Form FDA1996 Dairy Farm Sanitation Report

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DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION

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DAIRY FARM SANITATION REPORT

FORM APPROVED; OMB No. 0910-0212
Expiration Date: December 31, 2008
See Reverse for OMB Statement

FARM NUMBER

OWNER

MILK GRADE

DATE

ADDRESS

NUMBER OF GALLONS DAILY

TIME

PERSON INTERVIEWED

DELIVERED TO

FACILITIES REQUIRED (Indicate non-compliance by marking X in the appropriate boxes.)
1. HEALTH OF COWS

2. MILKING AREA
Housing and Milking Barn?

Tuberculin tested

Milking Barn or Parlor

Accredited
Brucellosis tested, if required

3. MILK HOUSE OR ROOM

Veterinary Examination, if required

4. UTENSILS AND EQUIPMENT
5. COOLING FACILITIES
Method Used
6. WATER SUPPLY
7. TOILET AND SEWAGE DISPOSAL

SANITARY METHODS

(Indicate unsanitary conditions by marking X in the appropriate boxes. Add descriptive comments as necessary.
See other side for grade & score instructions.)
8. MILKING PROCEDURE
Perfect
Score
(Check one)
One)
Was Milking inspected?
Yes
No
Method used (Circle
hand
pipeline
machine
Was Mastitis test used?

Yes

Cows clean

No

Grade

Score

0

0

Kind of test

Udders Washed

Health of dairyman

Flanks, udders, and tails

Appearance of dairyman

Milkers hands clean

Milk moved immediately to milkroom

Clothes clean

Abnormal milk not sold

20

9. MILKING AREA
Walls and ceiling clean

Manure removed daily

Floors and gutter clean

Manure inaccessible to cows

Free from flies

Barnyard clean

Free from other animals

Barnyard well drained

15

10. MILK, HOUSE OR ROOM
Clean

Free from flies

10

Used for milk handling only

11. UTENSILS AND EQUIPMENT
Clean

Properly stored

Approved procedure used for sanitizing utensils and milking machines.

25

12. COOLING MILK
Temperature of cooling medium

F. and/or milk

Milk delivered to plant at 50 F. or less or

F.

Delivered to plant within 2 hours after milking if approved
15

Cooling medium sanitary
13. TOILET AND SEWAGE DISPOSAL
Clean

Free from flies

10

Used for milk handling only

14. GENERAL PREMISES
5

Neat and clean
TOTAL SCORE

100

FARM RATING
SUPPLEMENTAL INFORMATION (Based on last four records)
BACTERIAL COUNTS
Raw (Method

If necessary, PUT
ADDITIONAL
REMARKS ON
REVERSE.

)

Thermoduric
TEMPERATURES
SANITATION SCORES

Dairyman

FORM FDA 1996 (2/06)

Sanitarian
PSC Graphic Arts (301) 443-1090

EF

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Farm Classification:
Milk for Bottling
If a dairy farm fails to have any item under "1 - 7 inclusive", it shall not be admitted to the market for the major grade (usually
Grade A) of bottled milk. A check on any item under this heading automatically requires reinspection. Failure to make correction
requires rejection of the milk for bottling until all items are brought into compliance. The dairy farm shall not be scored on Sanitary
Methods unless items 1 - 7 inclusive are in compliance.
The farms are to be scored on each item 8 through 14 with the following grades and numerical scores:
Excellent (E) =
Good (G) =
Poor (P) =
Unsatisfactory (U) =

100 percent
80 percent
60 percent
Zero

For example, a farm would receive 80 percent of 20 or 16 points on item 8 if compliance was judged good (G), 60 percent of 20 or
12 points for poor (P) compliance; and zero for unsatisfactory (U) compliance.
The scores shall be used to classify the farms as follows:
95 - 100
80 - 94
60 - 79
59 or less

Excellent
Good
Reinspect
Immediate rejection

A score of 79 or less on reinspection requires immediate rejection. The dairy shall be brought into compliance before being
reinstated.
The sanitarian may call for a reinspection on the basis of several minor defects. Serious violation of any particular item may be
considered grounds for exclusion.
Milk for Manufacture
A dairy farm producing milk for manufacture into sweet cream, ice cream, cottage and related cheese, and dry and concentrated
milks may be rated on this score report with these exceptions. Item 4 shall not require hot water and a wash vat in the milk room,
Item 5 shall require facilities for cooling to 60 F. or less. Item 12, cooling to 60 F. or less shall be deemed satisfactory. Since
methods are just as important for milk for manufacture as milk for bottling the same system of scoring shall be used for it that is
used for milk for bottling.
Public reporting burden for this collection of information is estimated to average 1.5 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to:
DHHS/FDA/CFSAN
5100 Paint Branch Parkway
College Park, MD 20740-3835
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB
control number.

FORM FDA 1996 (2/06)