Title Page
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Operator
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Address
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Employee Name
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Conducted on
Crop Management
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Do you experience weed problems?
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Do you use weed control methods?
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Photo evidence
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Do you keep a record of how often you utilize weed control methods?
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Do you use restricted weed management strategies?
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Restricted weed management strategies utilized
- plastic or other synthetic mulches
- corn gluten
- soap-based herbicides
- newspaper or other recycled paper for mulch
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Is the mulch removed at the end of the growing or harvest season?
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Why?
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Is the corn genetically modified?
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What verification do you have?
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Areas where soap-based herbicides are used
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Do you use paper with glossy or colored inks?
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Do you keep a record of how often you utilize weed control methods?
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Do you monitor the effectiveness of your weed management program?
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How often do you conduct weed monitoring?
- weekly
- monthly
- annually
- as needed
- other
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Specify
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Rate the effectiveness of your weed management program
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Do you experience pest problems?
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Do you work with a pest control advisor?
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Name
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Contact Number
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Do you use strategies to control pest damage to crops?
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Photo evidence
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Do you keep a record of how often you utilize pest control methods?
Pest Control Product
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Name
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Type
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Status
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Describe compliance with NOP rule annotation
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Do you monitor the effectiveness of your pest management program?
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How often do you conduct pest monitoring?
- weekly
- monthly
- annually
- as needed
- other
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Specify
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Rate the effectiveness of your pest management program
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Do you experience crop disease problems?
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Do you use disease prevention strategies?
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Photo evidence
Disease Control Product
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Name
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Type
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Status
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Describe compliance with NOP rule annotation
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Do you monitor the effectiveness of your disease management program?
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How often do you conduct disease monitoring?
- weekly
- monthly
- annually
- as needed
- other
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Specify
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Rate the effectiveness of your disease management program
Maintenance of Organic Integrity
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Do you use safeguards to prevent accidental contamination?
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Photo evidence
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Have you posted "No Spray" signs along roadsides that adjoin organic fields?
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Do any fields or portions of fields flood frequently?
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Which fields?
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Do you monitor for crop contamination?
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How often do you conduct crop contamination monitoring?
- weekly
- monthly
- annually
- as needed
- other
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Specify
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Do you grow the same crops organically, as well as in transition, and/or conventionally?
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Are all equipment used in organic crop production free of non-organic crops and prohibited materials?
Equipment
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Name
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Type
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Used on?
- organic crop
- conventional crop
- both organic and conventional crops
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How is this equipment cleaned before use on organic fields?
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Photo evidence
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Is your equipment maintained so that fuel, oil and hydraulic fluid do not leak?
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Do you use a sprayer?
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What type?
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Did you purchase it:
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Could any equipment you use have been contaminated by previous uses?
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Describe
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How do you harvest organic crops?
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Are any organic crops custom harvested?
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Name
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Address
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Containers used for harvesting
- gravity wagons/boxes
- truck boxes
- cardboard/waxed boxes
- wooden totes
- plastic containers
- other
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Specify
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Are containers new or used?
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What did they contain prior to organic use?
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Are the containers used for organic crops only?
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Is there potential contamination or commingling problems with your harvest of organic crops?
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Is the processing area and equipment used for both organic and non-organic products?
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Steps taken to prevent commingling and contamination
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Does packaging present any contamination problems for your organic products?
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What are they?
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Types of packaging material used
- bulk
- paper
- cardboard
- wood
- glass
- metal
- foil
- plastic
- waxed paper
- aseptic
- natural fiber
- synthetic fiber
- other
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Specify
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Form of finished products shipped
- dry bulk
- liquid bulk
- tota bags
- tote boxes
- paper bags
- foil bags
- metal drums
- mesh bags
- cardboard drums
- cardboard cases
- plastic crates
- other
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Specify
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Do you have areas for organic storage?
Storage Area
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Storage ID#
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Type of Storage
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Capacity / Size
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Crop stored
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Crop Type
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Do you clean storage units prior to storage of organic crops?
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Photo evidence
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Do you prevent/control insect pests in crop storage areas?
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Are any stored crop inputs used or planned for use on organic crops?
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Input and retain labels
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Who is responsible for arranging transportation of organic products?
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Specify
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Describe how organic products are transported.
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Are there potential contamination or commingling problems with the transport of organic crops?
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Steps taken to protect the integrity of organic products during transport
Recordkeeping System
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Records you keep for organic production
- field maps
- field activity log(s)
- field history sheets (previous three years)
- documentation of previous land use for rented and/or newly purchased land
- input records for soil amendments, seeds, manure, foliar sprays, and pest control products (keep all labels)
- documentation of attempts to source organic seeds and/or planting stock
- documentation of organic seedlings
- residue analyses of inputs (i.e., manure sourced off-farm)
- compost production records
- monitoring records (soil tests, tissue tests, water tests, quality tests, observations)
- equipment cleaning records
- harvest records that show field numbers, date of harvest, and harvest amounts (including custom harvest records)
- label records
- storage records that show storage location, storage identification, field numbers, amounts stored, and cleaning activities
- clean transport records
- sales records (purchase order, contract, invoice, cash receipts, cash receipt journal, sales journal, etc.)
- shipping records (scale ticket, dump station ticket, bill of lading)
- Transaction Certificates
- audit control summary
- complaint log
- other
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Specify
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How long do you keep these records?
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Do you keep records for conventional production?
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Which of the following records do you keep for conventional production?
- field maps
- labor records
- field history sheets
- storage records
- input records
- sales records
- harvest records
- shipping records
- other
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Specify
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Types of Marketing
- farmers market
- direct to retail
- CSA/subscription service
- wholesale on-farm retail
- bulk commodities to processor
- contract to buyer
- other
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Specify
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Do you use (or plan) to use the USDA organic seal on product labels or market information?
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Attach copy of organic product label
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Do you use (or plan )to use the seal of the certifying agent on product labels or market information?
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Attach copy of organic product label
Completion
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Additional Observations
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Employee's Name & Signature
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Operator's Name & Signature
