Risk Organism Investigation Report – Animals
Part 1: Place, Visit and People details
PLACE
Place ID:
IP Number:
SP Number:
Dairy Supply No:
AgriBase ID:
Place Type:
Key Decision Maker:
Road:
X Coordinate:
Number on gate:
Y Coordinate:
Nearest Town:
Phone:
Other phone:
Directions:
Postal Address:
Run-off location:
Associated Places:
VISIT
Visit ID:
Date:
Field Officer Name:
Team Leader:
Person Visited:
Reason: Clinical suspicion
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Group No:
Time on:
Field Officer ID:
Team name:
Lab diagnosis
Version 2.0
Place Status:
Time off:
Other (specify)
Page 1 of 16
Part 1: Place, Visit and People details (continued)
PEOPLE
Role
Name
Phone
Physical Address
Farm Owner
Farm Manager
Worker
Worker
Worker
Worker
Associated
People
Associated
People
Associated
People
Others:
Neighbours Name
Phone
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Physical Address
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Susceptible stock?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
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Part 2: Clinical findings
ANIMAL INSPECTION
Species
Bovine (Beef)
Bovine (Dairy)
Porcine
Enterprise type
Management groups:
 Describe
 Intensive/extensive
Number present
Number observed
Number affected
Number examined (temp, mouths)
Days since earliest clinical signs
Age of oldest signs 
Number initially affected
Number in milk
Number and type of samples
required for entry into IRS
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Ovine
Cervine
Other (specify)
ANIMAL EXAMINATION
Species
Tag/
ID
Age
Sex
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Breed
Description and distribution of
lesions
Version 2.0
Temp
Result/diagnosis
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Alternative
diagnoses?
Samples collected?
Part 3 (A): Movement details
INTERVIEW NOTES
Describe all movements on and off, then allocate a number (e.g. B1) for reference to Part 3 (B) &
(C):
1. What moved?
2. Where to/from? (address details)
3. When?(date)
4. How? (vehicle details)
5. Who? (name and contact details)
6. What is risk?
Traceback period
Date From:
Date To:
IP/SP No:
Animals
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INTERVIEW NOTES, continued
Animal Products
Non-Animal Products
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Part 3 (B): Movement details (continued)
Movements ON (backwards/source)
Record key data from interview.
Note: Movement # and Trace ID to be added by person entering movement details in IRS.
Traceback period
Date From:
Date To:
IP/SP No:
Movements
B1
Movement #_______
B2
Movement #_______
B3
Movement #_______
Source Name
Address
Comms (phones)
Person Trace ID______
Person Trace ID______
Person Trace ID______
Host Trace ID______
Host Trace ID______
Host Trace ID______
Vehicle Trace ID______
Vehicle Trace ID______
Vehicle Trace ID______
Date of movement:
 Confident/estimate
 Frequency of movement
 Period of frequency
movement
Host contact (Yes / No)
Origin place type (e.g. farm,
saleyard)
Conveyors:
i.e. host type (e.g. pigs),
product/thing, person,
vehicle
 number or amount
Reference from interview
notes
Who transported:
Name
Address
Comms (phones)
Backwards risk (L / M / H)
Priority
(L / M / H)
Entered into IRS:
Entered by (initial):
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Page 7 of 16
Part 3 (B): Movement details (continued)
Movements ON (backwards/source)
Record key data from interview.
Note: Movement # and Trace ID to be added by person entering movement details in IRS.
Traceback period
Date From:
Date To:
IP/SP No:
Movement No.
B4
Movement #_______
B5
Movement #_______
B6
Movement #_______
Source Name
Address
Comms (phones)
Person Trace ID_____
Person Trace ID_____
Person Trace ID_____
Host Trace ID_____
Host Trace ID_____
Host Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Date of movement:
 Confident/estimate
 Frequency of movement
 Period of frequency
movement
Host contact (Yes / No)
Origin place type (e.g. farm,
saleyard)
Conveyors:
i.e. host type (e.g. pigs),
product/thing, person,
vehicle
 number or amount
Reference from interview
notes
Who transported:
Name
Address
Comms (phones)
Backwards risk (L / M / H)
Priority
(L / M / H)
Entered into IRS:
Entered by (initial):
© Ministry for Primary Industries
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Part 3 (B): Movement details (continued)
