IMPORTED PRODUCTS FACILITY INSPECTION CHECKLIST T UNITED STATES DEPARTMENT

A PILOT STUDY TO DETECT RADIOACTIVE MATERIALS IN IMPORTED
CERTIFICATION OF NATURAL WINE IMPORTED INTO THE UNITED STATES
EQUESTRIAN AUSTRALIA APPLICATION FOR POINTING IMPORTED JUMPING HORSES NATIONAL

IMPORTED MILKBASED INFANT AND FOLLOW ON FORMULA (FORMULA MILK
IMPORTED PRODUCTS FACILITY INSPECTION CHECKLIST T UNITED STATES DEPARTMENT
IMPORTED VEHICLE THERE ARE SEVERAL STEPS NECESSARY FOR THE


Imported Products Facility Inspection Checklist


T



IMPORTED PRODUCTS FACILITY INSPECTION CHECKLIST T UNITED STATES DEPARTMENT



United States

Department of

Agriculture


Animal and Plant

Health Inspection

Service


Veterinary Services


National Import Export Services


4700 River Road

Riverdale, MD 20737


(301) 851-3300

FAX (301) 734-8226



he facility must be in production at the time of inspection.
NOTE: An updated questionnaire must be submitted any time additional animal origin materials are received, stored, processed, or otherwise handled in the facility.


PLEASE PRINT OR TYPE


  1. Name of facility being inspected (include facility number, if applicable):

_______________________________________________________________.


2. Address (physical location) of facility being inspected:

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________.

3. Address of the facility headquarters if different from above:

_______________________________________________________________

________________________________________________________________

________________________________________________________________.

4. Responsible facility representative accompanying the official veterinarian during inspection:


Name: ___________________________________________________________


Title: ____________________________________________________________


Telephone: _______________________________________________________


Facsimile: ________________________________________________________




5. The facility performs or provides which of the following (circle all that apply):


______________________________________________________________.


6. List all the animal origin ingredients, species of origin, and country(s) of origin in the table below for all animal origin materials received, stored, processed or otherwise handled in this facility AND all animal origin materials for all products produced in the facility. For tallow, specify as greater than or less than 0.15% insoluble impurities as a percentage in weight. (Attach additional sheet if more space is needed.) NOTE: This includes materials which are routinely handled by the facility but may not currently be present as well as finished products not manufactured in the facility.


ANIMAL ORIGIN INGREDIENTS

(e.g. meat-and-bone meal, blood, tallow, offal, egg, milk, gelatin, fish meal, fat, vitamin D3, calcium phosphate derivatives, finished products not manufactured in the facility, etc.)

SPECIES OF ORIGIN


e.g. fish/shellfish, avian, (chicken, turkey, duck, squab), bovine (cow, bison), porcine (pig), ovine (lamb, sheep), caprine (goat), equine (horse), cervid (deer), etc.

COUNTRY OF ORIGIN
























During your inspection, verify that the table in question 6 is complete and accurate.

7. ___ YES ___ NO. Was there any evidence that the facility receives, stores, processes, or otherwise handles any animal origin materials not included on the table in question 6? If YES, please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________


8. ___ YES ___ NO ___ N/A. If Vitamin D3 is listed in the table for question 6, were you able to verify the origin as sheep wool grease (lanolin)? Please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________


9. ___ YES ___ NO ___ N/A. If tallow is listed in the table for question 6, were you able to verify the percentage insoluble impurities as less than 0.15% by weight through a certificate of analysis or other laboratory report? If NO, please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________.


10. ___ N/A. If bovine gelatin is listed in the table for question 6, verify that it was derived from (circle all that apply):


11. List all the facilities which supply the facility being inspected with animal origin ingredients. (Attach additional sheet if more space is needed.)


NAME OF FACILITY

ADDRESS OF FACILITY

(including country)

CONTACT INFORMATION


























12. ___ YES ___ NO. Was there any evidence that the facility receives, stores, processes, or otherwise handles animal origin materials from any supplier not included on the table in question 11? If YES, please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________.


