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有机产品认证调查表QuestionnaireforOrganicProductCertification植物生产PlantProduction申请单位公章NameofApplicantCompanySeal法人/负责人签字、盖章PersoninChargeNameandSignature中绿华夏有机食品认证中心ChinaOrganicFoodCertificationCenter地址邮编100081Address:No.59XueyuanSouthRoadHaidianDistrictBeijingPostcode:100081官网.cnE-mail Officialwebsite:.cnE-mail:
8.本年度病虫草害防治PestControloftheCurrentYear病害防治Diseaseprevention请选择采取的防治措施Measures□抗病品种Disease-resistantvarieties□培育壮苗Nurturingseedlings□非化学药剂种子处理Non-chemicalseedtreatment□适时耕种Timelytillage□耕翻晒堡Plowingandsolarizing□清洁田园Cleanfield□轮作倒茬Croprotation□休闲摺荒Lyingidle□将病株带出农场Eliminintingdisease-strickenplants□控制种植密度Plantdensitycontrol□间作Intercropping□其彳也,请说明Otherspleaseindicate.列出有机生产中使用或计划使用的病害控制物质Susbstancesusedortobeusedfordiseasecontrol□不涉及,当生产单元内不使用时NotrelevantWhenNotusedintheProductionUnit.
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1.3若使用铜盐作为病害防治物质,请列出单位面积年使用总量以铜计Ifcopperisusedasadiseasecontrolsubstancepleaseindicatetheamountofapplicationbycopper□6千克铜/公顷•年6kgCu/ha/year口或6千克铜/公顷•年,W6kgeu/ha/year虫害防治Pestcontrol请选择采取的防治措施Measues:口抗虫品种Pcst-resistantvarieties□培育壮苗Nurturingseedlings□非化学药剂种子处理Non-chcmicalseedtreatment□适时耕种Timelytillage口间作Intercropping□轮作倒茬Croprotation□虫害监测Pestmonitoring口危害植株带出农场Eliminintingharmfulplants□释放寄生性天敌Releasingparasitoids保护和发展有益生物栖息地Protectionanddevelopmentofbeneficialhabitat人工捕捉Manualcapture□机械捕捉Mechanicalcapture□诱捕作物Trapcrops□物理屏障Physicalbarrier物理清除Physicalremoval口陷阱Trap□灯光诱杀Lighttrapping□色彩诱杀Colortrapping昆虫驱避Insectrepellent□动物驱避Animalrepellent口其他,请说明Otherspleaseindicate.列出有机生产中使用或计划使用的虫害控制物质Susbstancesusedortobeusedforpestcontrol□不涉及,当生产单元内不使用时NotrelevantWhenNotusedintheProductionUnit.草害防治Weedcontrol请列出生产单元中的主要草害及发生季节Pleaseindicatethemainweedsandseasonofoccurance请选择采取的防治措施□其他请说明Otherspleaseindicate:9过去三年病虫草害防治情况PestControlinthePreviousThreeYears
10.栽培管理措施CultivationManagement是否采用作物轮作、间作套作等栽培方式?Arecultivationmethodssuchascroprotationandintercroppingused□是Yes□否No如是,请描述轮作植物名称Ifyespleaseindciateplantsforcroprotation:如是,请描述间作套作植物名称Ifyespleaseindciateplantsforintercropping:是否存在冬季休耕?Isthewinterfallowinvolved□是Yes□否No是否进行灌溉?Isirrigationinvovled□是Yes□否No如是采用何种方式Ifyesirrigationmethods:□漫灌Flood□滴灌Drip□喷灌Sprinkler□渗灌Subsurface□其他Others灌溉水来源Irrigationwatersources:□天然降水Naturalprecipitation□地下水Groundwater□河流River□市政供水Municipalwatersupply□其他Others
11.本年度种植及收获统计表IPlanttingandHarvestingStatisticsoftheCurrentYear1注Notes.不同品种、不同位置的作物应分别编号,不能合并在同一地块中Cropsofdifferntvareitiesandplacesshallbenumberedseparatelyandshallnotbenumberedinaplot..生长周期应填写具体时间如5月X日—9月X日Aspecifictimespanshallbeprovidedforthegrowthcyclee.g.MayXX-SeptemberXX
12.过去三年种植及收获统计表PlantingandHarvestingStatisticsDuringPreviousThree-Years
