ANNEX
REPORT OF PHYSICAL CHECKS ON BOARD DURING THE JOURNEY
(referred to in Article 10)
1.
General
Name of the Vessel:
IMO number of the vessel
Country of approval/renewal of approval:
Date of approval/renewal of approval:
Name of the captain:
Certificate of approval Number:
2.
Type of journey
☐
First journey after approval
☐
First journey after re-approval
3.
Departure and Destination
3.1.
Exit point and country of DEPARTURE:
3.2.
Place and country of DESTINATION:
3.1.1.
Date
3.1.2.
Time
3.2.1.
Date
3.2.2.
Time
3.1.3.
Species and categories
3.1.4.
Number of animals by species
3.1.5.
Estimated total weight of the consignment (in kg)
4.
Conditions on board the decks for animals during the journey
4.1.
Highest temperature registered:
4.2.
Highest relative humidity registered
4.3.
Highest level of ammonia registered
5.
Functioning of systems affecting the welfare of the animals
5.1.
Ventilation
☐
Yes
☐
No
Anomalies detected:
Corrective measures (if applicable):
5.2.
Drainage
☐
Yes
☐
No
Anomalies detected:
Corrective measures (if applicable):
5.3.
Enough lighting to inspect animals
☐
Yes
☐
No
Anomalies detected:
Corrective measures (if applicable):
5.4.
Fresh water production, if applicable
☐
Yes
☐
No
Anomalies detected:
Corrective measures (if applicable):
5.5.
Feed and water
☐
Yes
☐
No
Anomalies detected:
Corrective measures (if applicable):
5.6.
Number of animals sick/injured during the journey
Anomalies detected:
Corrective measures (if applicable):
5.7.
Number of animals dead during the journey and number of animals euthanised
Anomalies detected:
Corrective measures (if applicable):
5.8.
Others
Anomalies detected:
Corrective measures (if applicable):
6.
Authority Issuing the Report
6.1.
Name of the Authority
6.2.
Address of the Authority
6.3.
Phone of the Authority
6.4.
Email of the Authority
6.5.
Date
6.6.
Place
6.7.
Name and signature of the official veterinarian
6.8.
Stamp