Remark repeated D evaluation/general K.O.

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1 Audit details QS locations audid Additional location information, e.g. coordinator or identification number Name of contact Regular audit Initial audit Follow-up audit auditspot Spotaudit Random sample audit Audit of special purpose Parallel audit Da of audit (from) Start of audit (hh:mm) Da of audit (until) nd of audit (hh:mm) Audit duration (hh:mm) Combined audit (norm/standard/programme) Certification body First name/surname of auditor Repead D evaluation/general Remark repead D evaluation/general Comments Preliminary audit result Number of agreed corrective actions 0 Place, da Signature/s of auditor/s I hereby confirm the data concerning the company and the audit. I have received a copy of the audit report (at least front page) and of the corrective actions report. Place, da Signature of person responsible Page 1 of 19

2 Company details - Cattle farming Name of company Street and house number Postal code and town Telephone/fax number mail address Z_RL QS location number (VVVO-No.) Regisred production scope no. QS identification number Name of person responsible Name of coordinator Scope - Cattle farming (#mandatory;##including outdoor access or open-front-stables: valid for production scope 1002) Production scope No. Indoor # Cattle farming Cattle production 1001 Outdoor #,## Number of places Calf production 1002 Calf breeding 1004 Dairy farming 1008 Suckling cow production 1016 Additional information - Cattle farming On farm mixer (production of own feed marials and compound feedstuff) Use of commercial mobile feed milling and mixing plants yes no Transport less than 65 km Short transport Long transport (over 8 hours) Page 2 of 19

3 Company details - Crop farming, grassland use, forage production Name of company Z_AGF Street and house number Postal code and town Telephone/fax number mail address QS location number (company no. from the area payment request) Regisred production scope no. QS identification number Name of person responsible Name of coordinator Scope - Crop farming, grassland use, forage production Production scope Crop farming No. Cereal production 7001 Oilseed production 7002 Legume production 7004 Sugar beet production 7008 Corn production 7016 Potato production (without food potatoes) 7032 Grassland use and forage production Grassland use and forage production 7064 Page 3 of 19

4 Company details - Pig farming Name of company Street and house number Postal code and town Telephone/fax number mail address Z_SL QS location number (VVVO-No.) Regisred production scope no. QS identification number Name of person responsible Name of coordinator Scope - Pig farming ( #mandatory;##including outdoor access or open-front-stables: valid for production scopes 2001, 2002, 2008) Production scope No. Indoor # Pig farming Pig production 2001 Outdoor #,## Number of places Gilt / boar rearing 2002 Sow and piglets production 2004 Piglet rearing 2008 Additional information - Pig farming On farm mixer (production of own feed marials and compound feedstuff) yes no Use of commercial mobile feed milling and mixing plants Transport less than 65 km Short transport Long transport (over 8 hours) Page 4 of 19

5 Da: ¹ C=Cattle; P=Pig; FV=Fruit, Vegetables; Po=Potatoes; CGF=Crop Farming, Grassland use and Forage production * = For this the evidence or measurement tool used for evaluation of compliance with the QS must be documend, regardless of the outcome of the assessment. 2 General s 2.1 General sysm s C,P,C GF D= General company data C,P,C GF D= Implementation and documentation of selfassessment * C,P,C GF Fulfillment of initiad measures of the selfassessment * C,P,C GF Incident and crisis management C,P Use of the QS certification mark 2.2 Farm Management CGF Participation in training courses CGF Purchase of chnical information CGF Subcontractors a 3 Livestock production s a 3.1 Traceability and labelling Page 5 of 19

6 Da: a C,P Operational purchases and incoming goods a C,P D= Marking and identification of livestock a C,P D= Origin and marketing a C,P D= Stock records * a 3.2 Animal welfare farming a a a a a a a a C,P D= Monitoring and care of the animals 3 C,P D= General farming s 3 C,P D= Handling sick and injured animals 1 C,P Shed floor 1 C,P Shed clima, mperature, noise pollution, ventilation 1 C,P Lighting 1 C,P D= Space allowances 1 C,P D= Alarm sysm * a C,P mergency power generator a C,P Livestock transport Page 6 of 19