13.污染控制措施PollutionControl常规农田的水是否能渗透或漫入有机地块?Willwaterpenetrateordiffusefromconventionalfarmlandintotheorganicplots□是Yes□否No口不涉及Notrelevant外部来源的肥料是否会造成禁用物质对有机生产的污染?Willexternalsourcesoffertilizerscausepollutionofbannedsubstancestoorganicproduction□是Yes□否No□不涉及Notrelevant常规农业系统的设备在用于有机生产前是否进行清洁?Doestheapparatusforconventionalfarmingsystemscleanedbeforeusedinorganicproduction□是Yes□否No□不涉及Notrelevant是否使用保护性建筑覆盖物、塑料薄膜、防虫网等?Areprotectivecoverplasticfilmandinsectnetsused□是Yes□否No如是,请选择使用物材质Ifyespleaseindicatethematerials:□聚乙烯Polyethylene□聚丙烯Polypropylene口聚碳酸酯Polychlorinate口聚氯类Polychlorinatedmaterials口其他Others上述物质保护性覆盖物等使用完后,是否从土壤中清除?Aretheseprotectivecoveringsremovedafterusage□是Yes□否No如是,选择措施方法Ifyesmethodsforremoval:口焚烧Incineration□收拾集中处理Concentratedtreatment□其他,请描述Otherspleaseindicate
14.水土保持和生物多样性保护措施WaterandSoilConservationandBiodiversityConservation使用了哪些保护措施防止水土流失、土壤沙化和盐碱化?MeasurestakentopreventsoilerosiondesertificationandsalinizationHowarecropresiduesdealtwithafterharvest□秸秆还田Returnedtothefield口运出IB块Shippedoutofthefield口焚烧Incineration如焚烧,请说明理由Ifincineralionpleaseexplainthereasons.第三部分收获后处理PartIIIPost-harvestTreatment此部分仅适用于植物收获及其简单处理产品对于收获后需进行加工的产品以QS证为准,应同时填写“加工”类别《有机产品认证调查表》Thispartappliesonlytoplantharvestandpretreatment.QuestionnaireforOrganicProductCertificationOrganicProductsProcessingshallbefilledoutforproductsinvovlingpost-harvestprocessinginwhichQScertificationshallprevail..分选清洗及其他收获后处理SortingCleaningandOtherPost-HarvestTreatment收获方式Harvestingmethods□机械Machinery□人工Manual收获后处理Post-harvesttreatment□无需进行处理Notreatment口清洁Cleaning□分拣Sorting□脱粒Threshing□脱壳Shelling□切割Cutting□保鲜Preservation□干燥Drying□其彳也,请描述Otherspleaseindicate用于处理有机植物的设备是否也被用于处理非有机植物?Aretheequipmentusedforbothorganicandnon-organicplants□是Yes□否No是否对设备器具进行清洁或消毒?Aredetergentsordisinfectantsusedforequipment□是Yes□否No注意事项NOTES.本表仅适用于植物收获及其简单处理产品对于收获后需进行加工的产品以QS证为准,应同时填写“加工”类别《有机产品认证调查表》Thequestionnaireshallapplytoplantharvestandpretreatment.QuestionnaireforOrganicProductCertificationOrganicProductsProcessingshallbefilledoutforproductsinvovlingpost-harvestprocessingQScertificationshallprevail..本表无法人负责人、内检员签字和单位盖章均视为无效Thequestionnaireshallifwithoutsignatureandsealoflegalpersonresponsiblepersonorinternalinspectorbedeemedinvalid..本表涂改后无确认章或签字无效Thequestionnaireshallifwithoutconfirmationsealorsignatureafteralteredbedeemedinvalid..本表应打印或用钢笔、签字笔填写,字迹工整、清晰如无某项目内容时应划斜线表示,若因故无法填写时,应注明原因Thequestionnaireshallbeprintedorneatlyandclearlywrittenbypenorsigningpen.Pleaseindicateaslashmarkwhereanitemisnotrelevantandindicatethereasonwhereanitemisnotavailable..填报数据一律用阿拉伯数字,文字说明一律用汉字FiguresshallbeexpressedbyArabicnumeralsandtextinChinesecharacters.如是,请列出清洁或消毒剂的名称Ifyespleaseindicatethenameofdetergentordisinfectant:
2.投入产出统计InputsandOutputs
3.包装、贮藏和运输PackagingStorageandTransportation
3.1包装Packaging产品是否包装?Areproductspackaged□是Yes□否No如是,请说明包装材料Ifyespleaseindicatethepackagingmaterials.包装物或容器是否接触过禁用物质?Hasthepackagingmaterialsorcontainerscontactbannedsubstances□是Yes□否No如是,请描述物质名称Ifyespleaseindicatethenameofsubsances:包装过程中是否使用填充物质?Arefillersusedinpackaging□是Yes□否No如是,请描述物质名称Ifyespleaseindicatethenameoffiller.
