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July 2017 21 RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) Year: Date of Birth (Day/Month) Animal Identification Number 15 digits Premises Identification Number Where the Animal was Born Date of Record (Day/Month) 15/04 QC 321654 7 20/04 * 7 days of birth or before the animal leaves the farm of origin, whichever occurs first

RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

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Page 1: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 21

RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3)

Year:

Date of Birth (Day/Month) Animal Identification Number

15 digits

Premises Identification Number Where

the Animal was Born

Date of Record

(Day/Month)

15/04

QC 321654 7 20/04

* 7 days of birth or before the animal leaves the farm of origin, whichever occurs first

Page 2: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 22

RECORD 2: ANIMAL MOVE-IN RECORD (MOVE-IN | IMPORT) (LT5)

Year:

Type of

Event

Date of

Animal’s

Movement

(Day/Month)

Animal Identification

Number

15 digits

Premises Identification

Number of Farm of

Arrival

Premises Identification

Number of Farm of Departure

Vehicle or

Trailer

Licence Plate

Number

þ Move-in

15/04 124 000 012 246 326 QC 321654 7 ON 123456 1 414 FZG ¨ Import

¨ Move-in

¨ Import

¨ Move-in

¨ Import

¨ Move-in

¨ Import

¨ Move-in

¨ Import

* 7 days of the event or before the animal leaves the farm, whichever occurs first

Page 3: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 23

RECORD 3: ON-FARM ANIMAL DISPOSAL RECORD | TAG RETIREMENT (LT7)

Year: Date of

Death

(Day/Month)

Animal Identification Number

15 digits

Premises Identification Number Where the Animal was

Found Dead

Date of

Record

(Day/Month)

15/04 124 000 012 246 326 QC 321654 7 20/04

* 7 days following the animal’s death

Page 4: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 24

RECORD 4: ANIMAL EXPORT RECORD | TAG RETIREMENT (LT7)

Year:

Date of Animal’s

Departure

(Day/Month)

Animal Identification

Number

15 digits

Premises

Identification

Number of Farm of

Departure

Location to Which the Animal

was Exported (arrival)

Vehicle or Trailer

Licence Plate Number

15/04 124 000 012 246 326 ON 123456 1 Vermont 414 FZG

* 7 days following animal loading for export

Page 5: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 25

RECORD 5: TAG REPLACEMENT/TAG LOST | CROSS REFERENCE LOG (LT2)

Year: Date of

Replacement

(Day/Month)

Original Animal Identification Number

15 digits

New Animal Identification Number

15 digits

Date of Records

(Day/Month)

15/04 840 000 123 456 789 15/04

* 7 days following the retagging of the animal or before the animal leaves the farm, whichever occurs first

Page 6: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

 

 

 

Page 7: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

December 2018 28

RECORD 6B: DAIRY FARM BIOSECURITY GENERAL RISK ASSESSMENT QUESTIONNAIRE (BIO1)* Farm Name: Assessment Date: (YYYYMMDD)

Contact Name: Farm Location: Premises ID:

Mailing Address:

Telephone: ( ) - e-mail address:

Please list the three diseases you are most concerned about on your farm:

Always or Yes

>95%

Almost Always

70-95%

Some times

1-69%

Never or No

0% Comments

Percent of time that each practice is implemented on this farm →

Section 1. Cattle health management

1.1 Do you maintain no direct contact of pre-weaned calves from older cattle? ⃝ ⃝ ⃝ ⃝

1.2 Do you maintain no direct contact of weaned calves from lactating cows? ⃝ ⃝ ⃝ ⃝

1.3 Do you maintain no direct contact of dry cows from lactating cows? ⃝ ⃝ ⃝ ⃝

1.4 Do you prevent calves from nursing their dams? ⃝ ⃝ ⃝ ⃝

1.5 Do you separate calves from their dam within 30 minutes of birth? ⃝ ⃝ ⃝ ⃝

1.6 Are newborn calves offered at least 4 litres of colostrum (2 litres for Jerseys) within 12 hours of birth (calf’s first feed given no more than 6 hours after birth)?