7 Da: a C,P Transportability a C,P ments on loading and unloading equipment for livestock transport a a R a Sc 1 C,P D= Handling livestock during loading 1 C Dehorning of calves younger than 6 weeks 1 P D= Activity marial a P D= Piglet castration a 3.3 Feed and feeding a a a a C,P D= Feed supply 1 C,P Hygiene of feeding facilities 1 C,P Safety of feeds 1 C,P Feed storage a C,P D= Feed procurement * a C,P D= Marking of feed for QS a C,P Assignment of compound feed deliveries (bulk) to the location number a C,P D= Use of feed Page 7 of 19

8 Da: a C,P D= Use of mobile feed milling and mixing plants a 3.4 Drinking war a a a C,P D= War supply 1 C,P Hygiene of drinking facilities Animal health/medication a C,P Care contract with farm verinarian * a C,P D= Implementation of stock care * a C,P D= Procurement and application of medicines and vaccines a a a C,P D= Storage of medicines and vaccines 1 C,P D= Identification of tread livestock Hygiene a a a a C,P Buildings and equipment 3 C,P Hygiene on the farm 3 C,P Handling litr, dung and feed leftovers 3 C,P Carcass storage and pickup Page 8 of 19

9 Da: a C,P Pest monitoring and control a C,P Cleaning and disinfection measures a P Special hygiene s a 3.7 Monitoring programme a R 1 C Fatning calves: residue control program a Sc 1 P Salmonella monitoring: documentation on salmonella cagory a R 1 C Fatning calves: antibiotics monitoring: documentation of therapy index a Sc 1 P Salmonella monitoring: measures towards the reduction of salmonella contamination * a P Documentation of findings from slaughring a P Antibiotics monitoring: documentation of therapy index a 3.8 Livestock transport a C,P ments for transporting own livestock with own vehicles a C,P ments for the means of transportation Page 9 of 19

10 Da: a C,P D= Available space during livestock transport a C,P Cleaning and disinfection of means of transportation a C,P Delivery documents a C,P D= Time inrvals for feeding and waring as well as duration of transportation and resting times (for livestock transport over 50 km) a C,P Transport papers (for livestock transport over 50 km) a C,P D= Proof of qualification for drivers/carers (for livestock transport over 65 km) a C,P D= Approval of transport companies and transport planning (for livestock transport over 65 km) a C,P D= Approval of road vehicles (for long transportations) a C,P D= Driver s logbook (for long transportations) b 3 Plant production s b 3.1 ments at the location b CGF Recording sysm for locations Page 10 of 19

11 Da: b CGF Risk assessment and risk management for agricultural area b CGF Crop rotation b CGF Separa Storage b 3.2 Sustainable tillage and soil proction b CGF Minimisation of erosion and soil proction b 3.3 Sowing/Planting b CGF Sowing and planting b CGF Treatment of seeds and seedlings b CGF Suitability of seeds and seedlings b CGF Control sysm for propagation marial from in-house plant propagation b 3.4 Fertilisation b CGF D= Records on fertilisation * b CGF Annual nutrient comparison b CGF Fertilisation in accordance with need b CGF Analysis of the quantity of nutrients in soil Page 11 of 19

12 Da: b CGF Application of fertilisers b CGF D= Application of sewage sludge b CGF Use of fermentation substras b CGF Storage of solid and liquid mineral fertilisers b CGF Storage of ammonium nitra and fertilisers containing ammonium nitra b CGF Storage of organic fertilisers b 3.5 Plant proction b b CGF D= Records on plant proction measures * 1 CGF Compliance with application instructions * b b CGF D= Use of authorized pesticides * 1 CGF D= Certificas of proficiency for applicant b CGF Ingrad pest management measures b CGF Implementation of plant proction measures b CGF Proper disposal of spray residues Page 12 of 19

