Republic of Serbia

MINISTRY OF AGRICULTURE, FORESTRY AND WATER MANAGEMENT

Sector of Agricultural Inspection
Department for Control of incentives in agriculture, organic production and livestock
Section of the Agricultural Inspection for the control of agricultural and livestock resources
in the City of Belgrade
No.: ______________ Date: __________ year

THE INSPECTION REPORT

Created on______________ year, starting at _________ hour(s) in the ______________________

__________________________________________________________________________________________________
_________________ (place and address)
regarding the
1.  regular  extraordinary*  control  supplementary* (type of inspection performed)
2.  at the office   both at the office and (a form of inspection)
in the matters of _____________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
____ (subject of inspection)

The inspection was carried out by the inspector*/and:

1. First and last name: _________________ Official identification number:__________________
2. First and last name: _________________ Official identification number:__________________
__________________________________________________________________________________________________
_____________________________
including information about the inspector or inspectors who replaced the inspector in case he/she was not able to come).

Inspection was carried out as:  independent activity  joint activity

The inspection was carried out at the supervised entity* which is:
 A registered entity  an unregistered entity  legal person  entrepreneur  physical person

Business
name:_____________________________________________________________________________________________
________________ Tax identification number: ______________ Unique citizen number:
__________________________________________________________________________________________
(if the control of the legal person*):
Representative / responsible person __________________ Function: ______________
Unique citizen number / personal number / passport number: _____________ The address
________________________________________________
Seat:
__________________________________________________________________________________________________
______________________
Business Unit: _____________________ Contact: ____________________________

In case of physical person: Number of agricultural holding (if registered)_____________________

First and last name: _________________ ___________________________________________________
Place: ___________ Address: _________________ Contact: ________________
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  There was assessment of ______________ risk at the supervised entity during the preparation of the inspection.
 There was assessment of ______________ risk before the inspection.
 There was assessment of ______________ risk during the inspection.
(reference to the estimated risk level) .
__________________________________________________________________________________________________
__________________________________________________________________________________________________
______________________________
(Indicate the estimated risk level; explain if there is a difference in the risk assessment and make sure to fill out the the risk assessment
list at the first inspection which is an integral part of this record)

The inspection was conducted in

__________________________________________________________________________________________________
(indicate the location of the inspection).

The inspection was carried out on the basis of

_________________________________________________________________________________ (specify the legal
basis for conducting the inspection expressed in a law and other regulation) the Law on Inspection Control.

Inspection has been initiated:  ex officio; 1) as per inspection plan; 2) as per assumption
 on the request of a supervised entity;  on the request of another person who is recognized by a special law as a party in
this procedure.

Inspection order*:  Yes  No

__________________________________________________________________________________________________
__________________________________________________________________________________________________
___________________________________________________________
(In case the order has not been issued, state the reasons why it has not been issued)
Supervised entity:
 has been notified of the upcoming inspection _________ working days prior to the start of supervision by inspection.
Notification number _________________________ from __________ year, with information on the website where the
checklist for this inspection is available;
 has not been informed of the upcoming inspection for the following reasons:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
_______________________________

The inspection has started:

 by handing over the inspection order to the supervised entity.
 by handing over the inspection order to the person who was present
 by showing the order and presenting its contents to the supervised entity, as the supervised entity refused to accept the
inspection order;
 by showing the order and presenting its contents to the present person, as the present person refused to accept the
inspection order;
 by taking the first action of the inspector within this aim, because the inspection order has not been issued in accordance
with the law.

The inspection was carried out in the presence of

_______________________________________________________________________________________
(name and last name of the responsible/authorized person of the supervised entity, respectively the person present, as well as the
proxy and representative, if they were present during the supervision).

The following person was informed of the inspection

___________________________________________________________________________

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__________________________________________________________________________________________________
___________ (to be filled out if a person who is informed of the inspection is a person who exercises certain rights in a
supervised entity or is in relation to a supervised entity or has other legal interest in inspection or there is a legal
obligation to inform this person about the inspection)

Subject of inspection
1) ___________________________________________________________________________________________
_______________________________
2) ___________________________________________________________________________________________
_______________________________
3) ___________________________________________________________________________________________
___________________________________________________________________________________________
_______________________________
___________________________________________________________________________________________
_______________________________

(this part of the record shall give a precise and clear description of the subject of the inspection. Depending on the
complexity and what it covers, the subject of inspection is divided into different positions within this point).