⃝ ⃝ ⃝ ⃝

1.7 Do you feed non-saleable milk (abnormal or with drug residues) to your calves? ⃝ ⃝ ⃝ ⃝

1.8 Do you pasteurize non-saleable milk before it is fed to calves? ⃝ ⃝ ⃝ ⃝

* The Biosecurity requirements are mandatory as of September 1, 2019.

Page 8: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

December 2018 29

Always or Yes

>95%

Almost Always

70-95%

Some times

1-69%

Never or No

0% Comments

Percent of time that each practice is implemented on this farm →

1.9 Keeping in mind the disease prevention priorities of this farm, are

calves housed in a way that minimizes disease? ⃝ ⃝

1.10 Do you follow a veterinarian-reviewed vaccination program for specific infectious diseases? ⃝ ⃝

1.10a Against which diseases do you vaccinate?

1.11 Do you have written standard operating procedures (SOPs) for dealing with clinical cases of infectious diseases? ⃝

1.11a For which diseases do you have written SOPs?

1.12 Are sick or infected cattle managed after those that are healthy? ⃝ ⃝ ⃝ ⃝

1.13 Do you maintain health records (to include the Disease Event Record) for individual animals? ⃝ ⃝ ⃝ ⃝

1.14 Do you review health records to monitor the occurrence of infectious diseases in your herd? ⃝ ⃝ ⃝ ⃝

1.15 Does your veterinarian perform necropsies on cattle that die of unknown causes? ⃝ ⃝ ⃝ ⃝

1.16 Is manure spread on fields which will be grazed, or harvested for young cattle, during the same season? ⃝ ⃝ ⃝ ⃝

1.17 Do you follow a veterinarian-reviewed parasite control program? ⃝ ⃝

Section 2. Cattle additions and movement

2.1

Have you introduced new cattle into your herd since this risk assessment was last performed (or in the last 2 years if no prior risk assessment was performed)?

If yes:

⃝ ⃝

2.1a • Do you insist on receiving health records for these cattle before introducing them into your herd? ⃝ ⃝ ⃝ ⃝

Page 9: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

December 2018 30

Always or Yes

>95%

Almost Always

70-95%

Some times

1-69%

Never or No

0% Comments

Percent of time that each practice is implemented on this farm →

2.1b • Do you insist that these cattle are vaccinated before introducing

them into your herd? ⃝ ⃝ ⃝ ⃝

2.1c • Do you isolate these cattle before introducing them into your herd? ⃝ ⃝ ⃝ ⃝

2.1d • Do you test these cattle for specific diseases of concern? ⃝ ⃝ ⃝ ⃝

2.2

In the time since the last risk assessment (or in the last 2 years if no prior risk assessment was performed) have cattle been reintroduced after being in contact with other cattle (shows, fairs, boarding, etc)? If yes:

⃝ ⃝

2.2a • Do you isolate these cattle before introducing them back into your herd? ⃝ ⃝ ⃝ ⃝

2.3 Do you isolate sick cattle from their herdmates? ⃝ ⃝ ⃝ ⃝

Section 3. Premises and sanitation management

3.1 Are alleyways scraped or flushed frequently enough to prevent manure contamination of cow feet and legs? ⃝ ⃝ ⃝ ⃝

3.2 Are cow stalls cleaned frequently enough to prevent manure contamination of udders? ⃝ ⃝ ⃝ ⃝

3.3 Do you disinfect pens than have housed sick cattle between each case? ⃝ ⃝ ⃝ ⃝

3.4 Do you have a designated area for housing sick cattle? ⃝ ⃝

3.5a Do you clean and sanitize the calving pen after each use? ⃝ ⃝ ⃝ ⃝

3.5b In the event that you do not clean and sanitize the calving pen, do you remove soiled and wet bedding and add new bedding between uses? ⃝ ⃝ ⃝ ⃝