13. ___ YES ___ NO. When you randomly selected several animal origin materials in the facility, was the management able to demonstrate that the materials were supplied by the facility/facilities listed on the table in question 11? If NO, please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________.


14. Please identify how you were able to determine the country of origin for each material imported from a foreign supplier (circle all that apply):


If OTHER, please describe below (attach additional sheet if more space is needed).


___________________________________________________________________________________


___________________________________________________________________________________.


15. ___ YES ___ NO ___ N/A. For any imported rendered materials (e.g., meals) or hydrolysates (e.g., digests), is the supplying facility dedicated to non-ruminant species? If NO, please describe how the inspected facility verifies that the supplying facility maintains separation of species (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________.



16. ___ YES ___ NO ___ N/A. For any imported ruminant material, was the management able to provide a foreign health certificate, a commercial document for transport of animal by-products not intended for human consumption in accordance with EC no 1069/2009, or other documentation verifying the country from which the materials originated? If NO, please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________.

17. ___ YES ___ NO ___ N/A. If the facility receives, stores, processes, or otherwise handles ovine and/or caprine materials, does the facility have a written plan in place to record, monitor, and verify that the ovine/caprine origin materials were not supplied by countries ineligible3 to export ovine/caprine materials to the United States? If NO, please include details below (attach additional sheet if more space is needed).


___________________________________________________________________________


___________________________________________________________________________.


18. ___ YES ___ NO ___ N/A. If the facility receives, stores, processes, or otherwise handles ovine and/or caprine materials, does the facility have a written plan in place to identify, respond, and correct in the event that ovine/caprine origin materials were supplied by countries ineligible to export ovine/caprine materials to the United States? If NO, please include details below (attach additional sheet if more space is needed).


___________________________________________________________________________


___________________________________________________________________________.


19. The following questions pertain to cross contamination risk from materials ineligible for export to the US. Ineligible materials include:


a. ___ YES ___ NO ___ N/A. Does the facility maintain dedicated processing rooms for product eligible for export to the US?


b. ___ YES ___ NO ___ N/A. Does the facility maintain dedicated processing equipment (e.g. lines, machinery, and utensils) for product eligible for export to the US?


c. ___ YES ___ NO ___ N/A. Does the facility maintain dedicated storage rooms for product eligible for export to the US?


d. ___ YES ___ NO ___ N/A. Does the facility maintain dedicated employees for product eligible for export to the US?


e. ___ YES ___ NO ___ N/A. Does the facility maintain appropriate documentation (e.g. signs and labels) and employee training to ensure product eligible for export to the US does not come in contact with product ineligible for export to the US?


f. ___ YES ___ NO ___ N/A. For shipments of bulk materials, does the facility use dedicated trucks?


1 Countries recognized by APHIS as Controlled Risk: Bulgaria, Canada, Costa Rica, Croatia, Cyprus, Czech Republic, Estonia, France, Germany, Greece, Hungary, Ireland, Latvia, Lichtenstein, Lithuania, Luxembourg, Malta, Mexico, Nicaragua, Poland, Portugal, Republic of Korea, Slovak Republic, Spain, Switzerland, Taiwan, and the United Kingdom


2 Countries recognized by APHIS as Undetermined Risk: all countries excluding those listed above and Argentina, Australia, Austria, Belgium, Brazil, Chile, Colombia, Denmark, Finland, Iceland, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Panama, Paraguay, Peru, Singapore, Slovenia, Sweden, and Uruguay


3 Albania; Andorra; Austria; Belgium; Bosnia and Herzegovina; Bulgaria; Canada; Croatia; Czech Republic; Denmark; Federal Republic of Yugoslavia; Former Yugoslav Republic of Macedonia; Finland; France; Germany; Greece; Hungary; Republic of Ireland; Israel; Italy; Japan; Liechtenstein; Luxembourg; Monaco; Netherlands; Norway; Oman; Poland; Portugal; Romania; Republic of San Marino; Slovakia; Slovenia; Spain; Sweden; Switzerland; or the United Kingdom (includes Great Britain (England, Scotland, Wales, Isle of Man), Northern Ireland, and the Falklands)


4 SRMs: brain, skull, eyes, trigeminal ganglia, spinal cord, vertebral column (excluding the vertebrae of the tail, the transverse processes of the thoracic and lumbar vertebrae, and the wings of the sacrum), and dorsal root ganglia from bovines 30 months of age and older (controlled risk countries) and older than 12 months of age (undetermined risk countries), and the distal ileum of the small intestine and the tonsils from all bovines


If NO to any part of question 19, please explain how the facility prevents cross contamination of product eligible for export to the US with product ineligible for export to the US (i.e. monitoring proper use of hygiene protocols such as hand washing, use of gloves, aprons, disinfection stations, using signs and labels, cleaning and sanitizing trucks, etc.). Attach additional sheet if more space is needed.


_____________________________________________________________________________


_____________________________________________________________________________


_____________________________________________________________________________


_____________________________________________________________________________


_____________________________________________________________________________


_____________________________________________________________________________


_____________________________________________________________________________.


20. Please select materials from at least 3 different lots when reviewing records.


a. ___ YES ___ NO. When reviewing the facility’s records were you able to verify the records were consistent with the information provided on the tables in questions 6 and 11? If NO, please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________.



b. ___ YES ___ NO. When selecting lots from the facility’s finished product storage area, was the facility able to produce records tracking that lot and individual ingredient(s) back to the incoming raw material? If NO, please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________.


21. ___ YES ___ NO. Is the equipment maintained in good condition (i.e. free of cracks, pitting, rust, or other defects that could affect cleaning and sanitizing procedures) so as to be easily cleaned? If NO, please include details below (attach additional sheet if more space is needed).


__________________________________________________________________________


__________________________________________________________________________.


22. ___ YES ___ NO. Is the building maintained in a sound condition (i.e. no leaks, no standing water, no evidence of pests/rodents, well maintained floors, ceilings, and walls)? If NO, please include details below (attach additional sheet if more space is needed).


___________________________________________________________________________


___________________________________________________________________________.


23. Please explain how the facility maintains sanitation and prevents adulteration of product intended for export to the United States (i.e. monitoring proper use of hygiene protocols such as hand washing, use of gloves, aprons, disinfection stations, using signs and labels, cleaning and sanitizing trucks, etc.). Attach additional sheet if more space is needed.


____________________________________________________________________________


____________________________________________________________________________.


24. ___ YES ___ NO. Were there any findings during the course of the inspection that raise a concern as to whether the facility’s measures are adequate to maintain basic sanitation, product identity and integrity, and prevent adulteration of product intended for export to the United States? If YES, please include details below (attach additional sheet if more space is needed).


_____________________________________________________________________________


_____________________________________________________________________________


_____________________________________________________________________________


_____________________________________________________________________________


_____________________________________________________________________________.



IMPORTED PRODUCTS FACILITY INSPECTION CHECKLIST T UNITED STATES DEPARTMENT


____________________________________________

Signature of responsible facility representative


______________________________________________

Printed name of responsible facility representative


______________________________________________ ____________

Title of responsible facility representative Date





IMPORTED PRODUCTS FACILITY INSPECTION CHECKLIST T UNITED STATES DEPARTMENT


________________________________________ SEAL

Signature of official government veterinarian


________________________________________

Printed name of official government veterinarian


________________________________________ ____________

Title of official government veterinarian Date


__________________________________________________________________

Phone number/email of official government veterinarian





IMPORTED PRODUCTS FACILITY INSPECTION CHECKLIST T UNITED STATES DEPARTMENT


Recommendation of APHIS/VS Staff Veterinarian (circle one):



APPROVED DISAPPROVED



_______________________________________

Signature of APHIS/VS Staff Veterinarian/Date

Current as of November 7, 2014

Page 1 of 9



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