The course and content of the actions taken to determine the facts and other actions in the procedure

Prior to the start of the inspection, the inspector collected information on previous inspections of the supervised
entity and other information relevant for the forthcoming supervision, through the information system and other databases,
as well as through direct knowledge and information and other appropriate means, and the inspector also obtained
documents and data from records, i.e. registers kept by the competent state authorities, autonomous province authorities
and local government units and other holders of public authorizations, which are necessary for inspection, namely:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
___________________________________________________________ (this part of the record shall state the collected data
and the documents obtained, and their exact and brief content, adhering to the subject of supervision, i.e. limiting to the inspection
administrative matter which is subject to supervision).

Actions taken to determine the facts

The following actions have been taken during the inspection to determine the facts:
1) A checklist that is an integral part of this record
__________________________________________________________________________________________________
__________________________________________________________________________________________________
___________________________________________________________
(this section provides information on the checklist and its use in the inspection procedure)

2) Access to public documents and data from registers and records kept by the competent state authorities,
autonomous province authorities and local government units and other holders of public authorisations
__________________________________________________________________________________________________
__________________________________________________________________________________________________
___________________________________________________________
(indicate documents obtained ex officio or from a supervised entity or a third person, if the inspector could not obtain them ex officio,
which the inspector has checked, and their exact and brief contents, by adhering to the subject of supervision, i.e. limiting to the
inspection administrative thing that is the subject of the procedure)

3) Access to a identity card or other public document appropriate for the personal identification
__________________________________________________________________________________________________
__________________________________________________________________________________________________
_______________________________

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 4) Access to business documents, general and individual acts, records, contracts, planning documentation and
other documents of the supervised entity which are important for the inspection
__________________________________________________________________________________________________
__________________________________________________________________________________________________
___________________________________________________________
(this part of the record shall state the documentation which the inspection has checked and their exact and brief content ,by adhering
the subject of supervision, i.e. limiting to the inspection administrative matter which is the subject of the procedure)
The list of downloaded documents is an integral part of this record.

5) The statement of the supervised entity and the other person who is recognized by a special law as a party in
this procedure
 Oral statement: The supervised entity gave the following oral statement during the procedure:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
___________________________________________________________
(this part of the record shall state the precise and concise content of the statement of the supervised entity, given orally during the
procedure, adhering to the subject of supervision, i.e. limited to the inspection administrative matter which is the subject of the
procedure. For a legal person, the statement shall be made and signed by his/her representative/responsible person)

__________________________________________________________
(signature of the supervised entity, i.e. the representative/responsible person of the legal person)

 Written statement: The supervised entity has made a written statement, which constitutes an integral part of this record.

6) The examination, inspection and verification of the location, land, buildings, business and other non-
residential areas, facilities, plants, equipment, accessories, vehicles and other types of transport, other
means of work, products, items placed on market, goods for the market and other objects that the
supervised entity uses in order to exercise or perform activities, as well as other items of importance for
inspection.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
___________________________________________________________
(this section outlines the examination and verification carried out in the procedure and their exact and brief content, by adhering to
the subject of supervision, i.e. limiting to the inspection administrative matter which is the subject of the procedure)

Other important actions taken and conclusions drawn during the process

__________________________________________________________________________________________________
__________________________________________________________________________________________________
_______________________________
(this part of the record shall specify other important actions taken in the procedure and the conclusions drawn in the procedure –
familiarizing the supervised entity with the subject and the duration of the procedure, the inspection order and other acts issued in the
procedure, the rights and duties associated with the inspection, procedures for the submitted exemption requests, actions taken to
maintain order etc.)

Establishment of facts
A description of the identified illegal acts

Illegal act:
__________________________________________________________________________________________________
__________
Evidence:
__________________________________________________________________________________________________
_______________

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The legal basis for
the_______________________________________________________________________________________________
__________
(in this part of the record, the identified illegal act shall be individually disclosed, with the mandatory evidence based on
which a particular fact is established and the legal basis for determining the illegal ct)

Establishment of a legal act and conduct

Legal acts and conduct:
__________________________________________________________________________________________________
_
__________________________________________________________________________________________________
_______________________________
(legal acts and conduct of the supervised entity are determined, including the operation of the supervised entity under act on the
application of regulations)

Next:

Objection to the record

The supervised entity shall have the right to make written objections to the inspection record within five working days of
receiving this record.
The record has been read and the supervised entity has no comment / it has a following comment:
__________________________________________________________________________________________________
_______________________________
(specify the content of the objections of the supervised entity, i.e. of the present person, if stated).
The record is made in three identical copies, one of which is delivered to the supervised entity and the other two copies
are kept for inspection purposes.
The record is also submitted to
__________________________________________________________________________________________________
________
(another person to whom a special law recognizes the property of the party in the procedure, other body, other entity with legal
interest)

The record is made in ____________________ , ___________year at __________

Supervised entity / a person present Inspector

__________________ ________________________________

(signature) (signature)