3.2产品储臧Storage□无关NotRelevant第四部分标识与销售PartIVLablingandMarketing.标识Labeling□不涉及Notrelevant是否计划在获证产品或者产品的最小销售包装上加施有机认证标志、有机码?Doyouplantoputanorganicproductlabelorcodeonthecertifiedproductsortheminimumsalespackage□是Yes□否No如是,请选择加施的方式Ifyespleaseindicatetheway:□购买使用有机产品防伪标签Applyforpurchasingorganiclabel□申请自行印制Applyforprintingbyself.销售Marketing□不涉及Notrelevant在产品销售时采取何种措施保证有机产品的完整性和可追溯性Measurestakentoensurethecompletenessandtraceabilityoforganicproductsinsales:□避免将有机产品与非有机产品混合Preventingcontaminationbynon-organicproducts口避免将有机产品与禁用物质接触Preventingthecontactwithprohibitedsusbtances□建立有机产品的购买、运输、储存、出入库和销售等记录Establishingandimplementingrecordsonsalestransportationstoragewarehouseandsales□其他,请说明Otherspleaseindicate第五部分管理体系PartVManagementSystem.文件控制Documentation提交的质量管理体系文件是否为最新有效版本?Isthequalitymanagementsystemdocumentsubmittedinthelatestvalidversion□是Yes□否No是否能确保在使用时可获得适用文件的有效版本?Istheaccesstovalidversionofapplicabledocumentssecured□是Yes□否No是否保存了有效的有机生产记录?Aretherevalidrecordsoforganicproduction□是Yes□否No.资源管理ResourceManagement声明Statement我在此声明,在我个人的经历、知识和能力范围内,本调查表中所填写并反映的所有生产、加工和经营的情况都是真实的、准确的我在此认同,后续必要的现场检查包括抽样检测,查验原始记录及票据是为了验证符合有机产品标准的需要同时我也知道,即使本调查内容经审查得到通过,并不意味着申报产品通过了有机产品认证Iherebyassertwithintherangeofmypersonalexperienceknowledgeandcapabilitiesthattheinformationaboutproductionprocessingandmanagementprovidedbythequestionnairehereofisauthenticandaccurate.Iherebyagreethatthefollow-upnecessaryon-siteinspectionincludingsamplinginspectiontooriginalrecordsandbillsserveforthepurposeofverifyingcompliancewithorganicproductstandards.Iamawarethatthecontentevenifreviewedandadopteddoesnotmeanthattheproposedproductpassesthecertificationoforganicproducts.负责人签字PersoninChargeSignature:内检员签字InternalinspectorSignature:第一部分基本情况PartIBasicInformation.生产单元名称与地址ProductionUnitNameandAddress.生产组织模式与生产类型OrganizationalModelandPrductionFacilities生产组织模式Organizationmodel公司Corporation□合作社Cooperatives公司+农户或合作社+农户Corporation+Farmerorfarmer+cooperatives其他,请描述Otherspleaseindicate:如实际生产涉及农户,请填写农户数Iffarmersareinvovledintheacturalproductionpleaseindicatethenumberoffarmers:生产类型Productionfacilities□大田种植Fieldplanting□设施栽培Greenhouse□大田种植+设施栽培Fieldplanting+Greenhouse.生产单元基地生态环境EcologicalEnvironmentofProductionUnitFarm.有机产品认证历史OrganicProductCertificationHistory第二部分植物生产管理PartIIPlantProductionManagement.