Sample Land Use Risk Assessment Log printable pdf download

Sample Land Use Risk Assessment Log

Name of farm: _______________________________________________________________________________________________________

This evaluation should be completed yearly or as changes are made to the farm or production practices.

Yes

Task

Observations

Corrective Actions

Date

Initials

Are there any current or previous land uses that may

represent a risk of contamination to fruit and

vegetable production?

Have there been any significant changes to land use

this year (e.g., addition of grazing animals, field

location changes)?

Have neighboring properties changed or added

activities that might affect fields and water sources

(e.g., animals, manure, or compost storage)?

Has there been any runoff from compost and

manure storage areas, animal pens, or grazing

areas?

Were there any flood events this year or last year?

Have you inspected your well head to make sure it is

in good condition and not in need of any repair?

On-Farm Decision Tree Project: Land Use–v5 07/02/14

E.A. Bihn, M.A. Schermann, A.L. Wszelaki, G.L. Wall, and S.K. Amundson, 2014

Sample Land Use Risk Assessment Log