Title Page
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Conducted on
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Prepared by
- Rebecca Creer
- Wayne Brooks
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Dogs cleaned and fed
- N/A
- Pen 1
- Pen 2
- Pen 3
- Pen 4
- Pen 5
- Pen 6
- Pen 7
- Pen 8
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Cats cleaned and fed
- N/A
- Cage 1
- Cage 2
- Cage 3
- Cage 4
- Cage 5
- Cage 6
- Cage 7
- Cage 8
- Cage 9
- Cage 10
- Cage 11
- Cage 12
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Any symptoms of illness or injury
- No
- Yes - specify from checklist
- lack of appetite
- runny nose
- repeated sneezing
- coughing
- diarrhoea
- bloodstained diarrhoea (Parvo Symptom - Isolate and sterilize vacated pen)
- Eyes having mucus and swelling
- apparent pain
- lameness
- Open wound or injury
- Chattering teeth (possible poison / toxin)
- Chattering teeth and foam at muzzle / heavy drooling (possible poison / toxin)
- red or brown coloured urine (possible poison / toxin)
- inability to stand or walk
- bleeding or swelling of body parts
- bloating of abdomen
- vomiting
- weight loss
- Fits or staggering
- Broken digits or limb
- Animal Found Deceased
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If Cat - Affected Cage
- N/A
- Cage 1
- Cage 2
- Cage 3
- Cage 4
- Cage 5
- Cage 6
- Cage 7
- Cage 8
- Cage 9
- Cage 10
- Cage 11
- Cage 12
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If Dog - Affected Pen
- N/A
- Pen 1
- Pen 2
- Pen 3
- Pen 4
- Pen 5
- Pen 6
- Pen 7
- Pen 8
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Officers Actions
- N/A
- Monitoring of the animal
- Provided first aid - describe in notes
- Removed animal to Vet for treatement
- Contacted supervisor to discuss
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Officers Notes
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Photographs
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Time Completed
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Time worked ÷ 60 ie:- 30 min ÷ 60 = 0.50
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Officer to sign off
