IMO II 33.5.1 CH-e ASC Surveillance Report Farm name: Yojoa Company name: Aquafinca Saint Peter Fish-Regal Springs Location: Aldea Borboton, San Francisco de Yojoa, Cortes, Honduras, C.A. Surveillance Audit Report* CAB: IMOswiss AG (IMO) Author: Michele Stark Date: 24.03.2014 *This report is for public release and does not contain any confidential information. 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 1 of 12 Version 2 12.2013 Table of Contents Glossary ......................................................................................................................................... 3 1. Executive Summary ................................................................................................................. 4 2. CAB contact information .......................................................................................................... 4 3. Background on the applicant farm............................................................................................ 4 4. Scope ...................................................................................................................................... 4 5. Audit plan ................................................................................................................................. 5 6. Findings ................................................................................................................................... 5 7. Evaluation results .................................................................................................................... 5 8. Decision ................................................................................................................................... 6 9. Determination of the start of the COC ...................................................................................... 6 10. Non-conformity report(s)....................................................................................................... 7 11. Next scheduled audit ............................................................................................................ 8 Annexes .......................................................................................................................................... 9 Annex 1c. Evaluation results Tilapia P1 - 6 ..................................................................................... 9 Annex 2c. Evaluation results Tilapia P 7 ......................................................................................... 9 Annex 3. Classification of minor / major non-conformities ............................................................. 10 Annex 4. Form 1 – Request for Interpretation or Variance ............................................................ 11 Annex 5. Stakeholder submissions ............................................................................................... 12 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 2 of 12 Version 2 12.2013 Glossary ASI Accreditation Services International CC Certification Committee IMO d day(s) IMO IMOswiss AG JRR Jose-Renato Recalde KIB Kim Bedford Lead Lead Auditor MIS Michèle Stark TOS Tori Spence UOC Unit of certification 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 3 of 12 Version 2 12.2013 1. Executive Summary Any version of this report in any other language than English is an unverified translation, and in case of differences the English version shall take precedence. Both Yojoa farm and Cajon farm are under surveillance for ASC certification. This report only covers the surveillance assessment of Yojoa farm. Yojoa farm site was audited against principle one to six in two days. The audit was carried out by one auditor in Spanish only. During the environmental assessment, one minor non conformity was detected regarding original land ownership of Yojoa Farm. Besides the grow-out, the scope of the assessment includes the harvest, landing and subcontracted transport in sealed tanks to processing. COC certification is required from the point of unloading from the sealed tanks. IMO determines that all the requirements of the standard are sufficiently met and has confirmed continued certification of Yojoa farm. The current certificate remains valid and will expire on 11.11.2015. 2. CAB contact information IMOswiss AG (IMO) Fisheries & Aquaculture Weststr. 51 8570 Weinfelden, Switzerland Tel: 0041-71-626 0 626 (general) Email: aqua@imo.ch Website: www.imo.ch 3. Background on the applicant farm Two (2) other farm certificates are held. Best Aquaculture Practices and BRC Food Certificated. Production capacity of the farm: 18,778 MT (biomass entering the processing plant (From October 2012 to September 2013) 4. Scope The assessment was carried out against the ASC Tilapia Standard v1.0. The species produced at the farm is Oreochromis niloticus. Audit scope: Aquafinca-Yojoa Farm (single site), Oreochromis niloticus Receiving water bodies delineations is Yojoa Lake. This is distinct from the receiving water body of the hatchery, therefore, the hatchery has been excluded from the scope. 