3.6 Are cows’ udders, flanks and lower legs free of manure contamination at calving? ⃝ ⃝ ⃝ ⃝

Page 10: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

December 2018 31

Always or Yes

>95%

Almost Always

70-95%

Some times

1-69%

Never or No

0% Comments

Percent of time that each practice is implemented on this farm →

3.7 Do you clean on-farm animal health equipment (balling gun,

dehorners, hoof knives, stomach tubes, etc) after each use? ⃝ ⃝ ⃝ ⃝

3.8 Do you use separate tools and equipment for feeding and cleaning? ⃝ ⃝ ⃝ ⃝

3.9 When artificially inseminating or making a rectal examination, is a new rectal sleeve used for each cow? ⃝ ⃝ ⃝ ⃝

3.10 When vaccinating, taking blood samples or treating animals, is a new needle used for each animal? ⃝ ⃝ ⃝ ⃝

3.11 Are dead animals stored and removed in a manner that prevents cattle, dogs, cats, birds, and rodents from accessing them? ⃝ ⃝ ⃝ ⃝

3.12 Do you prevent animals from having fence-line contact with livestock from other farms? ⃝ ⃝ ⃝ ⃝

3.13 Is stored feed protected from contamination by cattle, dogs, cats, birds and rodents? ⃝ ⃝ ⃝ ⃝

Section 4. Personnel, Visitors, Vehicles and Equipment

4.1 Do you require all workers, visitors, and farm service providers to wear clean or disposable coveralls and boots on your farm? ⃝ ⃝ ⃝ ⃝

4.2 Have you posted visible signage on the farm informing all visitors about where to report, who to contact, and areas of restricted access upon arrival?

⃝ ⃝ ⃝ ⃝

4.3 Do you have an SOP for international visitors addressing footwear and clothing? ⃝ ⃝

4.4 Do you maintain a visitor log? ⃝ ⃝ ⃝ ⃝

Page 11: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

December 2018 32

DAIRY FARM BIOSECURITY INCREMENTAL MANAGEMENT PLAN Farm Name:

Owner’s Name: Veterinarian:

Date of agreement on biosecurity management plan (YYYY MM DD):

Ideally, only ONE priority best management practice (BMP) to improve biosecurity on the farm will be agreed to for implementation within the next year by the herd owner. It is essential that the owner is willing and able to implement the change. If the owner wishes to further improve biosecurity, a maximum of three BMPs may be agreed upon. It is important to understand that the intent of this risk assessment and management plan (RAMP) is to reduce, and if possible eliminate, the introduction of infectious diseases from outside the farm and their spread within the herd.

Recommendation(s) for management changes on this farm: 1.

2.

3.

Veterinarian confirmation that he/she has completed the Risk Assessment Questionnaire with the producer.

Owner’s Signature Veterinarian’s Signature

Page 12: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 27

RECORD 7: CATTLE ASSESSMENT SUMMARY SHEET (AC14)

Farm Name: Barn Type: (lactating

only)

Free-stall

Tie-stall

Bedded-pack barn

Other

Assessor Name:

Date of Assessment:

Assessor Signature: Milking System:

Parlour

Tie-stall

Automatic milking system

Other

Herd Size: (dry & lactating)

Sample Size:

Summary:

Animal-based Measure Total Number of Cattle with ‘A’ Score in Sample

Percentage of Cattle with ‘A’ in Sample Size

(total # / # in sample size)

Excellent Targets (% acceptable)

Body Condition Score ≥ 95%

Hock Injuries ≥ 90%

Knee Injuries ≥ 90%

Neck Injuries ≥ 90%

Lameness ‘M’ Monitor

≥ 90%

Comments:

Page 13: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 28

CATTLE ASSESSMENT RECORD – FREE-STALL Farm: ____________________________________ ___ Date: __________________ Assessor: ________________________

# Cattle ID BCS Injuries Gait Score

Hock Knee Neck

1 Sample 563 A A R A R

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Sub-total # “As” Note: Remember to transfer the results to the Cattle Assessment Summary Sheet.

