• Poultry Insurance Questionnaire

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  • Standing with Integrator*
  • Has Applicant been subject to an Integrator performance improvement plan in the past 3 years?*
  • Does owner live on-site?*
  • 24-hour on-site security?*
  • Is video surveillance in place for key areas?*
  • Are you requesting coverage for any vacant buildings?*
  • Are dust/moisture controls in place?*
  • Is a bio-security plan in place?*
  • Are signs utilized at entry points to restrict visitors?*
  • Incident log & reporting plan in place?*
  • Fire Control Systems (Fire Extinguishers, Alarms, Other)*
  • Do you have any poultry-related farming operations not included in this submission?*
  • Do you have any non poultry-related commercial farming operations?*
  • Are confinement buildings cleaned and disinfected at least once annually?*
  • Is there a rodent control program in place?*
  • Are fire extinguishers kept in each poultry house?*
  • Is smoking allowed on-premises?*
  • Is there a scheduled maintenance program in place?*
  • Were buildings constructed by licensed contractors?*
  • Were buildings specifically designed/built for grower use?*
  • Were trusses designed by professional engineers?*
  • Do trusses show any structural defects (bows, cracks, etc.)?*
  • Do all grower buildings have knee brace connections from each truss to each sidewall post?*
  • Is interior insulation covered with fire retardant material?*
  • Has an electrical inspection been performed by a licensed electrician in the last 5 years?*
  • Are electrical panels and controllers segregated from main poultry confinement area?*
  • Are all electrical panels grounded?*
  • Are controllers surge protected?*
  • Is there an adequate number of electrical outlets to avoid overload & extension cords?*
  • Are electrical outlets and circuit boxes well-maintained?*
  • Are electrical cords secured away from fans?*
  • Are heaters regularly inspected and serviced?*
  • Are heaters over 12 inches from ceilings and walls?*
  • Are there open flames present in any heaters?*
  • Are gas tanks stored in a safe location?*
  • Are generators tested "under load" weekly?*
  • Is a generator log kept?*
  • Is generator in a separate unconnected building?*
  • Preferred communication?*
  • Should be Empty: