Farm Inspection Report for the Great Pyrenees Rescue of Northern California, Inc.



GPRNC Farm Inspection Form

This on-line form is to facilitate reporting the inspection of a prospective adoptive family's farm. Please answer the following questions, print it out for your records, and then return the form by clicking on the "submit" button at the end of the form. Thank you for your cooperation

Date:
Name(s):
Address:
City & State:
Home Phone:
Cell Phone
e-mail:
Type of Dwelling (Check one) Setting (Check all that apply:)
Single Family Home Rural
Trailer Semi Rural
Does not live on property Suburban
    Urban
    Wooded
    Waterfront
    Hiway/Road frontage
    Property borders park/public field
Condition of Animal Area : (check all that apply)
Enclosed barn Area well maintained
Open shelters

Equipment safely stored
Pen for dog Equipment a hazard to animals
Area unkempt/poorly maintained Feed Area clean, feed covered
Describe general layout of animal area; paddocks, fields, shelters. Inlcude details of milking area for cows/goats. Can dog access milking area?
Describe area for separation of sexes/species if necessary, for keeping sick or injured animals, confining new mothers.
Describe accomodations farm has for dog; where dog will be left when he is still in training or cannot be watched. For example: in a crate? Where?; Pen? Where? Outdoor run - describe type of fencing, flooring and gate for run.
Children: give ages of children and pay special attention to behavior of children, parents' responses & method of discipline, childrens' interaction with livestock. Are children supervised with livestock? Do parents expect children to "be responsible for" livestock and dog? Do parents show and treat children with respect and vice versa?
Describe breed, numbers, sex, health of other pets and livestock.
Species Breed Sex Num Health & Condition
Use space below for additional comments.
Are areas dog has access to free of these hazards? Yes | No
Yard/garden chemicals |
Loose wire and metal on ground |
Abandoned equipment |
Automotive/antifreeze |
Toxic/Poisonous plants |
Are fences in good repair? Walk ALL fencelines Yes |No
Is there an area that can be fitted with "hot wire" for training dog? Yes |No
Posts solid (shake to be sure), fence not sagging, free of holes underneath ? Yes |No
Gate latches secure against dogs, children? Yes |No
Can gates be locked? Yes |No
Will dog have access to unfenced driveway? Yes | No
Fences/Gates.
Describe fencing and conditions/heights/security of fence and gates/ any "No" answers above
How will dog be transported Check if yes
Crate or Vari-Kennel
Cross Tied in Truck Bed
Dog Barrier in Wagon/SUV
Comments
Describe your overall feelings about this family; is this a farm where you feel a dog would be safe and receive adequate training before being released full time with the livestock?
Name of Inspector Date:

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