Inspection Checklist 2018 Agri Tourism Farm Site

DOT-INS-FARM-002
Revised Form 2018
INSPECTION CHECKLIST
Agri-Tourism/Farm Sites
Mission Order No. ______________________ Date of Inspection: _________________________

Series of ______________________
NAME OF FARM :
BUSINESS ADDRESS:
TELEPHONE NO. : FAX NO.:
GENERAL MANAGER :
A. LOCATION YES NO REMARK/S

The farm location has a wide area, it is not
safe for the reason that it is located near
highway.As we observed the place is safe
1. Is the farm located in a safe and
but noisy, it can also possible causes a
peaceful environment suitable for /
nuisance to the tourist, the farm should build
a farm?
a wall to prevent may be liable for any
damage and accident in roadway.
A YES NO REMARK/S
1. Is there a reception/information The farm has no receptionist information
/
counter? which creates confusion for the people
There is no designated parking area on the
2. Is there a designated parking
/ farm. The parking area is small and near in
area?
roadway and not safe.
3. Is there a Dining/Multi-Purpose There is no dining area or any recreational
/
Area? and activity area for guests.
. There is a farm guide provided, and the
4. Is there a Farm Guide provided? / farm guide provided is also the farmer of the
farm.
5. Are there Souvenir Shops/Mini-
/
Trading Area?
There is no accommodation on the farm
6. Does the farm provide although they have cottages which are
/
accommodation options? located on the other side of the farm where
livestock are located.
As we observed there is no available
7. Are there Restaurants/any Dining
/ restaurant on the farm but there is a
Options?
restaurant on the highway near the farm.
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DOT-INS-FARM-002
Revised Form 2018
C. SANITATION YES NO REMARK/S

1. Wash Areas
Are the farm’s wash areas
They have waterbone, it is clean and safe.
provided with continuous flow of
clean water?
Are Soap/Hand Towel/ Paper
provided?
Are Toilet Paper provided?
2. Restrooms
Are the farm’s restrooms clean / The farm has restroom
and presentable?
There are no separate toilet and/or
Is there a separate restroom for
/ changing facilities available for men and
the male and female?
women.
3. Garbage Cans
Does the farm provided garbage
cans in strategic areas?
4. Waste Disposal
Does the farm provided garbage
receptacles?
Are they covered?
Does the farm conduct fumigation
regularly?
Is there a regular garbage pick-
up?
D. GENERAL FACILITIES YES NO REMARK/S
1. Security Personnel
Is farm providing security
personnel on a 24-hour basis?
2. Safety Signages
Are there appropriate safety
signages conspicuously displayed
in the farm site?
3. Off Limit Areas
Are the “Off Limit Areas” clearly
demarcated?
4. Fire Fighting Facilities
Does the farm have fire
extinguishers?
Are the fire extinguishers checked
regularly?
Are the drills conducted regularly?
Are there fire alarms?
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DOT-INS-FARM-002
Revised Form 2018
5. First Aid Kit
Is there an available and well-
stocked first aid kit?
6. Farm Equipment
Is there a parking/storage area for
farm equipment?
E. SUPPORT INFRASTRUCTURE
YES NO REMARK/S
FACILITIES
1. Are support infrastructure facilities
such as road, electricity, water, and
communication in place?
F. ACTIVITIES OFFERED YES NO REMARK/S
1. Are there other Farm Activities
offered such as Fruit Picking,
Fishing, among others? Please
specify
2. Are there Farm Familiarization
Tours offered?
3. Are there showcase of green
technology being practiced in the
farm?
RECOMMENDATION
Favorable Unfavorable / Hold in Abeyance
REMARKS:
PERSON PRESENT/AUTHORIZED REPRESENTATIVE: DATE OF INSPECTION:
_______________________________________ _________________________
Printed Name with Signature (MM/DD/YYYY)
Page 3
DOT-INS-FARM-002
Revised Form 2018
INSPECTION TEAM
We hereby certify that we have conducted an inspection of the above-referred

establishments on ___________________ and that the foregoing, report is our evaluation of
the facts gathered in the course of said inspection.
___________________________ _______________________________
INSPECTOR INSPECTOR
RECOMMENDING APPROVAL: APPROVED BY:
___________________________
_____________________________
Chief, Accreditation Division Regional Director
Page 4
DOT-INS-FARM-002
Revised Form 2018
Page 5

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DOT-INS-FARM-002

Revised Form 2018

Mission Order No. Date of Inspection: ___

TELEPHONE NO. : FAX NO.:

A. LOCATION YES NO REMARK/S

C. SANITATION YES NO REMARK/S

Are there fire alarms?

Favorable Unfavorable / Hold in Abeyance

PERSON PRESENT/AUTHORIZED REPRESENTATIVE: DATE OF INSPECTION:

We hereby certify that we have conducted an inspection of the above-referred

RECOMMENDING APPROVAL: APPROVED BY:

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