General company data animal husbandry
Farm:
______________________
Tel.:
_______________________
Name:
______________________
Fax:
_______________________
Address: ______________________
E-Mail: _______________________
_____________________
Coordinator: ___________________
Declaration of participation from:
______________________
___________________ (Date)
Registration number: _______________________________________________________
Crisis manager
(for plants with employed stuff): ______________________________________________
Animal Production
Capacities/farming units: ____________________________________________________
(E.g. fattening places, sow positions) ______________________________________
Salmonella monitoring for pig fattening
(e.g. number of animals produced per year, fattening places):
________________________________
Antibiotics monitoring (Pig, Broiler (Poultry Production), veal calves (production) [cattle
production voluntary])
(e.g. number of fattening places, prescribing veterinarians) ___________________
Self-mixer (own feed procurement): ___________________________________________
Usage of old bread/baked goods: ______________________________________________
______________________________________________
______________________________________________
Storage capacities for crops: __________________________________________________
Producing farms with several separate animal sheds or production units are to create a draft
farm drawing to depict location and use of the respective units. Layout plans and building plans
may be considered here as well
QS Qualität und Sicherheit GmbH
Schedestraße 1-3, 53113 Bonn
Tel +49 228 35068-0, info@q-s.de
Geschäftsführer: Dr. H.-J. Nienhoff
Sample form
General company data animal husbandry
Version: 01.01.2016
(as of 01.01.2015)
Status: • Release
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