Page 14: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 27

RECORD 7: CATTLE ASSESSMENT SUMMARY SHEET (AC14)

Farm Name: Barn Type: (lactating

only)

Free-stall

Tie-stall

Bedded-pack barn

Other

Assessor Name:

Date of Assessment:

Assessor Signature: Milking System:

Parlour

Tie-stall

Automatic milking system

Other

Herd Size: (dry & lactating)

Sample Size:

Summary:

Animal-based Measure Total Number of Cattle with ‘A’ Score in Sample

Percentage of Cattle with ‘A’ in Sample Size

(total # / # in sample size)

Excellent Targets (% acceptable)

Body Condition Score ≥ 95%

Hock Injuries ≥ 90%

Knee Injuries ≥ 90%

Neck Injuries ≥ 90%

Lameness ‘M’ Monitor

≥ 90%

Comments:

Page 15: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 29

CATTLE ASSESSMENT RECORD – TIE-STALL Farm: ____________________________________ ___ Date: __________________ Assessor: ________________________

# Cattle ID BCS Injuries Gait Score

As per free-stall

Stall Lameness – either system can be used or a combination

Hock Knee Neck Edge Weight Shift

Uneven Weight

Uneven Movement Stall Lameness Score

1 Sample 415 A A A R A R A R R

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Sub-total # “As” Note: Remember to transfer the results to the Cattle Assessment Summary Sheet.

Page 16: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 30

RECORD 8: VETERINARY DIRECTIONS FOR EXTRA-LABEL DRUG USE (FS17) Clinic: ____________________________________________________________________ Veterinarian: ______________________________________________________________ Emergency Contact Information: _____________________________________________ Client / Farm: ______________________________________________________________ Patient ID or Indications for Use: _____________________________________________ Product(s) Name: __________________________________________________________ DIN(s) / Registration Number(s): ______________________________________________ If DIN is not available, check the appropriate box: � vaccine � compounded product � veterinary Natural Health Product (#_____) � other Instructions for Use (including dosage, frequency, route, maximum volume per injection site, duration of treatment): __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Milk Withdrawal: ____________________ __ Meat Withdrawal: ______________________ Special Instructions, Precautions, Warnings, Storage, etc. (if required) (e.g. human safety, special storage, inhibitor testing): __________________________________________________________________________ __________________________________________________________________________ Veterinarian’s Signature: ____________________________________________________ Date of Issue: ______________________________________________________________ Date Directions Valid Until: __________________________________________________

Note 1: all items are mandatory, unless indicated otherwise. Vets may use their own format, as long as all required items are included.

Note 2: see Chapter 5 of the Reference Manual for examples of extra-label drug use.

Page 17: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 31

RECORD 9: LIST OF MEDICINES & CHEMICALS USED ON LIVESTOCK (FS15)

Product Name

Approved for use in dairy (ü)

Product label, insert or written

instructions from vet kept (ü)

Stored according to

label (ü)

Product Name

Approved for use in dairy

(ü)

Product label, insert or written

instructions from vet kept

(ü)

Stored according to

label (ü)

Page 18: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 32

RECORD 10: LIVESTOCK TREATMENT RECORD (FS20)

Animal ID

Expi

ry D

ate

Valid

(ü)

Disease Event (such as abortion,

lameness, mastitis, diarrhea, pneumonia,

death) a

Treatment Administered

(product, dosage, mode of treatmentb)

Withdrawal

Time (Hrs/days)

Date of Treatment (a am or pm )

Completed Withdrawal

(aam or pm )

Res

idue

Tes

ting

(+/-)

c

Pers

on T

reat

ing

(Sig

natu

re)

Milk Meat Milk Meat

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

Date: ❏ am ❏ pm

a: For cows, record: abortion, lameness, mastitis, diarrhea, pneumonia, death. For calves, record: Diarrhea, pneumonia, death. Recording “disease event” is not mandatory until September 1, 2019. b: Mode of Treatment IM = Intramuscular (in the muscle), IMM = intramammary (in the udder), IU = intrauterine (in the uterus), IV = intravenous (in the vein), OR = oral (in the mouth), SQ = subcutaneous (under the skin), TP = topical (on the skin) c: Residue testing only required for new animals or a letter of guarantee from the previous owner.

Page 19: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 33

RECORD 11: BROKEN NEEDLES (FS18)

Animal ID

Date of Broken Needle

Location

Signature

Information Passed on to Next Buyer (ü)

Signature

Note: This record must be maintained for as long as the cattle listed remain in the herd.

