Livestock Feed Contamination Incident Report
General Information
Date of Report
Reporter Name
Reporter Contact
Livestock & Feed Details
Farm/Facility Name
Location
Livestock Species Affected
Type of Feed Involved
Feed Batch/Lot Number
Incident Details
Date & Time of Incident
Type of Contaminant (if known)
Source/Suspected Source of Contamination
Description of Incident
Actions Taken
Number of Animals Affected
Outcome (if any)
Additional Notes