Sandwich Works Certification # NRM145514 Receiving/Shipping/Recall Log

RECEIVING

Receiving

• Scan Invoice/Bill of Lading

  Media

• Food items are from Approved/Regulated Source (no unlicensed farmer's markets)

  Yes

  No

  N/A

• Loading Dock Sanitation Condition

  Safe

  At Risk

  N/A

• Sanitation of Trucks Checked

  Safe

  At Risk

  N/A

• Temperature of Delivery Vehicle recorded

  Yes

  No

  N/A

• Record Temperature

• Food Deliveries are kept at 6 inches off Floor

  Yes

  No

  N/A

• Food is Inspected before storing

  Safe

  At Risk

  N/A

• Enter Food Product 1

• Enter Temperature (Celcius)

• Enter Food Product 2

• Enter Temperature (Celcius)

• Enter Food Product 3

• Enter Temperature (Celcius)

• Evidence of Cross Contamination

  Safe

  At Risk

  N/A

• Are pallets used?

  Yes

  No

  N/A

• Pallets are Properly Labelled and Dated

  Yes

  No

  N/A

• Pallets Observed for Cleanliness and potential for cross contamination.

  Safe

  At Risk

  N/A

• Date & Time

  Date

• Employee Name & Signature

  Sign

SHIPPING

Shipping

• Scan Invoice/Bill of Lading

  Media

• Loading Dock Sanitation Condition

  Safe

  At Risk

  N/A

• Evidence of Cross Contamination

  Safe

  At Risk

  N/A

• Sanitation of delivery vehicle

  Safe

  At Risk

  N/A

• Food is Inspected before being loaded

  Yes

  No

  N/A

• Are pallets used?

  Yes

  No

  N/A

• Pallet Control Policy being followed

  Safe

  At Risk

  N/A

• Pallets are Properly Labelled and Dated

  Safe

  At Risk

  N/A

• No damaged or stained pallets used with food products

  Safe

  At Risk

  N/A

• Are slip sheets (heavy cardboard) used to separate food and pallet contact?

  Yes

  No

  N/A

• Temperature of Delivery Vehicle recorded

  Yes

  No

  N/A

• Record Temperature

• Enter Food Product 1

• Enter Temperature (Celcius)

• Enter Food Product 2

• Enter Temperature (Celcius)

• Enter Food Product 3

• Enter Temperature (Celcius)

• Date & Time

  Date

• Name & Signature of Shipping Clerk

  Sign

• Name & Signature of Receiver

  Sign

REJECTION OF GOODS

Incident

• Rejection Incident (list products rejected & invoice #)

• Give the Reason for rejection

• Enter Date and Time

  Date

Recalled Raw Ingredients (Initiated by a Supplier)

• Name of Supplier Issuing Recall

• List Ingredients & Lot #'s, PLU #'s, or Idetifier

• Reason for Supplier Recall

• What is the Recall Level (per CFIA)

  Select Level 1 Level 2 Level 3

  • Level 1
  • Level 2
  • Level 3

• List Quantity(s) of Recalled Product Received

• List Quantity(s) of Recalled Product On-Hand

Recalled Final Product (Initiated by You)

• List Ingredients & Lot #'s, PLU #'s, or Idetifier

• Reason for Supplier Recall

• What is the Recall Level (per CFIA)

  Select Level 1 Level 2 Level 3

  • Level 1
  • Level 2
  • Level 3

• List Quantity(s) of Product Affected

• List Quantity(s) of Recalled Product On-Hand

Communication of Recall

• Recall Team 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

Disposition

• Affected Product Segregated

  Safe

  At Risk

  N/A

• Enter Disposition Plan

• Person completing Log Name & Signature

  Sign

• Supervisor Name & Signature

  Sign