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Company:
Farm Address:
Telephone
Operator:
Vet details:
Assessor:
Date:
Merial Animal Health Limited A Merck Sharp & Dohme and sanofi-aventis Company
1.On site storage / vaccine delivery
YES NO
1.1 Is vaccine delivered in cool boxes + ice packs?
1.2 Is a fridge available on farm?
1.3 Where is fridge located?
1.4 Is fridge clean?
1.5 Is a max/min thermometer in the fridge?
1.6 Is the thermometer checked daily?
1.7 Is a record kept of the min/max fridge temperatures?
Comments.
YES NO
2.1 Where is the vaccine reconstituted?
2.2 Any sign of disinfectant use or storage?
2.3 Is paper hand towel used as clean surface?
2.4 If paper not used is a clean surface available?
2.5 Is a dedicated vaccine-mixing jug available?
2.6 Is the jug in good condition?
2.7 Are hand washing facilities available?
2.8 Are these facilities used?
2.9 Are disposable gloves available?
2.10 Has hand sanitizer been used on day of vaccination?
Comments.
3. Equipment for vaccination via the drinking water
YES NO
3.1 Is VacPac Plus available?
3.2 Is the VacPac Plus/water mixing levels known?
3.3 At what rate is the VacPac Plus added?
3.4 Header tank, mobile tank or dosing equipment used?
3.5 Is the header tank easily accessible?
3.6 Is the volume of the tank known?
3.7 Is the volume of water to be consumed known?
3.8 When was the dosing equipment last used?
3.9 For what purpose was the dosing equipment used?
3.10 Has the dosing equipment been flushed clean?
3.11 For how long was it flushed?
3.12 Is the feeder tube in good condition?
3.13 Is the filter clean?
3.14 Is the vaccine container clean?
3.15 Volume of water in feeder bucket?
3.16 When were the lines last sanitized?
Comments.
YES NO
5.1 Are the birds in a fit state to be vaccinated?
5.2 Operator cleaned hands/used disposable gloves?
5.3 Has the birds’ access to water been restricted prior to vaccination?
5.4 Did the birds drink the lines dry?
5.5 Has the VacPac Plus been adequately mixed?
5.6 Is the vaccine been reconstituted correctly?
5.7 Is the vaccine mixed with the drinking water adequately?
5.8 Are the drinker lines primed?
5.9 Are the lights switched off during priming?
5.10 Are the lines raised during priming?
5.11 Is the appropriate time taken to deliver the vaccine? Time -
5.12 Are steps taken to stimulate the birds to drink?
5.13 Details recorded – type, amount, batch No, expiry date, date
vaccinated.
Comments.
Notes
Table 4 – Withdrawal time is the time taken from shutting off the water to start of the
presentation of vaccine to the birds.
Husbandry satisfactory refers to conditions in the house e.g. no dark areas, cold spots, feeder
breakdowns, drinkers working and set to right height etc.
Table 5.12 – Time taken to vaccinate is the time from vaccine presentation or lines down to
when the treated water has been consumed.