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BioSIRT INVESTIGATION FORM Section 5 : Tracing AOI source ……………………………………… Case #: …………. Page 1 of …….. In the last 40 days has there been any: if Yes if No OFF ON … animals moved off the premises? … animals moved onto the premises? … animal products, by-products or equipment moved off the premises? … animal products, by-products or equipment moved onto the premises? … visits to other premises for business, social or medical reasons? … visits from other premises for business, social or medical reasons? … recent visits overseas by owner, family, employees or neighbours? … recent visitors to the premises returned from overseas countries? … drainage, including liquid manure disposal onto other premises? … drainage, including liquid manure disposal onto these premises? … water supply (trough, dam, river, creek) shared with other animals? … treatment of animals with vaccines or biologicals? … movement of animals to other locations within the premises? … movement of animals from other locations within the premises? … movement of animals on foot past other properties? … veterinary services used on site? … feed supplies moved to another premises? … animal contact with travelling stock? … rights-of-way for your animals or people through another premises? … feed supplies brought onto the premises? if Yes if No … rights-of-way for animals or people through your premises? … contractors? … contractors? … equipment moved off the premises? … equipment moved onto the premises? Enter any relevant traces identified using Field Investigations Form – Section 5 : Tracing Detail BioSIRT Section 5: Tracing – Animals V1 20/06/11 (INT11/42574) | LCC use: | | Entered date: ..... / …..… / …..… | Entered by: ……..………… | Checked by: ……..…………. | BioSIRT INVESTIGATION FORM Section 5 : Tracing Detail Page ….... of ..….. AOI source ……………………………………… Case #: …………. OFF ON Date What, Number, Description BioSIRT Section 5: Tracing – Animals V1 20/06/11 (INT11/42574) Carrier Associated AOI Office Use only Case # Comments Trace # | LCC use: | | Entered date: ..... / …..… / …..… | Entered by: ……..………… | Checked by: ……..…………. |