Information

  • Enter date & time.

  • Employee/Assessor name & signature.

  • Supervisor name & signature.

HACCP SYSTEM

  • List HACCP Committee Members.

  • When was the last HACCP Committee Meeting?

  • Scan a copy of the meeting minutes.

PEST CONTROL

  • Is a written Integrated Pest Control Policy in place?

  • Check if there is a contracted Pest Control Company in use.

  • Enter Name of Pest Control Service.

  • Scan most recent service report.

  • Is there evidence of pests?

  • Does the building restrict entrance of pests?

TRACEABILITY & RECALL PROGRAM

  • Is a Traceability & Recall Program in place?

  • Is there a Recall Team in place to administer recall event protocols?

  • List the Recall Team.

  • Has a Recall Event occurred in the past 30 days?

  • Check if a Mock Recall (be sure HACCPCanada has received all pertinent documents).

  • Check if an actual Recall (be sure HACCPCanada has received all pertinent documents).

RECEIVING & DELIVERY

RECEIVING SUPPLIES

  • Supplies are received clean, dry and undamaged.

  • Damaged product is not received (Rejection Policy).

  • All supplies are immediately stored.

RECEIVING VEHICLES

  • Every vehicle is logged.

  • Required repairs are noted.

  • Drop off area is clean and free of debris.

DELIVERY OF COMPLETED VEHICLES

  • Sanitation of vehicles is logged.

  • Affidavits of Cleanliness issued as necessary.

SANITATION

EQUIPMENT AND BUILDING MAINTENANCE

  • Facility meets local building codes.

  • Floors, walls and ceilings meet safety requirements.

  • No evidence of flaking paint.

  • Regular maintenance is performed on building and equipment (Preventative Maintenance Program).

  • Inoperative equipment removed from production areas.

CHEMICALS

  • Only approved cleaning compounds and sanitizers are used.

  • Concentrations meet standards.

  • Chemicals are properly labeled and stored.

FACILITY CLEANING

  • Facility cleaning schedule in place.

  • Floors and walls cleaned regularly.

  • Deep cleaning schedule in place.

GARBAGE STORAGE AND DISPOSAL

  • Refuse and garbage containers are clean and covered when not in use.

  • Garbage containers are emptied as necessary.

  • Boxes and containers are removed immediately.

  • Dumpster is located away from facility access points.

  • Dumpster area is clean and uncluttered.

  • Dumpster lids are kept closed.

PERSONAL HYGIENE

  • Employee Health Poster is available.

  • Staff only wash hands in designated hand sinks.

  • Employee Uniform Policy adhered to.

  • Fingernails are trimmed and clean.

  • Hair restraints are worn.

  • Jewelry is restricted.

  • Gloves are changed at critical times and places when used.

  • Open sores, cuts, or bandages on hands are completely covered.

  • Staff beverages are covered and kept away from storage areas.

  • Staff take appropriate action when coughing or sneezing.

  • Disposable tissues are available & used when needed.

  • Hand washinh signage is displayed at all hand sinks.

  • All hand sink areas are stocked with anti-microbial soaps, sanitizer, and disposable handtowels.

  • Hand sanitizing solution is available in critical areas where hand sinks are not close by.

  • Staff lockers are located away from storage areas and wash bays.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.