转换期ConversionPeriod生产单元基地是否为新开垦土地或长期揩荒土地?Istheproductionunitbasebuiltonnewlyreclaimedlandorlong-termfallowland□是Yes□否No如是,请提供相应的县级或县级以上主管部门出具的证明文件,并说明揩荒开始的时间Ifyespleaseprovidethesupportingdocumentationissuedbyrelevantauthoritiesatcountyleveloraboveandindicatethestartdateoffallow.本生产单元基地何时开始有机产品生产?Whenwasorganicproductionintroducedintotheproductionunitbase.缓冲带BufferZone有机生产区域附近有无以下污染源?Isthereanysourceofpollutionneartheorganicproductionsite口城区UrbenArea口工.矿区Minelot口交通主干线Traffictrunk口工业污染源Industrialpollutionsources口生活垃圾场Solidwaste口其他Others如有,有机生产区域与以上污染区域的距离Ifyespleaseindicatethedistancetotheorganicproductsite.米m;有机生产区域处在以上区域的方位Andthedirectionrelativetotheorganicproductsite:□上风向Upwind□下风向Downwide邻近常规生产区域是否可能对有机生产区域造成污染风险?Willthenearbyconventionalproductionsiteposeanyriskofpollutiontoorganicproductionsite□是Yes□否No如是,有机生产区域与常规生产区域之间的缓冲带或物理屏障类型Ifyespleaseindicatethetypeofbufferzoneorphysicalbarrierinbetween:□林带Forest□道路Road□灌木Shrubs口野生植物Wildplants口农田Farmland□河流Rivers□草地Grass□其他Others:缓冲带或物理屏障的高度或宽度Heightorwidthofbufferzoneorphysicalbarrier.米m.生产单元内其他情况OtherMatters除申报产品外,同一生产单元内是否还有其它按有机方式生产但不申请认证的植物产品?Arethereotheruncertifitcdnon-organiccropsgrowninthesameproductionunitapartfromproposedproduct□是Yes□否No如是,请填写作物名称及面积Ifyespleaseindicatethecropnameandplantingarea.亩Mu除申报产品外,同一生产单元内是否还有非有机方式种植的作物?Arenon-organiccropsgrowninthesameproductionunit口是Yes□否No如是,填写这些作物的名称及面积Ifyespleaseindicatethecropnameandplantingarea.名称/亩Name/Mu.种子和植物繁殖材料SeedsandPlantPropagationMaterials□不涉及,当生产单元内不使用时NotRelevantWhennotUsedintheProductionUnit.5过去三年土地及种子、种苗管理情况LandSeedandSeedlingManagementduringthePreviousThreeYears□不涉及NotRelevant
6.土肥管理SoilFertiltyManagement生产单元采取何种措施维持和提高土壤肥力?Measurestakentomaintainandimprovesoilfertility□作物轮作Croprotation□间作/套种Intercropping/interplanting□秸秆还田Returningstraws□绿肥作物翻埋Buryinggreenmanurecrops口深翻Deepplowing□种植豆科作物Plantingleguminouscrops口少耕/免耕Limitedtillage/no-tillage□休闲摺荒Lyingidle口其他Olhers施用或计划使用的肥料FertilizersUsedortoBeUsedintheCurrentYear:
6.3如生产单元使用堆肥,请详细描述堆制过程,原料组成及其所占比例(可另附页):IfCompostisAppliedPleaseDesribetheCompostingProcessRawMaterialCompositionandProportionaSeparatePageAttachedifneeded7过去三年土地培肥管理情况LandFertilityManagementinthePreviousThreeYears年度Year地块编号PlotNo.面积亩Areamu作物名称Cropname肥料名称Fertilizername原料组成Rawmaterialscomposition肥料来源外购/自制Fertilizersourcepurchaused/producedonthefarm施用量吨Amountofapplicationton施用时间Timeofapplication地块编号PlotNo.