)Application requires the following information:
TASK
INSPECTION ()
DEVIATION
CORRECTIVE ACTION
Slaughter Plant Date of Slaughter: __________ Lot Number: ___________ Option 1, 2, 3
Age verification received: cert On-line
number of cattle eligible / received
segregation on antemortem
segregation during slaughter
segregation of offal for Japan
ineligible tissue removal procedures followed
ID during slaughter as per protocol
segregation in cooler
segregation on loading dock
Slaughter Floor Vet / Inspector's Signature: __________________________
Transport product to approved off-site for deboning Yes No
segregation during transport from slaughter plant to processing plant
Annex J issued for transport between slaughter and processing plant
Processing plant: Establishment # _____ (or processing area in slaughter plant )
Date of processing of above lot: _________
segregation on unloading dock Yes No NA
segregation in receiving cooler Yes No NA
carcasses received = carcasses processed
segregation of lot during processing
ineligible tissue removal procedures followed
checked that plant monitoring boxes being filled - eligible product only
unique labels used
Lot identification code:
I certify that I was present in the plant for the entire time the Japanese product was being processed.
Processing Inspector's Name _____________________ Inspector's Signature _____________________
Packaging and Storage: Processing Plant Storage or (Cold Storage Est #: ________ )
Annex J used to ship to cold storage Yes NA
lot can be identified by? (e.g. production date)
segregated boxed product storage
lot 100% staged for export inspection
(write NA where applicable) Inspector to check this form before signing Part 3 of Annex H