Live plants conveyance log form

AG22/0216
Live plants conveyance log
JUNE 2016
Biosecurity Act 2015
To be completed by the person in charge (master) and retained with the vessel’s log for inspection by a biosecurity officer.
Section A: Background information
1
Provide details of the vessel
Conveyance type
Vessel name (if applicable)
Point of entry
Arrival date (dd/mm/yyyy)
Voyage/flight number
Registration number
IMO/Lloyd’s number
Agent
Section B: Details of plants purchased
2
Record details of plants purchased.
Plant common name Plant genus
Number of plants
Place of purchase
Location on board
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2540_0616
Live plants conveyance log
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Form identification number AG22/2016
Plant common name Plant genus
Number of plants
Place of purchase
Location on board
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Section C: Live plant maintenance history
3
Record all live plant maintenance work performed. Include chemicals used to control disease or insect infestations.
Plant number
4
Plant problem
(disease/insects)
Chemical used
Date of use
(dd/mm/yyyy)
Did you dispose of any plants during the voyage?
No
Go to question D
Yes
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Form identification number AG22/2016
5
Record details of plants disposed of during the voyage.
Plant common name
Plant genus
Problem
Method of disposal
Section D: Signature
Person in charge
Signature (enter signature or type your name)
Date (dd/mm/yyyy)
Full name
Biosecurity officer
Signature (enter signature or type your name)
Date (dd/mm/yyyy)
Full name
SAVE
Live plants conveyance log
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