F-016 Food Withdrawal / Recall record V.1 15/05/23

• Document number

• Start date and time

  Date

• Finish date and tiem

  Date

• Led by

  Select

Description of the issue

• Description of food safety, authenticity or legality incident, including a product recall, regulatory food safety non-conformity incident

• Description of product:

  Select

• Batch code

• Best Before date

• Quantities affected

• Production date of the batch affected

• intended use of the food

• target consumer group

• sensitivities associated with that group in consuming food.

• Has the product reached the market?

  Yes

  No

  N/A

• Has the product reached the consumer?

  Yes

  No

  N/A

• Timings

  Date

Risk assessment

• timings

  Date

• Risk assessment done by

  Select

• Hazard identification: Identifying known or unknown potential health effects associated with the incident:

• Hazard characterisation: the qualitative and/or quantitative evaluation of the nature of the adverse effect: Death, hospitalisation or minor injury.

• Exposure assessment: the qualitative and/or quantitative evaluation of the likely intake of the particular food: Number of people that can potentially suffer the above health effect:

• Risk characterisation: the integration of hazard identification, hazard characterisation and exposure assessment to estimate the risk and its associated uncertainties: Critical Risk, Medium Risk or low risk

  Select

• carry out a traceability exercise to locate the product distribution

Risk assessment signatures

• Signature

  Sign

If the affected product is an ingredient fill this section

• Name of the ingredient affected affected

  Select

• Batch number affected

• Quantities affected

If the affected product is Primary packaging fill this section

• Name of packaging affected

  Select

• Batch number

• Quantities affected

If the affected product is a closure, fill this section

• Name of closure affected

  Select

• Batch number affected

• Quantities affected

Is the affected product a packaging with food safety or legal information printed on?

• Affected printed packaing

• Batch number affected

• Quantities affected

If the affected product is a finished product fill this section

• Name of finished product

  Select

• Batch number affected

• Quantities affected

• Quantities affected in Stock (attache report into the media option)

• Quantities affected sent to customer

• Customer contacted?

  Yes

  No

  N/A

• Time of contact

  Date

• Contacted by:

  Select

• Quantities the customer is able to locate

• Product identified as on hold and arranged to be returned to site?

  Yes

  No

  N/A

• Return of product to site arranged by

  Select

• Time

  Date

• Signature

  Sign

• Does the mass balance indicate that all the affected products have been reconciliated?

  Yes

  No

  N/A

• Product recall necessary: If it is believed that unsafe food has reached consumers contact the FSA incidents team at https://reportanincident.food.gov.uk.

• Authorised by

  Select

• Signature

  Select

• time at which the recall has been initiated

  Date

• Person initiating the recall

  Select

• Signature

  Sign

• Contact the local competent authority to inform of the food incident. The local competent authority is Wychavon District Council and can be reached at enquiries@worcsregservices.gov.uk.

  Date

• Person contacting the local authority

  Select

• Signature

  Sign

• Has the product reached the consumer?

  Yes

  No

  N/A

• Product recall necessary: If it is believed that unsafe food has reached consumers contact the FSA incidents team at https://reportanincident.food.gov.uk.

• Authorised by

  Select

• Signature

  Select

• time at which the recall has been initiated

  Date

• Person initiating the recall

  Select

• Signature

  Sign

• Can the defect on the product be eliminated?

  Yes

  No

  N/A

• Product needs to be destroyed and record of destruction kept.

• Person in charge of destroying the product and keeping records of the destruction

  Select

• Time on the destruction

  Date

• Signature

  Sign

• why did this incident happen

• what could have been done differently to prevent it from happening? if more than one action is required consider linking this to Mondays.

• Who is going to take this action?

  Select

• When is the action expected to be completed?

  Date

• In the event of a significant food safety, authenticity or legality incident, including a product recall, regulatory food safety non-conformity (e.g. a regulatory enforcement notice) or food safety-related withdrawal, the certification body issuing the current certificate for the site against this Standard shall be notified within 3 working days.

• Has this report been forwarded to technical@foodchainid.uk

  Yes

  No

  N/A

• Person forwarding the report (please attach copy of the email)

  Select

• Date and time

  Date

• Robustness of the withdrawal/recall plan and procedures

  Good

  Fair

  Poor

  N/A

• Effectiveness of communications

  Good

  Fair

  Poor

  N/A

• Timeliness of actions taken

  Good

  Fair

  Poor

  N/A

• Roles and responsibilities

  Good

  Fair

  Poor

  N/A

• Incident key decision log

  Good

  Fair

  Poor

  N/A

• Appraisal of decision made

  Good

  Fair

  Poor

  N/A

• Timelines

  Good

  Fair

  Poor

  N/A

• Future improvements