Movements ON (backwards/source)
Record key data from interview.
Note: Movement # and Trace ID to be added by person entering movement details in IRS.
Traceback period
Date From:
Date To:
IP/SP No:
Movement No.
B7
Movement #_______
B8
Movement #_______
B9
Movement #_______
Source Name
Address
Comms (phones)
Person Trace ID_____
Person Trace ID_____
Person Trace ID_____
Host Trace ID_____
Host Trace ID_____
Host Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Date of movement:
 Confident/estimate
 Frequency of movement
 Period of frequency
movement
Host contact (Yes / No)
Origin place type (e.g. farm,
saleyard)
Conveyors:
i.e. host type (e.g. pigs),
product/thing, person,
vehicle
number or amount
Reference from interview
notes
Who transported:
Name
Address
Comms (phones)
Backwards risk (L / M / H)
Priority
(L / M / H)
Entered into IRS:
Entered by (initial):
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Part 3 (C): Movement details (continued)
Movements OFF (forwards/spread)
Record key data from interview.
Note: Movement # and Trace ID to be added by person entering movement details in IRS.
Traceback period
Date From:
Date To:
IP/SP No:
Movement No:
F1
Movement #_______
F2
Movement #_______
F3
Movement #_______
Destination Name
Address
Comms (phones)
Person Trace ID_____
Person Trace ID_____
Person Trace ID_____
Host Trace ID_____
Host Trace ID_____
Host Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Encounter date:
 Confident/estimate
 Frequency of movement
 Period of frequency
movement
Host contact (Yes / No)
Destination place type (e.g.
farm, saleyard)
Conveyors:
i.e. host type (e.g. pigs),
product/thing, person,
vehicle
 number or amount
Reference from interview
notes
Who transported:
Name
Address
Comms (phones)
Forwards risk (L / M / H)
Priority
(L / M / H)
Entered into IRS:
Entered by (initial):
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Part 3 (C): Movement details (continued)
Movements OFF (forwards/spread)
Record key data from interview.
Note: Movement # and Trace ID to be added by person entering movement details in IRS.
Traceback period
Date From:
Date To:
IP/SP No:
Movement No:
F4
Movement #_______
F5
Movement #_______
F6
Movement #_______
Destination Name
Address
Comms (phones)
Person Trace ID_____
Person Trace ID_____
Person Trace ID_____
Host Trace ID_____
Host Trace ID_____
Host Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Encounter date:
 Confident/estimate
 Frequency of movement
 Period of frequency
movement
Host contact (Yes / No)
Destination place type (e.g.
farm, saleyard)
Conveyors:
i.e. host type (e.g. pigs),
product/thing, person,
vehicle
 number or amount
Reference from interview
notes
Who transported:
Name
Address
Comms (phones)
Forwards risk (L / M / H)
Priority
(L / M / H)
Entered into IRS:
Entered by (initial):
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Page 11 of 16
Part 3 (C): Movement details (continued)
Movements OFF (forwards/spread)
Record key data from interview.
Note: Movement # and Trace ID to be added by person entering movement details in IRS.
Traceback period
Date From:
Date To:
IP/SP No:
Movement No:
F7
Movement #_______
F8
Movement #_______
F9
Movement #_______
Destination Name
Address
Comms (phones)
Person Trace ID_____
Person Trace ID_____
Person Trace ID_____
Host Trace ID_____
Host Trace ID_____
Host Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Vehicle Trace ID_____
Encounter date:
 Confident/estimate
 Frequency of movement
 Period of frequency
movement
Host contact (Yes / No)
Destination place type (e.g.
farm, saleyard)
Conveyors:
i.e. host type (e.g. pigs),
product/thing, person,
vehicle
 number or amount
Reference from interview
notes
Who transported:
Name
Address
Comms (phones)
Forwards risk (L / M / H)
Priority
(L / M / H)
Entered into IRS:
Entered by (initial):
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Page 12 of 16
Part 4: Risk evaluation and prioritisation of movements – FMD
Note: this is a risk evaluation for Foot and Mouth Disease (FMD) only. Risk evaluations for other
risk organisms will be determined during the response.
How to complete a risk evaluation for FMD
To identify high risk movements for immediate report and follow up, and for priority traces:
1. Complete date and infection timeline: (see next page)
