Appendix V: Organism Risk Assessment Summary Report Form

Table of Contents

Organism Risk Assessment Summary Report Form

To be completed by Introductions and Transfers Committees :

Name of Proponent:

Summary Prepared By:

Date submitted:

History, background and rationale for the request

Description of aquatic organism (commodity) or activity to be assessed:

Volume and quantity of commodity and frequency of importation:

Time schedule associated with introduction and transfer activity:

Hazard Identification

Organism Risk Assessment Summary Information

Summary of the Ecological and Genetic Risk Assessment

Summary of the Pathogen/Parasite/Fellow Traveller Risk Assessment

Pathogens:

Parasites:

Other "fellow travellers":

Comments:

Mitigation Measures:

Concluding Statement on Total Organism Potential Risk:

Advice to Decision-making Authority:

Approuvé par

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Signature

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Date