Page 20: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 34

RECORD 11B: SAMPLE LETTER OF GUARANTEE / SHIPPING RECORD (FS27)

Seller’s Name (person or company): _________________________________________________

Buyer / Recipient’s Name (person or company): _______________________________________

Date Shipped: ____________________________________________________________________

Animal Identification Number(s): ____________________________________________________

Do any of the animals listed above have pending milk or meat withdrawal times or broken needles?

¨ No ¨ Yes If yes, fill in the following table:

Animal ID

Date of Treatment

Product

Dose (ü) Completed Withdrawal Date

Broken Needle? If Yes, describe

site

Acc

ord

ing

to

lab

el

Ext

ra la

be

l

Milk

Meat

I, the seller, have:

¨ Owned the animal(s) being sold for at least the last two months;

OR,

¨ A letter of guarantee from the previous owner(s);

OR,

¨ Tested the milk from the animal(s) for antimicrobials using ______________ test or I sent the sample(s) to __________________________ (plant/ laboratory), and have proof of a negative antimicrobial test result(s).

Signature of Seller:

Signature of Buyer / Recipient:

Page 21: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 35

RECORD 12: BULK TANK TEMPERATURE LOG (FS28)

First Milking Second & Subsequent Milkings Recommended Cooling Range

Within 2 hours

(½ hour preferred)

1°C - 4°C (34°F-40°F)

• blend temperature maximum 10°C (50°F)

• within 1 hour (1/2 preferred) 1°C - 4°C (34°F-40°F)

Normal Range identified for your bulk tank after milking

Month:

Day

Bulk Tank Temperature Corrective Action (if necessary) am initial mid-day initial pm initial

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

Note: Electronic chart recorders or logs may be substituted for this manual method. Check with a Food Safety advisor.

This record accommodates milking 3 times a day; if you milk only 2 times a day, just use two columns.

Page 22: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 36

RECORD 13: MILKING EQUIPMENT SANITATION RECORD (FS30) Date

Check Sanitation Level of Equipment (ü Clean x Unclean) Corrective Action Bulk Tank** Milking Equipment***

Hot

Wat

er /

Was

h W

ater

T°*

Sign

atur

e

Potential areas to inspect: **Bulk tank: paddle, dipstick, surface, outlet, valve and gaskets. ***Milking Equipment: receiver jar, pipeline inlets, inflations, milk hoses, claws, meters, weigh jars, gaskets, filter coil, buckets, pails, sanitary trap. *Note: If you use cold-water wash detergents for your system, you do not need to record the hot water temperature.

AMS # OR NAME: _____________

Page 23: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 37

RECORD 14: CLEANING AND SANITIZING CHART (FS29)

Farm Name: ______________________________________ Date: _________________

Water Analysis: hardness______ grains pH______ iron______ ppm (mg/l)

PIPELINE / AMS: # / Name: ___________ BULK TANK Cycle #1: _________________________________ Purpose: ____________________________________ Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Cycle #2: _________________________________ Purpose: ____________________________________ Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Cycle #3: _________________________________ Purpose: ____________________________________ Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Cycle #4: _________________________________ Purpose: ____________________________________ Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Cycle #5: _________________________________ Purpose: ____________________________________

Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Cycle #6: _________________________________ Purpose: ____________________________________ Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Product Name: ________________ Volume: _____ ml oz Temperature: (Cold Warm Hot) Water volume: ______ litres gallons Minimum start temperature: ______ °__ Minimum end temperature: ______ °__

Signed by: _____________________________ Company: _______________________ (Equipment dealer / Industry professional)

Page 24: RECORD 1: ANIMAL BIRTH RECORD | TAG ACTIVATION (LT3) · Original Animal Identification Number 15 digits New Animal Identification Number 15 digits Date of Records (Day/Month) 15/04

July 2017 38

RECORD 14B: SAMPLE ANNUAL WASH SYSTEM EVALUATION (FS32) Note: Equipment dealers or industry professionals may use this form or their own wash system evaluation form. If they use their own form, they should include the items in this sample form. The Table in Section 8.1.1 of the Reference Manual provides guidance on acceptable parameters.

