NAME OF FARM: ___________________________________ OWNER: ___________________________

LOCATION: _______________________________________ DATE OF INSPECTION: ________________

POULTRY FARM INSPECTION CHECKLIST

POPULATION: ____________ OTHER ANIMALS _________________

Kind: ________________ Population: _______________
Kind: ________________ Population: _______________
WITH ECC: Yes None. If Yes, ECC No. ________________ Date Issued: _______________
WITH GENERATOR: Yes None. If yes, no. of units ______ kVA ___________________
WITH PERMIT TO OPERATE OF AIR POLLUTION EQQUIPMENT Yes None .
If yes, Permit No. _______________ Date issued ______________

EXTENT OF OPERATIONS:

Broilers Layers Breeding Others, specify _____________

WASTE DISPOSAL SYSTEM:

Estimated Volume of Waste Generated per day (kg/day) _________________

Collection System: ____________________________________________________

Disposal System

Burning Composting Direct plant application

Open dumping Outside dumping site. Specify location _________________________

Others , specify ___________________

Location of the waste disposal site within the farm ________________________________________

OTHER OBSERVATIONS:
Is there emission of nuisance odor?

Is there lagoon? If yes how many? _______________________

Is there mortality pit?

Is the farm beside the creek? If yes, look for traces of waste disposal.
Findings: ________________________________________________

Is the farm generally clean?

Inspected by:

_________________________________ ________________________________
(Printed name above signature) (Printed name above signature)
_________________________________ ________________________________
(Designation) (Designation)
Conform by:
_________________________________
(Printed name above signature of owner/caretaker)