Produce Boys Certification # DC135214 Self-Assessment

• Location Information:
  Produce Boys
  1535 Snyders Road East
  Petersburg, ON N0B 2H0

• Enter Date and Time

  Date

• Enter Employee/Assessor Name & Signature

  Sign

• Supervisor Name & Signature

  Sign

HACCP

• Is There a HACCP Committee

  Yes

  No

  N/A

• List HACCP Committee Members

• Scan Minutes from Last Meeting

  Media

INTEGRATED PEST CONTROL

• Written integrated pest control policy in place

  Yes

  No

  N/A

• Contracted to Pest Control Company

  Yes

  No

  N/A

• Date of last inspection

  Date

• Scan the Most Recent Service Report

  Media

• No evidence of insects or pests present

  Yes

  No

  N/A

• Building restricts access to pests

  Yes

  No

  N/A

TRACEABILITY & RECALLS

• Traceability & Recall Program in Place

  Yes

  No

  N/A

• Has a Mock Recall or Recall Incident Been Performed During the Past 30-days?

  Yes

  No

  N/A

• Scan All Pertinent Documents (Notifications, Logs, etc)

  Media

• Is a Recall Team in Place

  Yes

  No

  N/A

• List Recall Team Members

REGULATORY INSPECTION

• Health Authority and Other Inspection Agencies

• Date and Time of most recent inspection

  Date

• Scan Most Recent Regulatory Inspections

  Media

• Have All Infractions Been Corrected?

  Yes

  No

  N/A

RECEIVING & SHIPPING

• Food items are received from a regulated source (no unlicensed farmer's markets).

  Yes

  No

  N/A

• Sanitation of Delivery Vehicles Observed and Logged

  Yes

  No

  N/A

• Temperature of Received Product Recorded

  Yes

  No

  N/A

• Pallets are properly labelled and dated

  Yes

  No

  N/A

• Food is inspected before placed into storage

  Yes

  No

  N/A

• Observed potential of cross-contamination

  Yes

  No

  N/A

• Loading Dock Sanitation Condition

  Safe

  At Risk

  N/A

• Pallets are checked for cleanliness and potential for contamination

  Yes

  No

  N/A

• Food deliveries are kept 6" off the floor before being stored

  Yes

  No

  N/A

• Policy in place for rejection of goods

  Yes

  No

  N/A

SHIPPING

• Pallets are properly labeled & dated

  Yes

  No

  N/A

• Are slip sheets used with pallets?

  Yes

  No

  N/A

• Temperatures are recorded with each delivery

  Yes

  No

  N/A

• Delivery Vehicle Sanitation is observed and logged

  Yes

  No

  N/A

• Evidence of cross contamination

  Yes

  No

  N/A

• Food is inspected before being placed in delivery vehicles

  Yes

  No

  N/A

• Temperature is checked and logged on shipping truck

  Yes

  No

  N/A

STORAGE & REFRIGERATION

• DRY STORAGE

• Adequate air circulation

  Yes

  No

  N/A

• All food and paper supplies are 6" off the floor

  Yes

  No

  N/A

• Product Rotation Maintained (first in first out)

  Yes

  No

  N/A

• Food is stored at least 18" below sprinkler head(s)

  Yes

  No

  N/A

• Is storage area well lit

  Yes

  No

  N/A

• Protective light shields cover all light sources

  Yes

  No

  N/A

• All food is labeled & dated

  Yes

  No

  N/A

• No evidence of leaks and moisture

  Yes

  No

  N/A

• Bulk foods are labeled with common name if not in original container<br>(Flour, rice, sugar, etc)

  Yes

  No

  N/A

• Food is protected from cross contamination

  Yes

  No

  N/A

• Floors are clean an free of debris, boxes and hazards

  Yes

  No

  N/A

• All surfaces are clean

  Yes

  No

  N/A

• Chemicals are stored away from food and other food related supplies

  Yes

  No

  N/A

• REFRIGERATION UNIT

• Thermometer is conspicuous and accurate

  Yes

  No

  N/A

• Evidence that temperatures are monitored and recorded

  Yes

  No

  N/A

• Monitored for cross contamination

  Yes

  No

  N/A

• FIFO Maintained (first in first out)

  Yes

  No

  N/A

• Food is stored 6" off floor

  Yes

  No

  N/A

• Record ambient air temperature (Celsius)

EQUIPMENT and BUILDING MAINTENANCE

• Building meets local building codes for food hygiene

  Safe

  At Risk

  N/A

• Floors, walls and ceiling meets local safety codes

  Yes

  No

  N/A

• Food contact surfaces meet local safety codes

  Yes

  No

  N/A

• No evidence of peeling or flaking paint

  Yes

  No

  N/A

• Regular maintenance performed on building

  Yes

  No

  N/A

• Regular preventative maintenance performed on critical equipment

  Yes

  No

  N/A

• No evidence of leaking pipes

  Yes

  No

  N/A

• Is there a preventative maintenance program

  Yes

  No

  N/A

• Inoperative equipment removed from food storage areas

  Yes

  No

  N/A

CLEANING and SANITIZING

• Cleaning compounds and sanitizers meet standards

  Yes

  No

  N/A

• Concentrations meet standards

  Yes

  No

  N/A

• Chemicals are all properly labelled

  Yes

  No

  N/A

• Chemicals are all properly stored

  Yes

  No

  N/A

DAILY CLEANING

• Daily cleaning schedule in place

  Yes

  No

  N/A

• Floors and walls cleaned regularly

  Yes

  No

  N/A

• Deep cleaning schedule in place

  Yes

  No

  N/A

• Delivery Vehicle cleaning schedule in place

  Yes

  No

  N/A

GARBAGE STORAGE and DISPOSAL

• Refuse and garbage cans are clean and covered when not in use

  Yes

  No

  N/A

• Garbage containers are emptied as necessary

  Yes

  No

  N/A

• Boxes and containers are removed as necessary

  Yes

  No

  N/A

• Dumpster is located away from facility access points

  Safe

  At Risk

  N/A

• Dumpster area is clean

  Yes

  No

  N/A

• Dumpster lid(s) are closed

  Yes

  No

  N/A

EMPLOYEE FOOD SAFETY TRAINING

• Total number of staff

• Number of staff with certified food safety training

• Scan Certificates

  Media

• Plan to achieve 100% training compliance

EMPLOYEE HYGIENE

• Employee health poster available

  Yes

  No

  N/A

• Hands are washed or gloves are changed

  Yes

  No

  N/A

• Staff only use wash hands in hand wash sinks

  Yes

  No

  N/A

• Employees wear proper uniform including proper shoes

  Yes

  No

  N/A

• Fingernails are short, unpolished and clean

  Yes

  No

  N/A

• Hair restraint is worn

  Yes

  No

  N/A

• Jewelry is limited , no watches, earrings

  Yes

  No

  N/A

• Gloves are changed as needed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Staff beverages are covered with a lid and straw and stored away from food storage areas

  Yes

  No

  N/A

• Staff take appropriate action when coughing or sneezing

  Yes

  No

  N/A

• Disposable tissues are used and disposed of when coughing/blowing nose

  Yes

  No

  N/A

HAND WASHING FACILITIES

• Hand washing signage is displayed

  Yes

  No

  N/A

• Hand sinks accessible and stocked with soap and paper towels

  Yes

  No

  N/A

• Hand sanitizing solution is available at all hand washing stations and wash rooms

  Yes

  No

  N/A

• Staff lockers provided away from food production and storage areas

  Yes

  No

  N/A