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 4 of 12 Version 2 12.2013 5. Audit plan Action Initial certification Surveillance Audit (principle 1-6) Surveillance Audit (principle 7) Surveillance report to ASC Locations Yojoa and Cajon Farms, processing plant Borboton, Honduras Yojoa and Cajon Farms, processing plant Borboton, Honduras Yojoa and Cajon Farms, processing plant Borboton, Honduras IMO Head office Persons TOS CC JRR (lead) Dates* 12.11.12 16.12.2013 20.12.2013 (not in the scope of the surveillance audit) TOS/MIS 24.03.14 * The previous versions of the report are not public. The audit was carried out with Ernesto Vargas and Jorge Maradiaga who are company representatives. Other staff/workers such as Joel Corea, Lester A. Zaldivar joined parts of the audit, depending on their responsibility and the criteria being assessed. Surveillance audits do not cover all indictors as for the full certification audit (initial audit, recertification every three years). The scope of this surveillance audit includes indicators of relevant importance. The sampling occurs according to: a) Progress and performance against outstanding NCs, b) Management system, c) Legal and regulatory compliance, d) Complaints or allegations of non-conformity with ASC requirements, e) A sample of sites (for multisite operations) and records to verify the management systems are effective and consistent, f) operational plans and all aspects of the production cycle. The surveillance audit did not include community interviews. 6. Findings Details of the evidence of compliance found during the audit for each individual criteria of the standard can be found in Annex 1. Any outstanding non-conformities and their respective action plans are listed under section 10. of this report. Any recommendations or closed non-conformities are not listed here and are part of Annex 1. All water measurements and analysis were found to be sufficiently compliant. The auditors had open access to all documentation, the farm and staff/workers as required. The farm is well managed and documented and staff trained to implement the internal procedures. Efforts are made to cooperate with the local villages. A description of the certification status can be found under section 8. of this report. 7. Evaluation results Details of the evidence of compliance for each criteria in the standard can be found in Annex 1. 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 5 of 12 Version 2 12.2013 8. Decision IMO confirms the current certification status of Yojoa farm. The certificate will expire on 11.11.2015. 9. Determination of the start of the COC Risk assessment - COC within the farm L – low risk: no such activities or a controlled system in place (e.g. license) M – medium risk: such activities occur within the farm but there is a good system in place H – high risk: such activities occur, there is a risk of mixing and the system in place is not sufficient Ref to CR 17.5.1 Integrity of certified products Associated risk System in use L 17.5.1.2 The opportunity of substitution prior to or at harvesting L 17.5.1.3 The possibility of introducing product from outside the unit of certification L 17.5.1.4 Robustness of the management system 17.5.1.5 Any transshipment activities taking place L L 17.5.1.6 The number and/or location of points of harvest Overall risk estimation L Rationale Robust internal traceability system and continuous documentation of lots, fish numbers and quantities produced Little incentive (see 17.5.1.3) or opportunity (see 17.5.1.5) to substitute any live fish from the cages prior to or at harvesting The entire farm as well as the second supplier of Aquafinca, Cajon, is undergoing assessment to be ASC certified. Therefore, there is no incentive and little possibility to introduce product from outside of the UOC. See also 17.5.1.5 Robust management system The farm is situated in a small lake close to the harvest/landing site. No transshipment activities take place. There is only one landing site used for all harvests, where fish are loaded into sealed tanks. L If the CAB determines the system is sufficient, products can enter into further certified chains of custody and be eligible to carry the ASC Label. Scope of aquaculture certificate, including the points of change of ownership after which COC certification is needed: Besides the grow-out, the scope of the assessment includes the harvest, landing and subcontracted transport in sealed tanks to processing. COC certification is required from the 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 6 of 12 Version 2 12.2013 point of unloading from the sealed tanks, even if no change in ownership occurs. No retrospective approval has been applied for. Only products harvested as of the date of certification are approved to carry the ASC logo. If the CAB determines the system is not sufficient, products may not enter into further certified chains of custody and are not eligible to carry the ASC Label. The following products may not enter into further certified chains of custody and are not eligible to carry the ASC Label: Nothing to declare at this point This determination will remain in force until revised by the CAB in a subsequent audit. 10. Non-conformity report(s) Producer: Aquafinca (Yojoa Farm) N° of CC 1.1.1 Year 2013 Cat. minor Non-conformity (summary) Legal document Even the operator presented lease agreements and land titles, these documents were simple copies. 