作物名称Cropname面积亩Areamu病害名称Diseasename使用物质名称Substancename有效成分Activeingredients用量Amountofapplicaiton防治时间Durationofeffect地块编号PlotNo.作物名称Cropname面积亩Areamu虫害名称Pestname使用物质名称Substancename有效成分Activeingredients用量Amountofapplicaiton防治时间Durationofeffect年度Year地块编号PlotNo.面积亩Areamu病虫害管理情况Pestcontrol杂草管理Weedmanagement作物Cropname病虫害名称Pestname使用物质名称Substancename使用量Amountofapplicaiton使用时间Timeofapplicaiton杂草名称Weedname防除方法Controlmethod基地名称Basename地块编号PlotNo.面积亩Areamu前一季的作物Previousseason现在的作物Cun-entseason下一季计划种植的作物Planforthenextseason作物Cropname生长周期2Growthcycle2作物Cropname生长周期2Growthcycle2亩产Kg/亩Yieldkg/mu预计产量吨Expectedproductionton基地面积合计亩Totalareamu年度Year地块编号PlotNo.面积亩Areamu作物Cropname收获时间Harvesttime由产kgYieldkg/mu产量吨Productionton成品名Finishedproductname原料名称Inputmaterialname原料用量吨Inputmaterialamountton出成率%Productionefficiency%成品量吨Finishedproductyieldton仓库名称Nameofwarehouse仓库属性Natureofwarehouse储藏能力吨Capacityton自有仓库Owned外租仓库Leased姓名Name职务Post是否了解或熟悉国家有机标准要求Familiaritywithnationalstandardsfororganicproducts任职年限Tenure生产管理者Productionmanager□不了解Little口熟悉Detailed口掌握Great口了解Basic内部检查员Internalinspector□不了解Little口熟悉Detailed口掌握Great口了解Basic生产单元基地名称Productionunitbasename生产单元基地地址Productionunitbaseaddress生产负责人电话/手机ProductionheadPhone/Mobile海拔高度米Altitudem年降水量mm/年Annualprecipitationmm/year无霜期天/年Frost-freeperioddays/year年平均气温℃Annualmeantemperature℃此前是否通过其他认证机构的有机认证?如是,哪家认证机构?证书有效期?HastheorganicproducteverbeencertifiedbyothercertificationbodiesIfyespleaseindicatethecertificationbodiesandthetermofvalidity.此前是否被拒绝通过有机认证或被撤销过认证证书?哪家认证机构?被拒绝或撤销认证的原因是什么?HastheproductionbaseeverbeenrefusedtopasstheorganiccertificationorhascertificatebeenrevokedIfyespleaseindicatethecertificationbodiesandthereasonforrefusalorrevocation.编号No.作物名称Cropname种子/种苗来源Seed/seedlingsource种子属性Seedproperties使用量千克/亩Usedamountkg/mu播种时间Plantingtime是否为转基因种子、包衣种子或使用化学农药浸种Aretheseedsgeneticallymodifiedcoatedorpesticide-soaked自留Retention外购Purchase有机Organic常规Conventional1□□□□2□□□□3□□□□4□□□□5□□□□年度Year地块编号PlotNo.作物名称Cropname种子/种苗来源Seed/seedlingsource种子属性Seedproperties使用量kg/亩Usedamountkg/mu播种时间Plantingtime是否为转基因种子、包衣种子或使用化学农药浸种?Aretheseedsgeneticallymodifiedcoatedorpesticide-soaked自留种Retention外购Purchase有机Organic常规Conventional□□□□□□□□□□□□□□□□□□□□□□□□地块编号PlotNo.面积亩Areamu作物名称Cropname肥料名称Fertilizername原料组成Rawmaterialscomposition肥料来源外购/自制Fertilizersourcepurchaused/producedonthebase施用或计划施用的数量(吨)Amountofapplication(ton)施肥时间Timeofapplication。