LOG-Receiving Shipping

• Project Assignment Number

• Client / Site

• Registration Number

• Prepared by

• Date

  Date

RECEIVING

Receiving

• Bill of Lading (Shipping)

• Product Description

• Select date

  Date

• Sanitation of Trucks Checked

  Safe

  At Risk

  N/A

• Food items are from Approved Source

  Yes

  No

  N/A

• Pallets are Properly Labelled and Dated

  Yes

  No

  N/A

• Deliveries are Received at non-peak times, not left on dock?

  Safe

  At Risk

  N/A

• Food is Inspected before being placed into Storage

  Safe

  At Risk

  N/A

• Evidence of Cross Contamination

  Safe

  At Risk

  N/A

• Pallets Observed for Cleanliness and potential for cross contamination.

  Safe

  At Risk

  N/A

• Loading Dock Sanitation Condition

  Safe

  At Risk

  N/A

• Food Deliveries are kept at 6 inches off Floor as per regulation.

  Yes

  No

  N/A

• Signature

  Sign

SHIPPING

Shipping

• Bill of Lading

• Description of Goods

• Date & Time

  Date

• Food is Inspected before being placed into Vehicle

  Yes

  No

  N/A

• Pallets are Properly Labelled and Dated

  Safe

  At Risk

  N/A

• Sanitation of Trucks Checked and Logged

  Safe

  At Risk

  N/A

• Loading Dock Sanitation Condition

  Safe

  At Risk

  N/A

• Evidence of Cross Contamination

  Safe

  At Risk

  N/A

• Food Deliveries are kept at 6 inches off Floor as per regulation.

  Yes

  No

  N/A

• Name & Signature

  Sign

RECALL AND REJECTION OF GOODS

Incident

• Recalled Raw / Final Product

• Raw

  Final

• Supplier Issuing Recall

• List Ingredient & Lot Numbers Recalled

• Reason for Recall

• Recall Level

• Quantity Received

• Quantity on-Hand

• Actions

• Date & Time

  Date

• Name & Signature

  Sign

• Recall Ream Notified

  Yes

  No

  N/A

• CFIA Notified

  Yes

  No

  N/A

• Affected Customers Notified

  Yes

  No

  N/A

• Press Release Issued

  Yes

  No

  N/A

• Affected Product Segregated

  Yes

  No

  N/A

• Enter Disposition Plan

• Person in Charge

  Sign

• Supervisor

  Sign