Purpose: the annual wash system evaluation is one step in a series of best management practices designed to help you minimize milk safety issues. The wash system evaluation is designed to help you identify problem areas so that you can prevent problems from occurring. The sample record is a guideline. Your industry professional may customize your wash system evaluation to best suit your equipment’s needs. This record should be completed for each AMS or wash system (e.g. two robots washed by one wash sink).

Farm Name: ________________________ AMS # or Name: ______________ Date: _____

EVALUATION PARAMETERS PIPELINE / AMS BULK TANK 1. Time: circulation / cycle time for:

a. Cycle #1: ______________ b. Cycle #2: ______________ c. Cycle #3: ______________ d. Cycle #4: ______________ e. Cycle #5: ______________ f. Cycle #6: ______________

Comments / corrections:

_____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No

_____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No _____mins Adequate? ¨Yes ¨No

2. Temperature: Water temperature compares with the product manufacturer requirements or the Cleaning and Sanitizing Chart for: a. Cycle #1: ______________ b. Cycle #2: ______________ c. Cycle #3: ______________ d. Cycle #4: ______________ e. Cycle #5: ______________ f. Cycle #6: ______________

Comments / corrections:

Temperatures are in: ¨C or ¨F ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No

Temperatures are in: ¨C or ¨F ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No ____° Adequate? ¨Yes ¨No

3. Slugging Action: Comments / corrections:

Adequate slugging action for water flow (e.g. air injector or air compressor function)? ¨Yes ¨No

Adequate water spray? ¨Yes ¨No ¨Manual Wash

4. Chemical Concentrations: a. Water Analysis: hardness______grains pH______ iron______ ppm (mg/l) b. Chemical concentrations: correct

amount and dispersal (i.e. are automatic dispensers working)?

Comments / corrections:

Wash: ¨Yes ¨No Acid: ¨Yes ¨No Sanitize: ¨Yes ¨No ¨Manual Wash - Buckets

Wash: ¨Yes ¨No Acid: ¨Yes ¨No Sanitize: ¨Yes ¨No ¨Manual Wash

Signed by: __________________________ Company: _____________________________ (Equipment dealer / Industry professional)

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RECORD 15: WATER RECORD (FS39) (or keep the test results report from the lab as your record)

Source of Supply for

Washing Milking Equipment**

Date Tested

Test Results

Bacteria

Others

Corrective Action

** DW- Dug Well IIW- Drilled T/CW- Town/city SW- Surface Water

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RECORD 16: CORRECTIVE ACTION PLANS (FS42) (Emergency Plans)

Area of Concern

Specific Incidence

Corrective Action To Be Taken

Contact Person Name Phone Cell Phone

Medicines and Chemicals Used on Livestock

Improper administration of livestock medicines or chemicals

Milking Treated Animals

Milk from treated animals enters the bulk tank.

Shipping Animals

Animal is shipped with a chemical residue (e.g. antimicrobials) or broken needle in it and the next buyer is not informed.

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RECORD 16: CORRECTIVE ACTION PLANS (FS42) (Emergency Plans)

Area of Concern

Specific Incidence

Corrective Action To Be Taken

Contact Person Name Phone Cell Phone

Cooling and Storage of Milk

Milk is not cooled to between 1°C to 4°C within the acceptable cooling period

Equipment Sanitation

1. Visible milk residue build-up on milk contact surfaces

2. Improper water temperature

Use of Water for Cleaning of Milk Contact Surfaces

Water test result reveals a form of contamination (e.g. high bacteria)

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RECORD 16: CORRECTIVE ACTION PLANS (FS42) (Emergency Plans)

Area of Concern

Specific Incidence

Corrective Action To Be Taken

Contact Person Name Phone Cell Phone

Downed Animal Animal goes down and cannot get up

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RECORD 17: DEVIATION AND CORRECTIVE ACTION RECORD (FS43)

Date

Description of Problem or Deviation (i.e. what went wrong)

Description of Corrective Action Taken

(i.e. how was it fixed)

Signature

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RECORD 18: TAIL DOCKING LOG (AC15)

Animal ID Date Rationale (medical reason) Initials

Note: This record must be maintained for as long as the cattle listed remain in the herd.