Form VS 7-9 VS 7-9 TRICHINAE CERTIFICATION SITE AUDIT FORM

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

USDA-APHIS

TRICHINAE CERTIFICATION

According to the Paperwork Reduction Act of 1985, no persons are required to respond to a collection of information unless it displays a valid OMB number. The valid
OMB control number for this information collection is 0579-xxx. The time to complete this collection of information is estimated to average 1 hour per response, OMB NUMBER
0579including the time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the form.

PART I - PRODUCER INTERVIEW
SECTION I - GENERAL INFORMATION
1. TRICHINAE ID NO. (T.I.N. #)

2. NAME OF SITE

7. LOCATION OF SITE (STREET, CITY, STATE, ZIP CODE)

8. NAME(S) AND TITLE(S) OF FACILITY PEOPLE PRESENT AT AUDIT

4. TELEPHONE NO.

3. NAME OF SITE OWNER

5. FAX NO.

9. NAME AND ADDRESS OF DESIGNATED SITE CONTACT PERSON
(911 ADDRESS, CITY, STATE, ZIP CODE)

6. DATE AUDITED
10. TELEPHONE NO.
11. FAX NO.

12. EMAIL ADDRESS

13. CHECK RESPONSE THAT MOST CORRECTLY DESCRIBES SITE
FARROW TO FINISH

WEAN TO FINISH

GROWER TO FINISH

FINISHER ONLY

NURSERY

OTHER (SPECIFY)

SECTION II - RECORDS AND DOCUMENTATION
14. ANIMAL MOVEMENT RECORDS
a. Records of animal movement are complete and up-to-date
Source herd T.I.N. Numbers
15. ANIMAL DISPOSAL PLAN
a. A written plan for disposal of dead animals is complete and up-to-date
16. FEED INFORMATION
a. If site produces own feed, a rodent control log book is maintained for the feed production and storage site(s)
b. If site purchases feed or has it delivered from an off-site production facility, quality assurances are maintained
c. If site feeds meat waste, a waste feeding log book is maintained
17. RODENT CONTROL RECORDS
a. Records of rodent control system (self or professionally maintained) are complete and up-to-date

ACCEPTABLE

NOT ACCEPTABLE

COMMENTS

PART II - SITE EVALUATION
SECTION I - OUTSIDE EVALUATION
18. FEED PRODUCTION AREAS (If feed is not produced on-site, skip to next section)
a. Feed ingredients are stored so they are inaccessible to rodents and wildlife
b. Rodent control practices are in place in feed production areas
c. There is no evidence of active rat infestation
d. There is no evidence of active wildlife infestation
19. FEED STORAGE AREAS (Including bins)
a. Feed is stored so that it is inaccessible to rodents and wildlife
b. Rodent control practices are in place in feed storage areas
c. There is no evidence of active rat infestation
d. There is no evidence of active wildlife infestation
e. Feed spills are cleaned daily
20. SWINE HOUSING (Exterior)
a. A suitable "sterile zone" is maintained around swine housing facility
b. There is no rodent harborage within 100 feet of swine housing facility
c. Rodent baiting is in place in all areas of non-removable harborage
d. Rodent baiting is in place around building perimeter, including entry/o ffice areas and load-out areas
e. There is no evidence of an active rat infestation
f. There is no evidence of contact of swine with wildlife
21. SITE HYGIENE
a. Facility refuse storage and removal methods meet program criteria

ACCEPTABLE

NOT ACCEPTABLE

COMMENTS

SECTION II - INSIDE EVALUATION
22. ENTRY AREA, LOAD OUT, AND/OR OFFICE (Interior)
a. General sanitation is good and hargorage for rodents is minimal
b. Rodent baiting is in place at regular intervals
23. SWINE AREAS (Interior)
a. General sanitation is good and hargorage for rodents is minimal
b. Rodent baiting is in place at appropriate intervals
c. Dead animals are removed on a daily basis
AUDIT COMPLETED BY: (NAME, ADDRESS, ACCREDITATION ID)
AUDIT RECEIVED BY: (PRODUCER)
VS FORM 7-9
(JAN 2007)

ACCEPTABLE

NOT ACCEPTABLE

SIGNATURE (I ATTEST TO THE ACCURACY OF THE ABOVE INFORMATION AS BEING TRUE TO THE BEST OF MY KNOWLEDGE)
SIGNATURE

(I ATTEST TO THE ACCURACY OF THE ABOVE INFORMATION AS BEING TRUE TO THE BEST OF MY KNOWLEDGE AND I GIVE APHIS PERMISSION TO POST MY PRODUCTION SITE T.I.N. TO THE
TRICHINAE WEBSITE IF THE ABOVE IS APPROVED FOR TRICHINAE CERTIFICATION. I ALSO COMMIT TO KEEPING THE TRICHINAE GOOD PRODUCTION PRACTICES IN PLACE IN BETWEEN SCHEDULED
AUDITS )

Producter, please check here if you want the current Trichinae Certification on -farm auditor (QAV) to receive notification when your on-farm Trichinae Certifi cation audit is due.