Organic Certification Plant Assessment Form

Organic Certification Plant Assessment Form
Evaluate plant operations for organic certification readiness. Complete all sections for a thorough assessment.
Assessor Full Name
First NameLast Name
Inspection Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Plant/Facility Name
Site Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Crop Types or Products Grown
Assessment Areas Checklist
Other
Organic Input/Use Compliance Status
Pest and Disease Management Practices
Rows Status
Preventive measures
Allowed inputs used
Prohibited inputs avoided
Monitoring and documentation
Recordkeeping/Documentation Status

1
2
3
4
5
1 is Poor, 5 is Excellent
Non-Conformance Notes
Final Assessment Outcome/Recommendation
Should be Empty:

Rows	Status
Preventive measures
Allowed inputs used
Prohibited inputs avoided
Monitoring and documentation

Select theme: