Receiving/Shipping Log Stapleton Sausage Company Certification #NRM2331121

• Stapleton Sausage Company #103 3950 191 Street Surrey, BC V3Z 0Y6
  Address

RECEIVING

A New Receipt.

• Name & Signature of Receiver.

  Sign

• Date & Time

  Date

• Take A Photo Of The Bill Of Lading/Invoice.

  Media

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

  Yes

  No

  N/A

• Food items are from Approved Source.

  Yes

  No

  N/A

• Loading Dock Clean & Sanitary.

  Yes

  No

  N/A

• Sanitation of Delivery Vehicle.

  Safe

  At Risk

  N/A

• Is Shipment Refrigerated or Frozen?

  Yes

  No

  N/A

• Record Temperature of Delivery Vehicle (Celsius).

• All Products Delivered Are Kept Off of The Floor.

  Yes

  No

  N/A

• Product Is Inspected Before Storing.

  Yes

  No

  N/A

• Evidence of Cross Contamination.

  Safe

  At Risk

  N/A

• Pallets/Product Properly Labelled and Dated.

  Yes

  No

  N/A

• Pallets Observed for Cleanliness and potential for cross contamination.

  Safe

  At Risk

  N/A

• Chemicals Segregated From Food And Packaging Product.

  Safe

  At Risk

  N/A

• List Rejected Product & The Reason For Rejection.

SHIPPING

A New Shipment.

• Name & Signature of Shipping Clerk.

  Sign

• Date & Time.

  Date

• Take a Photo of The Bill Of Lading/Shipping Ticket.

  Media

• Authorized Courier Used.

  Glutenull Vehicle

  Ace Courier

  Pemberton

  Nanaimo Cold Storage

  Other

• Loading Dock Clean & Sanitary.

  Yes

  No

  N/A

• Evidence of Cross Contamination.

  Safe

  At Risk

  N/A

• Sanitation of Delivery Vehicles Checked.

  Safe

  At Risk

  N/A

• Is Shipment Refrigerated or Frozen?

  Yes

  No

  N/A

• Record Temperature of Delivery Vehicle (Celsius).

• Pallets are Properly Labelled and Dated.

  Yes

  No

  N/A

• Food is Inspected before being placed into Delivery Vehicle.

  Yes

  No

  N/A

• List Rejected Product & The Reason For Rejection.

Supervisory Signature

• Supervisor Name & Signature.

  Sign