1. record today’s date
2. record date of first clinical signs
3. subtract 3 days to calculate the latest infection date and record
4. subtract 14 days to get the earliest infection date and record
5. record likely date of infection, if known (e.g. date of introduction of infected animals with
oldest lesions).
2. Assess source and destination risk:
1. backwards risk (source)
1. allow for virus survival in goods not encountered on day of arrival
2. possibility that age of oldest lesions may change
3. inherent risk associated with the goods or animals.
2. forwards risk (destination)
1. virus production on farm based on method of infection, species present and number
affected
2. at herd level, virus is produced in waves separated by shortening (dose related)
incubation periods. For example, the first wave of virus excretion may occur 3 to 5 days
after infection, a second after 7 days and the peak could be at 12 days
3. virus appears in milk before clinical signs appear
3. Identify high, medium and low risk periods in Backward and Forward risk period columns.
3. Identify risk goods, vehicles and susceptible animals that need to be traced, treated or
destroyed.
4. Identify any risk movements outside the controlled area.
5. Transfer movement ID’s to Movements ON or Movements OFF column and aligned with risk
period.
EXAMPLE
Day
-25
-24
-23
-22
-21
-20
-19
-18
-17
-16
-15
-14
-13
-12
-11
-10
-9
-8
-7
-6
-5
-4
-3
-2
-1
0
Date
Infection timeline
Backward risk
period
(H /M /L)
LOW
07/08/05
Movements ON
(B1 - Bn)
B4
B2
Forward risk
period
(H /M /L)
NIL
Movements OFF
(F1 – Fn)
F5
Earliest infection date
F1
MEDIUM
LOW
B7
F4
B8
14/08/05
Likely infection date
HIGH
MEDIUM
B6
F3 F2
B9
F6
MEDIUM
21/08/05
Latest infection date
HIGH
24/08/05
First clinical signs
LOW
29/08/05
B1 B3 B5
Today
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Page 13 of 16
Part 4: Risk evaluation and prioritisation of movements – FMD (continued)
Day
Date
Infection timeline
Backward
risk period
(H /M /L)
Movements
ON (B1 Bx)
Forward risk
period
(H /M /L)
Movements
OFF (F1 – Fx)
-30
-29
-28
-27
-26
-25
-24
-23
-22
-21
-20
-19
-18
-17
-16
-15
-14
-13
-12
-11
-10
-9
-8
-7
-6
-5
-4
-3
-2
-1
0
Today
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Page 14 of 16
Part 5: Epidemiological information
EPIDEMIOLOGY
First clinical signs (if
known)
Infection date (if known)
Describe means and
source of infection
Date:
Confident/Estimate
Date:
Confident/Estimate
X Coordinate:
Y Coordinate:
Describe intra-farm
spread (draw diagrams)
Location of infected
animals (indicate on
map)
Estimate virus
production
Likelihood of plume
(pigs)
Low
Medium
High
Low
Medium
High
PLUME RISK FROM PIG FARMS
Date of
first
clinical
signs
Yesterday
Date
Good cloud cover
Light winds
Not much rain
Humid
Number of pigs affected
Wind direction
Plume risk
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Page 15 of 16
Today
Part 6: Investigation Checklist
Use this checklist to ensure all required information has been recorded in this document.
Item
Details
Report
Check 
Person, place, host details
1
Place details recorded
Part 1

2
Owner / Manager details recorded
Part 1

3
Herd / mob/ animal numbers recorded
Part 2

4
Affected herd / mob / animal numbers recorded
Part2

5
Location of mobs and other items mapped
Part 2 & 5

Investigation findings
6
Herd inspected and results recorded
Part 2

7
Clinical exam completed and results recorded
Part 2

8
Lesion description recorded
Part 2

9
Age of lesions and date of signs recorded
Part 2 & 5

10
Post mortem completed (if required)
Part 2

11
Endemic differentials considered
Part 2

12
Specimens collected and recorded
Part 2 &
Visit doc

13
Non-affected animals selected for bleeding (if required)
Part 2 &
Visit doc

Risk assessment
14
Movement details recorded
Part 3

15
Infection timeline completed
Part 4

16
Risk evaluation (infection timeline) completed
Part 4

17
Intra farm spread (diagram)
Part 5

18
Plume risk completed (if required)
Part 5

19
Immediate report of high risk traces to Risk Assessment
(note date, time and person reported to and also record in
your log or write ‘Not applicable’)
Part 4

Date & time:_____________
Person reported to:________________________ (name)
Investigator Name:
Signature:
Date:
Risk Assessment Manager Name:
Signature:
Date:
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