Livestock Health Inspection Checklist
Complete this checklist to document the health status and observations for livestock during inspection.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Farm or Location Name
*
Animal Type / Species
*
Please Select
Cattle
Sheep
Goat
Pig
Horse
Poultry
Other
Number of Animals Inspected
*
General Health Condition
*
Excellent
Good
Fair
Poor
Symptoms or Abnormalities Observed
Coughing
Lameness
Diarrhea
Skin lesions
Loss of appetite
Other
Body Condition Score
*
Please Select
1 (Emaciated)
2 (Thin)
3 (Average)
4 (Fat)
5 (Obese)
Vaccination Status
*
Up to date
Partially up to date
Not up to date
Unknown
Additional Notes or Observations
Submit Inspection
Should be Empty: