SOP 409.03.01-att-2: Animal Death Certificate

Division:
Executive
Effective Date:
September 1, 2004
Reference Code:
IVM01-0001
Topic Area:
409 Policy-GCI Facility Farms
PowerDMS:
View on PowerDMS
Length:
126 words

Summary

This attachment provides a standardized form for documenting animal deaths at GCI facility farms. The form requires staff to record details about the deceased animal (type, identification, age, sex), the immediate cause of death, significant medical conditions, and remarks. The form must be signed by both farm and security staff, with veterinary examination documentation when circumstances warrant, and retained for four years before destruction.

Key Topics

  • animal death
  • farm animals
  • death certificate
  • GCI farms
  • cause of death
  • veterinary examination
  • animal records
  • facility farms
  • farm staff documentation

Full Text

IVM01-0001
Attachment 2
9/01/04

Institution_______________________
Date____________________________

|AREA|EAR TAG # OR MARKINGS|DATE OF DEATH|Col4|
|---|---|---|---|
| TYPE OF
ANIMAL
|
DESCRIPTION| SEX| AGE|

IMMEDIATE CAUSE OF DEATH
______________________________________________________________
______________________________________________________________

SIGNIFICANT CONDITIONS
______________________________________________________________
_
______________________________________________________________
_

REMARKS
______________________________________________________________
_

To the best of my knowledge, death occurred on the date, place and due to the causes stated
above.

_____________________________ ________________________________
Farm Staff Member Security Staff Member

Note: Use only if circumstances warrant.

On the basis of examination and/or investigation, I find the following:

RETENTION SCHEDULE:
This form, upon completion, will be kept in a filing area for four years, one
year active and three years inactive, then destroyed.

_____________________________________________________________________________
_____________________________________________________________________________
Veterinarian's Signature

RETENTION SCHEDULE:
This form, upon completion, will be kept in a filing area for four years, one
year active and three years inactive, then destroyed.

Attachments (8)

  1. Livestock Sale-Transfer Agreement (Form IVM01-0001) (286 words)
  2. Animal Death Certificate (126 words)
  3. Weigh Bill and Receiving Report for Farm Products (133 words)
  4. Beef Monthly Livestock Report (486 words)
  5. Dairy Monthly Livestock Report (99 words)
  6. Poultry Monthly Livestock Report (Attachment 6) (262 words)
  7. Swine Monthly Livestock Report (Attachment 7) (338 words)
  8. Monthly Farm Production Report (Attachment 8) (901 words)
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