| Farm Name | Date | ||
|---|---|---|---|
| Location | Inspector |
| Checklist Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Signage indicating restricted entry | ||||
| Visitor register maintained | ||||
| Foot bath/disinfectant at entry |
| Checklist Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Protective clothing provided and used | ||||
| Handwashing facilities available |
| Checklist Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Clean & sanitary poultry houses | ||||
| Waste disposed appropriately | ||||
| Rodent and pest control measures |
| Checklist Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Regular health checks performed | ||||
| Ill or dead birds promptly isolated/removed | ||||
| Accurate health records maintained |
| Checklist Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Feed stored in a clean, dry area | ||||
| Water supply clean and tested |
| Checklist Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Vehicles/equipment cleaned before entry | ||||
| Designated parking for outside vehicles |
| Signature | Date |
|---|