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 7 of 12 Action plan Deadline Root Cause: It has copies of To be verified legal documents in each during next production center Cajon and audit Yojoa. Corrective Action: The review of the legal documentation will be held at the central administrative office Borboton, which is where the original legal documentation centers production Cajon and Yojoa is handled. Timeframe: Next audit. IMO statement: approved. The original legal documentation will be reviewed and verified next audit. Version 2 12.2013 N° of CC Year Cat. Non-conformity Action plan Deadline Status rec min Maj Number of not fulfilled compliance criteria (e.g. 1.1.1). In case of doubts indicate at least chapter of report. First year when the non-conformity has been observed. Sanction Category: rate using rec, min or Maj Discrepancy to standard. Measure to correct non-conformity stated by company and to be approved by IMO. Implementation of corrective measure to be completed by deadline. Date when IMO will assess the implementation of the corrective measure. Status of implementation of corrective measure: done, partly done, not done Recommendation (no action plan required) Minor non-conformity: see Annex 3 Major non-conformity: see Annex 3 However, there was one (1) non conformity detected during ASC inspection at Cajon farm, level minor and the observation: original legal documents of proprietorship of farm must remain on-site. 11. Next scheduled audit Next planned surveillance audit; (year, month): 2014, October Complete re-certification every three years; at the latest (year): 2015 IMO has the right to carry out additional unannounced audits according to the IMO standard operation procedures (SOPs). Likewise, an additional audit can be carried out within the framework of a document review. Operator’s comments (optional): Not given The operator has confirmed their agreement with this report and has committed to implementing the action plan/corrective measures. The final certification decision is made by the responsible certification officer at IMO. Confirmation of operator Ernesto Vargas_______________________________ name & signature Confirmation of auditor 20.12.13,Yojoa, Honduras date, location Jose-Renato Recalde__________________________ name & signature 20.12.13, Yojoa, Honduras date, location 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 8 of 12 Version 2 12.2013 Annexes Annex 1c. Evaluation results Tilapia P1 - 6 Annex 2c. Evaluation results Tilapia P 7 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 9 of 12 Version 2 12.2013 Annex 3. Classification of minor / major non-conformities Minor non-conformities a) For initial certification, the CAB may recommend the applicant for certification once an action plan to address non-conformity has been agreed to by both the client and the CAB. i. The action plan shall include a brief description of: A. The root cause(s) of the non-conformity B. The corrective action(s) to be taken is intended to satisfactorily address the non-conformity C. The timeframe for implementation of corrective action(s) ii. Minor non-conformities may be extended once for a maximum period of one (1) year if full implementation of corrective action was not possible due to circumstances beyond the control of the client. b) The CAB should raise a major non-conformity where minor non-conformities are repeatedly raised against a particular requirement. c) The CAB shall require that minor non-conformities raised during surveillance audits are satisfactorily addressed in one (1) year. Major non-conformities a) The CAB shall require that major non-conformities shall be satisfactorily addressed by an applicant: i. Prior to certification being granted. ii. Within three months of the date of the audit or a full re-audit shall be required. iii. That the root cause of the non-conformity is identified. b) In the case of a major non-conformity raised during the period of validity of a certificate, the CAB shall require: i. That the certificate holder satisfactorily addresses the non-conformity within a maximum of three (3) months ii. Major non-conformities may be extended once for a maximum period of another three months if full implementation of corrective action was not possible due to circumstances beyond the control of the client iii. That the root cause of the non-conformity is identified 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 10 of 12 Version 2 12.2013 Annex 4. Form 1 – Request for Interpretation or Variance This form is for the submission of requests by CABs to ASC to request interpretations of ASC normative requirements and/or requests for variance from specific normative requirements. I CAB Request 1.1 Name of CAB 1.2 Date of Submission 1.3 CAB Contact Person 1.4 Email Address of CAB Contact Person 1.5 ASC Document Reference 1.6 Background (Provide full explanation of the issue) 1.7 Recommended Action/Decision II ASC Determination 2.1 Status 2.2 Date of ASC Determination Closed 2.3 ASC Determination on Variance 2.3 ASC Interpretation 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 11 of 12 Version 2 12.2013 Annex 5. Stakeholder submissions Including written or other documented information and CAB written responses to each submission. Public consultation period Stakeholder submission Audit announcement (30 days prior to audit) NA Draft public report (10 days from report publication) NA 13 A ASC Surveillance Report Yojoa Farm 33 5 1 Page 12 of 12 IMO Response Version 2 12.2013 Table1 Yojoa farm-Aquafinca criteria Date of finding recomendation minor NC major NC NC action plan deadline action plan approved by IMO Root Cause: xxx Corrective Action: xxx Timeframe: xxx 2.2.1 1 2012 Established species The farm is situated in a lake where tilapia was introduced by the government in the 50s. Stocking by the government in receiving waters continues. Several peer-reviewed articles, EIAs, government statements and community Document diagnosis of aquaculture in Honduras, testimonials are available confirming that tilapia was Secretary of Agriculture and Livestock (SAG) and the introduced, is restocked annually and adults can be found Directorate General of Fisheries (DIGEPESCA) in the wild. During the audit, multiple size classes (not fry) were visible. However, there is no written evidence specifically mentioning that the different life stages of Oreochromis niloticus (O. mossambicus is available) can be found naturally in the lake. Status of implementation of action plan