- 1.General
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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
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- ☐First journey after approval
- ☐First journey after re-approval
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- 3.Departure and Destination
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- 3.1.Exit point and country of DEPARTURE:
| - 3.2.Place and country of DESTINATION:
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- 3.1.1.Date
| - 3.1.2.Time
| - 3.2.1.Date
| - 3.2.2.Time
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- 3.1.3.Species and categories
| - 3.1.4.Number of animals by species
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- 3.1.5.Estimated total weight of the consignment (in kg)
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- 4.Conditions on board the decks for animals during the journey
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- 4.1.Highest temperature registered:
| - 4.2.Highest relative humidity registered
| - 4.3.Highest level of ammonia registered
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- 5.Functioning of systems affecting the welfare of the animals
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- 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
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- 6.1.Name of the Authority
| - 6.2.Address of the Authority
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- 6.3.Phone of the Authority
| - 6.4.Email of the Authority
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- 6.5.Date
| - 6.6.Place
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- 6.7.Name and signature of the official veterinarian
| - 6.8.Stamp
|