13 Da: b CGF Proof of up-to-da list of phytosanitary products b CGF Purchase of up-to-da information or advice on pesticides b CGF Condition and mainnance of plant proction equipment b CGF Mixture of spray liquid b b b b b CGF Fundamental proction of operators 1 CGF mergency equipment 1 CGF mergency plan 1 CGF Storage of plant proction products 1 CGF Storage in original packaging b CGF Inventory list/directory of hazardous substances b b b CGF Pesticide storage 1 CGF Access to the Pesticide store 1 CGF Precautions for spillage/leakage b CGF Measuring device and equipment for mixing b CGF Disposal of empty pesticide packaging Page 13 of 19

14 Da: b CGF Cleaning of empty pesticide containers b CGF Disposal of pesticides b 3.6 Storage facilities for harvesd products b CGF Constitution of Storage facilities b 3.7 Harvesting and transport b CGF Preparing the harvest b CGF Records on harvest b b CGF D= Harvesting and transport activities Storing of products b CGF Goods identification by storage b CGF Quality preservation measures b CGF Pest monitoring and pest control b 3.9 Post-Harvest b CGF Post-harvest treatment * b 3.10 Documentation of means of production, traceability, labelling and use of QS Certification Mark Page 14 of 19

15 Da: b CGF Documentation of the purchase of means of production and services b CGF D= Traceability * b CGF D= Labelling of QS Produce * b CGF Use of QS Certification Mark c 4 Culture specific s c 4.1 Grassland use and forage production c CGF Kind of grassland use/ pasture cultivation c CGF Measures during forage storage c CGF ments for the forage storage c CGF Disposal of was products g II VLOG-Additional Module g II.1 ment (only relevant for locations regisred for VLOG-Additional Module g II C,P ment "ohne Genchnik" Page 15 of 19

16 Da: #BZUG! checklis RF D * = For this the evidence or measurement tool used for evaluation of compliance with the QS must be documend, regardless of the outcome of the assessment. e I regional windows e I.1 ment (only relevant for locations regisred for Regionalfensr via their coordinator) e I Identification of regional goods e I Marking of delivery documents Audit checklist Agriculture Cattle Pig/ Crop Farming rev01(spot audit) Version rev01 Page 16 of 19

17 Company: Calculation of audit result 1. Balance of subtotals Calculation (1) Number of evaluations (factor 1) (2) Number of evaluations (factor 3) (1)+(2) Total number of evaluations Sum of evaluations (excluding evaluations) (3) Number of evaluations with factor 3 multiplied by 3 (1)+(3) Total number of evaluations (including weighting) Da: D Sum of all evaluations (including weighting) 0 2. Calculation of final audit result (FAR) Calculation Points per evaluation Total number of evaluations (including weighting) multiplied by points Proportion of D evaluations 0 Proportion of C and D evaluations 4. Preliminary audit result 0 D Sum of all points 0 FAR: Sum of all points divided by sum of all evaluations (including weighting) 0 3. Calculation of the proportion of C and D evaluations* Proportion of C evaluations 0 (Number of C evaluations / sum of evaluations )*100 (Number of D evaluations / sum of evaluations )*100 Proportion of C + proportion of D Calculation basis: FAR Percentage of C evaluations Percentage of D evaluations Percentage of C+D evaluations Audit result *If one or more of the prescribed maximum percentages of C and D evaluations is exceeded, the company is classified in the next lower status % max. 5,0%* 0,0%* QS status I % max. 10,0%* max. 3,0%* max. 10%* QS status II % no limitation QS status III < 70 % Audit not passed. Number of 0 General / repead D evaluation Audit not passed. Audit not passed. Page 17 of 19

18 Company: Corrective actions report Da: 0 Massnahmenplan I hereby confirm that the following corrective actions were agreed upon between me and the auditor. The certification body is to be informed no lar than the expiry of the deadline set out in the action plan about the implementation of a corrective action. Place, da Signature of auditor Signature of person responsible Serial no. ment No. valuation (C, ) Description of nonconformity Agreed corrective actions Scope (P,CGF,C) Deadline for correction Pages 18 of 19

19 Company: Da: Review of the implementation of corrective actions Place, da Signature of auditor Serial no. Implemend Not implemend Comments (if any) Da Pages 19 of 19