RECALLS

Enter Date and Time

Employee Name Completing This Log

Mock Recall

Supplier Recall (initiated by supplying company).

Name of Supplier Issuing Recall.

List Ingredients & Lot #'s, PLU #'s, or Identifier.

Reason for Supplier Recall.

What is the Recall Level?

List Quantity(s) of Recalled Product Received.

List Quantity(s) of Recalled Product On-Hand.

Warehouse Recall (initiated by warehouse).

List Ingredients & Lot #'s, PLU #'s, or Identifier.

Reason to Initiate Recall.

What is the Recall Level (per CFIA).

List Quantity(s) of Product Affected.

List Quantity(s) of Recalled Product On-Hand.

Communication of Recall

Recall Team Notified.

Scan communication.

CFIA Notified.

Scan communication.

Affected Customers Notified.

Scan communication.

Press Release Issued.

Scan communication.
Disposition

Affected Product Segregated.

Enter Disposition Plan.

VERIFICATION

Employee Name & Signature.
Supervisor Name & Signature.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.