Food Safety Plan Colorado Farm To Table-Books Pdf

Food Safety Plan Colorado Farm to Table
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Previous Audits and Self Audits, Keep documentation of previous audits and assessments and an updated version of this form with the current. Food Safety Plan,Date Audit Performed Conducted by. Colorado State University Extension,Name Contact information In charge of. i e Food Safety,Phone Email,Phone Email,Phone Email. Phone Email,Phone Email,Phone Email,Workers Volunteers USDA G 4 to G 14.
Training Farm Policies Received training Trained by Frequency or Date. Proper hygiene hand washing,Illness injury policies. Lunch break locations,Allowed drink containers,Proper clothing allowed jewelry. Safe handling of produce spills,Cleaning tools equipment. Agricultural chemical handling,Farm security,First aid procedures. Colorado State University Extension,Food Safety Plan Infractions.
Employee and Personnel Infraction Policy fill in below or attach policies. Infraction Date Corrective Action Employee involved if applicable. Colorado State University Extension, Traceability Program and Mock Recall Documentation USDA G 1 and G 2. Traceability and Recall fill in below or attach policies. Recall Team List employees and contact information. Recall Team Leader,Applicable documentation Check all that apply. Corrective action procedure, Training in traceback recall and corrective action procedures. Sales records,Labeling protocol and label template. List of buyers and up to date contact information,Mock Recall fill in below or attach policies.
Mock recall form, Fax or email buyer acknowledgement of successful mock recall. Colorado State University Extension,Mock Recall Log. Date conducted,Buyer name,Buyer contact information Phone Fax Email. Harvest information Shipping information Mock recall information. Product name I Lot number Amount Date I time Amt of product Amt of product. Date I time Date I time, Shipping unit shipped buyer remaining at sold by buyer. harvested shipped,contacted buyer site,Mock Recall results.
Corrective actions taken, Attach buyer confirmation of successful mock recall to this form. Reviewed by Title Date,Colorado State University Extension. Potable Water Availability USDA G 3,Potable Water Use and Source check all that apply. Use Source Municipal City Private Well Surface Water. Drinking Not permitted,Drinking water policy,Applicable documentation. Water testing documentation,Well water treatment record.
Colorado State University Extension, Worker Facilities sinks soap water disposable towels signs toilets drinking water USDA 2 2 to 2 5. Facility Locations,Policy and procedures related to hand washing. Applicable documentation,Hand washing signs posted in all facilities. Colorado State University Extension, Worker Health Hygiene and Sanitary Practices Policy fill in below or attach policy. Applicable documentation Check all that apply, Verification checklist for compliance with hand washing and other appropriate hygiene practices.
Training log for proper procedure and frequency of hand washing. Toilet Facilities check all that apply,Indoor facilities Portable units None on site. Availability of Toilet Facilities, Maximum number of employees Number of toilet facilities within mile Ratio of employees to. on site at any one time walk toilet facilities,Applicable documentation Check all that apply. Additional information sheet, Verification checklist for condition maintenance use by workers. Map indicating location of field sanitation units and handwashing stations. Field sanitation service and cleaning contract service report. Spill response plan, Training log for notification of reasonable access and proper use.
Policy for Visitors and Applicable documentation Check all that apply. Visitors must sign in and receive a verbal or print copy of pertinent farm policies. Visitor CSA member policy,Signs posted for important visitor information. Colorado State University Extension,Farm and Field Map s. Agricultural activities conducted at this site, Crop production only Both crop and animal production Animal production only. Crop s Livestock grown on this property acres owned leased contracted or consigned for each crop. Additional crops documented on separate sheet, Crop s Livestock Area under cultivation livestock production acres. Colorado State University Extension, Sketch or attach map that includes production field packing staging areas field sanitation units active wells surface water.
sources regular or recent flooding areas manure storage sites and septic systems on site and adjacent properties. Colorado State University Extension,Water USDA 1 3 to 1 5. Water Use and Source check all that apply, Use Source Municipal City Private Well Surface Water. Drinking Not permitted,Hand Washing,Cleaning food contact surfaces. Irrigation None Overhead sprinkler,Drip Furrow Flood. Fertilizer application,Pesticide Fungicide application.
Water used for hand washing in field sanitation units is not required to meet EPA potability standards if chlorine or other acceptable agents are. added to reduce the possibility of microbial ail contamination. Water source Applicable documentation check all that apply. Municipal water Annual water bill with analysis results. City Laboratory analysis,Laboratory analysis,Private well water. Monitoring checklist,Well condition maintenance documentation. Surface water Laboratory analysis,Source Treatment procedure and schedule. Colorado State University Extension,Water Quality fill in or attach policy. Documentation, Attach documentation for annual water risk assessment.
Colorado State University Extension,Animals Wildlife Livestock USDA 1 8 to 1 13. Animals Wildlife Livestock fill in or attach policy. Question Y N Correction Action Taken if Necessary, Are domestic animals livestock or wildlife regularly. observed in the field, Signs of droppings or other animal activity in fields. Are measures taken to limit livestock domestic wild. animals from entering production areas,Production handling areas monitored for domestic. wild animals including birds rodents, Are measures taken to restrict livestock and wildlife.
access to crop irrigation water source or delivery system. Colorado State University Extension,Sewage and Manure USDA 1 6 to 1 7 1 44 to 1 22. Sewage Manure and Biosolids,Sewage Treatment check all that apply. Municipal Septic System Portable containment system. Cleaning and Maintenance of Portable Toilets, Performed by grower Contracted service No Portable Toilets at this site. Manure and Municipal Biosolids, If no animal manures or biosolids are used as soil amendments check the box below no further action is needed in this section. Raw or composted animal manure IS NOT used or stored at this site. Soil Amendments used at this location check all that apply. No manure or municipal biosolids Raw manure is applied to soil Composted manure or municipal. are applied to soil biosolids are applied to soil,Manure handling and storage.
No manure or municipal biosolids Raw manure is stored at this Municipal biosolids are stored at. are stored on the premises location this location, Practice s followed at this site Check all that apply. Raw animal manure is used as a soil amendment at this site. Animal manure is composted at this site using an active process. Animal manure is composted at this site using an passive process. Municipal biosolids are applied to soil at this site. Food Safety Plan Name of Farm Orchard Farm mailing address City State Zip Code GPS coordinates optional Longitude Latitude The information in this plan is an accurate representation of the food safety practices and conditions followed in this operation

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