Title Page
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Farm Name
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Address
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Owner / Manager Name
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Conducted on
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Select area(s) of organic operation to be checked
- Contamination or Commingling Risk Assessment
- Recordkeeping System
- Audit Trail, Traceability & Product Verification
Contamination & Commingling Risk Assessment
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Prohibited Materials & Heavy Metals Risk
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Specify risk
- Ash from manure burning
- Lead salts
- Potassium chloride
- Rotenone
- Sodium fluoaluminate (mined)
- Sodium nitrate
- Strychnine
- Tobacco dust (nicotine sulfate)
- Other
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Specify
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Photo evidence of how you controlled this risk
Pathogens Risk
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Specify risk
- Worker health and hygiene
- Site and dust management
- Water for irrigation
- Facility cleaning
- Product wash water
- Cooling and ice
- Soil amendments
- Pest management
- Pre-harvest assessment
- Animal intrusion
- Food contact surfaces
- Containers
- Utensils
- Harvest
- Packing
- Transportation (field and final product)
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Photo evidence of how you controlled this risk
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Do you use facilities for post-harvest handling, storage, packing, or processing the organic product?
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Are all organic crop storage facilities clean?
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Take photos
Recordkeeping System
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List of crops being grown, field locations (maps), acreages, and estimated yields
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Field history or land use documentation, if any new land is added this year
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Field activity logs for all practices performed (cultivation, weed control, use of manure or fertilizers, spraying, pruning, beneficials released, etc.)
Input purchase/source records
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Input purchase/source records of all inputs used for crop nutrients, pest, disease, or weed control
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Receipts
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Invoices
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Delivery tags
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Receipts or logs recording the pick-up or delivery of free materials
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Labels and/or documentation demonstrating that each material is allowed for use in organic production.
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A generic material (e.g., mined limestone) must be on the National List as allowed.
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A brand name product must either: 1) have a label that discloses all ingredients, including inert ingredients, so that they all may be verified as allowed; or 2) be listed as an allowed brand name material on a list approved by the certifier
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Manure must either be composted according to NOP standards or its date of incorporation documented to comply with the required number of days before harvest of a crop intended for human consumption.
Input application records
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Input application records (material, source / brand name / manufacturer, regulatory status, field location, date, and rate or quantity used)
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Seeds (crop and cover crop), planting stock, annual seedlings, and transplants
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Seed coatings and inoculants
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Greenhouse materials (e.g., potting soils or soil mix ingredients)
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Crop nutrients and soil amendments
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Pest management materials
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Beneďcial insect releases
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Natural, organic, or plastic mulches
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Any other materials applied
Seed, planting stock, and transplant records
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Documentation that seeds and annual transplants are certified organic
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For any non-organic seed or planting stock used, documentation of your unsuccessful search for commercially available organic seed or planting stock (most certifiers require documentation of non-availability from three sources)
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For any non-organic seed or planting stock used, verification that the seed or stock used is not genetically modifed or treated with prohibited materials.
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Documentation of compliance of any inoculants or seed coatings (non-GMO status of inoculant organisms and allowed status of all seed coating materials)
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Soil management activities, including crop rotation and erosion prevention activities
Pest management activities
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Pest management activities for control of crop pests (insects/mites/invertebrates/vertebrates), diseases, and weeds
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Preventative practices
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Materials used, if any
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Pesticide use reports, as required by law, if applicable
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(Some states require reporting of all applications of EPA-registered materials to commercial crops to the County Agricultural Commissioner, Department of Weights and Measures.)
Organic Integrity
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Documentation of measures to avoid contamination and commingling, as applicable to your operation
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Information about neighboring land use
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Prevention of contamination from borders
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Production, harvest, and sales records for buffer crops, transitional or conventional crops
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Material storage: adequate separation of allowed materials from any non-allowed products
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Irrigation water and system for contamination prevention
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(i.e., diagram of valves, back flow prevention, and/or documentation of purge procedures to prevent contamination from shared water systems where fertilizers or other prohibited materials are used)
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Clean-out or purge logs for equipment used for both organic and conventional operations
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Documentation of procedures to verify the absence of sanitizer residues, if sanitizers are used
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Certication documentation of any organic product purchased for resale
Labels and labeling
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Printed packaging, bags, boxes, ties, bands, and stickers
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Lot numbering of retail and bulk products, if applicable
Audit Trail, Traceability & Product Verification
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Audit trail documents that track products from the field of origin to final use or sale.
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Field, planting and production records
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Harvest and yield records
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Post-harvest handling records
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Storage records
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Transport records
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Sales records
Completion
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Overall observations
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Operator's Name & Signature