initial/recertification surveillance I surveillance II 2012 2013 2014 March 17, 2013 ok done na Develop procedures and training for personnel performing water sampling required by Aquafinca and monitoring of the ASC and the difference between measurements DDOO and Aquafinca monitoring requirements. March 17, 2013 ok done na Develop procedures and training for personnel performing water sampling required by Aquafinca and monitoring of the ASC and the difference between measurements DDOO and Aquafinca monitoring requirements. March 17, 2013 ok done na Letter from the municipal cadastre and meeting with residents to identify intervention Lake waterfront, before the intervention of Aquafinca March 17, 2013 IMO Comment: In addition, a map showing wetlands within a 5km radius as well as a map showing pre-and post1999 wetland coverage needs to be provided ok done na see 2.5.1 2.3.1 2.5.1 2.6.1 1 2012 1 2012 1 2012 Water quality monitoring DO measuring was witnessed. This was mostly carried out according to the requirements. Procedures are clear and staff adequately trained, however, during the audit there was some confusion what kind of water sampling/monitoring should be carried out and monitoring was done at 1m instead of 30cm and samples were taken in a simple bottle instead of over a 1mwater column. See also 2.3.1. The company takes daily water measurements over a much greater depth than required by ASC and it seemed staff may be confusing the two types of sampling, as the required ASC sampling had already been carried out for that period. Data and analysis is recorded in separate confidential sheet of this annex. Wetlands The farm was constructed prior to 1999. Since, there have been no constructural changes. There is no evidence of wetland conversion. In addition, the receiving water is a artificial dammed lake. However, there is no map available showing wetlands within a 5km radius. There is no evidence of wetland conversion. However, no map showing pre-and post-1999 wetland coverage is available. 5.1.4 2012 1 Recommendation - FS score For all species included in FM or FO, a FS score or a letter of intent from the feed manufacturer is required. Some FM sources are listed as wild catch in the feed manufacturers statement, although they are classified as processing byproduct and hence do not need a FS rating. Feed manufacturers should update their documentation to coincide with each other and will be the critical background inoformation for FS score requirements for the second audit. 5.1.4 2012 1 Recommendation - Feed names Feed names are difficult to relate to suppliers, feed supplier statements, feed labels etc. as different names and a mixture of supplier, producer and feed type names and abbreviations are used. For third party auditing a clear relation between the documentation and the feed type/producer is required. 13 A ASC surveillance report technical annex Yojoa Farm 1/2 NCs na na na na na na na na Version 2 03.2014 5.2.1 1.1.1 2012 Legal document Even the operator presented lease agreements and land titles, Root Cause: It has copies of legal documents in each these documents were simple copies. production center Cajon and Yojoa. Corrective Action: The review of the legal documentation will be held at the central administrative office Borboton, which is where the original legal documentation centers production Cajon and Yojoa is handled. Timeframe: Next audit. IMO statement: approved. The original legal documentation will be reviewed and verified next audit. 1 2013 Total Recommendation - Sustainability policies A letter of intent/letter confirming policy is in place to "preferably" sourcing from sustainable resources. However, as the level of requirement and intent of this criteria becomes more clear, it is expected that a policy would include a clear procedure, aim and accompanying decision tree rather than being a statement of intent. 1 3 4 0 examples: see report (for minors) na na na Verification on next audit ok - open ok na open done see report corrective measure implemented (for majors) 13 A ASC surveillance report technical annex Yojoa Farm 2/2 na NCs Version 2 03.2014 13 A ASC surveillance report technical annex Yojoa Farm Audit Manual - ASC Tilapia Standard - version 1.0 Jan2012 Audit Manual Copyright © 2012 Aquaculture Stewardship Council. All rights reserved by Aquaculture Stewardship Council 1 / 15 Version 2 03.2014 Table 2 Yojoa farm-Aquafinca criteria Date of finding recomendation minor NC major NC NC action plan deadline action plan approved by IMO Corrective Action: xxx Timeframe: xxx 7.5.2 2012 Total Wages, overtime and working hours At the moment of the visit, the company is using a manual attendance sheet filled out by the supervisor and signed by The company has tested a new electronic finger print time each worker, to record hours of work, but the monitor found several mistakes that shows that the system is not system, which was installed and operating by the end of August 2012. 100% reliable, specially due to the amount of workers (118) for Yojoa and (459) for Cajon , so it is recommended to change time record system. 1 0 1 0 examples: see report (for minors) see report corrective measure implemented (for majors) 13 A ASC surveillance report social annex Yojoa Farm 1/1 August 2012 NCs Status of implementation of action plan initial/recertification surveillance I surveillance II 2012 2013 2014 ok done na ok na open done Version 2 03.2014 Audit Manual - ASC Tilapia Standard - version 1.0 Jan2012 Copyright © 2012 Aquaculture Stewardship Council. All rights reserved by Aquaculture Stewardship Council 13 A ASC surveillance report social annex Yojoa Farm Audit Manual 1/5 Version 2 03.2014