

  • Have you managed all fields for 3 or more years?

  • You must submit signed statements from the previous manager stating the use and all inputs applied during the previous 3 years on all newly rented or purchased fields.

  • Do you use organically grown seeds?

  • You must have records of your attempts to source organic seed.

  • Why do you use non-organic seedlings?

  • Please save all seed and inoculant labels.

  • Do you purchase organic seedlings?

  • Supplier
  • Name

  • Address
  • How do you grow organic seedlings on-farm?

  • Greenhouse Type and Size

  • Is treated wood used in any part of your greenhouse?

  • Where is it used?

  • Do you grow both organic and non-organic plants on-farm?

  • Organic Crop
  • Name

  • Non-organic Crop
  • Name

  • How do you separate and identify organic and non-organic growing areas?

  • How do you label organic and non-organic seedlings/plants?

Soil & Crop Fertility Management

  • How do you monitor the effectiveness of your fertility management program?

  • Specify

  • How often do you conduct fertility monitoring?

  • Specify

  • Rate the effectiveness of your fertility management program

  • Do you burn crop residues?

  • Why?

  • Materials burned

  • Do you apply sewage sludge to fields?

  • Fields where applied

  • Do you use compost?

  • Compost Ingredient / Additive
  • Name

  • Composting Method

  • Specify

  • How many times are materials turned?

  • C:N Ratio

  • Do you monitor temperature?

  • What temperature is maintained?
  • How long is this temperature maintained?

  • Do you use manure?

  • Do you apply fully composted raw manure to fields with crops not for human consumption?

  • Do you incorporate fully composted raw manure into the soil 120 days prior to harvest for crops whose edible portions has direct contact with the soil?

  • Do you incorporate fully composted raw manure into the soil 90 days prior to harvest for all other crops for human consumption?

Natural Resources & Biodiversity Management

  • Does your field map include features such as hedgerows, woodlands, wetlands, riparian zones, and special habitats?

  • Are there native plants present and or wildlife seen moving through farm?

  • Native Plant
  • Species

  • Wildlife
  • Species

  • Do you take steps to plan/provide for biodiversity conservation?

  • Do you manage water for the needs of crops/livestock, native species and riparian ecosystems?

  • Do you take actions to provide habitat for pollinators, insect predators, birds and bats?

  • Do you restore and/or protect natural areas?

  • Do you take actions to control invasive plant/animal species, especially those threatening natural areas?

  • Do you conserve and provide habitat for wildlife?

  • Do you schedule farm practices to benefit wildlife?

  • Do you protect riparian areas and sensitive habitats?

  • Are your improving your pasture or rangeland?

  • Do you use wildlife-friendly management practices?

  • Have you assessed the farm for biodiversity problems and greatest opportunities, and developed goals an a timeline for biodiversity conservation?

  • Describe.

  • Do you monitor farm biodiversity?

  • Do you maintain or improve the sustainability of the harvested species?

  • Do you use soil conservation practices?

  • Do you experience soil erosion problems?

  • Why?

  • On which fields?

  • Describe your efforts to minimize soil erosion problems

  • Source of Water

  • Specify

  • Input products applied through the irrigation system

  • Products used to clean irrigation lines/nozzles

  • Is the system shared with another operator?

  • Products they use

  • Is the system flushed and documented between conventional and organic use?

  • Are practices used to protect water quality?

  • Water Contaminant
  • Name

  • Describe your efforts to minimize water contamination problems

  • Do you monitor the effectiveness of your water quality program?

  • How often do you conduct water quality monitoring?

Completion

  • Additional Observations

  • Employee's Name & Signature

  • Operator's Name & Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.