VSLS Sheep RSSS Collection Worksheet Fill-in

SHEEP RSSS WORKSHEET – (blank fields)

Page 1 of

RSSS Collection Site Name:
Collection Site SNGD Premises Number:

Collection Date:
Collector’s Name:

Total Number of Mature Sheep Slaughtered Today:
Number of Sheep Slaughtered Today with Official ID:
Total Heads Sampled Today:
Jar #

UPC Barcode
Designation
1. Non-Clinical
2. Less spec. clin.
Signs - LIST SIGNS
3. Suspect
4. Known exposed
5. SFCP
6. Directed by
Reg Epi

Clinical Signs
1. CNS
2. Rubbing/abrasions
/bare areas
3. Unthrifty
4. Nonambulatory
5. Less specific signs
6. Died before slaughter
7. Condemned

Face Color
Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

12.02.22 Version

Estimated %
Black (if mottledface)
>40%
10-40%
1-10%
<1%
Unk

Gender
Female
Male
NM
Unk

Age
12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full
mouth)
6-7yr (full
mouth
moderate
cond)
8yr (broken
mouth)

Official ID/types
Flock ID
Flock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Other IDs
and ID types (write in type)

RSSS WORKSHEET – (blank fields - continuation sheet)

Jar #

UPC Barcode

Face
Color
Designation
1. Non-Clinical
2. Less spec. clin.
Signs - LIST SIGNS
3. Suspect
4. Known exposed
5. SFCP
6. Directed by Reg
Epi

Clinical Signs
1. CNS
2. Rubbing/abrasions
/bare areas
3. Unthrifty
4. Nonambulatory
5. Less specific signs
6. Died before slaughter
7. Condemned

Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

Page
Age

Estimated %
Black (if
mottled-face)

>40%
10-40%
1-10%
<1%
Unk

of

Gender
Female
Male
NM
Unk

12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full
mouth)
6-7yr (full
mouth
moderate
cond)
8yr (broken
mouth)

Official ID/types
Flock ID
Flock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Other IDs
and ID types (write in type)