Use this HACCP Form to evaluate the process, analyze the hazard, and identify the risk rating. This form helps assess which effective risk control and prerequisite programs to be used in the workplace. Use SafetyCulture to make sure that procedures are followed and corrective actions are properly addressed and assigned to appropriate team members.
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Title Page
Client / Site
Conducted on (Date and Time)
Inspected by
Location
General
Click "Add" button to add hazard
Item
HAZARD ANALYSIS
Raw Materials or Process Steps
Identified Hazards
Biological
Chemical
Physical
Kindly Specify: Biological Hazard
Kindly Specify: Chemical Hazard
Kindly Specify: Physical Hazard
RISK ASSESSMENT
Risk rating
Consequence
Likelihood
Risk rating
Controls
Select control measures
Elimination
Substitution
Engineering Controls
Administrative Controls
PPE
Other
Enter other control measures
Is this a significant hazard?
CONTROLLED
Prerequisite Programs
Process Steps
References
Risk Matrix Reference
Hierarchy of Controls Reference
Completion
Full Name and Signature of the Inspector
SafetyCulture Staff
HACCP Form
Use this HACCP Form to evaluate the process, analyze the hazard, and identify the risk rating. This form helps assess which effective risk control and prerequisite programs to be used in the workplace. Use SafetyCulture to make sure that procedures are followed and corrective actions are properly addressed and assigned to appropriate team members.
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