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FORM APPROVED OMB NO. 0580-0013: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 00580-0013. The time required to complete this information collection is estimated to average 1 hour per response and 1 minute of recordkeeping, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. |
|
SANITATION INSPECTION REPORT |
|
|
|
|
|
(BEANS, PEAS, AND LENTILS) |
|
|
|
|
|
|
|
|
|
|
SANITATION INSPECTION OF (Name and Address of Plant) |
INSPECTOR |
|
|
|
DATE INSPECTED |
|
|
|
|
|
|
|
|
|
|
|
PLANT OWNED BY (Company or Individual) |
INSPECTOR ACCOMPANIED BY (Name and Title) |
|
|
|
|
|
|
|
|
|
|
Assigned |
Inspr's |
|
|
|
|
|
|
Assigned |
|
Inspr's |
SANITARY DEFECTS |
|
|
Defect |
Defect |
SANITARY DEFECTS |
|
|
Defect |
|
Defect |
|
Points |
Points |
|
Points |
|
Points |
I. |
PREMISES |
|
|
|
|
|
|
|
C. |
Toilet room(s) not equipped with self-closing |
|
|
|
|
A. |
Outside premises not well drained. |
3 |
|
|
|
doors. |
3 |
|
|
|
B. |
Outside premises not free of weeds, clutter, |
|
|
|
D. |
Toilet room(s) open directly into a processing |
|
|
|
|
|
or unused equipment or other materials. |
3 |
|
|
|
of food storage room where food is exposed. |
Critical |
|
|
|
C. |
Waste not properly stored or contained. |
|
|
|
E. |
Cold and hot, water or tepid water not provided |
|
|
|
|
D. |
Outside premises not free of harborage or breeding |
3 |
|
|
|
at wash basins. |
3 |
|
|
|
|
places for insects, rodents, birds, or other animals. |
|
|
|
F. |
Hand cleaner and towels not provided at or |
|
|
|
|
|
|
4 |
|
|
|
near each basin. |
3 |
|
|
II. |
RAW MATERIALS |
|
|
|
G. |
Adequate hand-washing signs not posted. |
|
|
|
|
A. |
Beans, peas, and lentils not handled in a |
|
|
|
|
|
3 |
|
|
|
|
sanitary manner that would prevent adulteration. |
Critical |
|
|
H. |
Adequate dry waste receptacles not provided. |
|
|
|
|
|
|
|
|
|
|
|
3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
III. |
CONSTRUCTION OF BUILDING |
|
|
|
I. |
Toilet facilities not working. |
5 |
|
|
|
A. |
Plant construction does not exclude probable |
|
|
|
J. |
Toilet and locker room not satisfactorily |
|
|
|
|
|
entrance of insects, rodents, birds or other animals. |
3 |
|
|
|
ventilated. |
4 |
|
|
|
B. |
Walls, partitions, ceilings, and exposed structural |
|
|
|
K. |
Toilet and dressing rooms not kept in a clean |
|
|
|
|
|
supports in poor repair. |
3 |
|
|
|
orderly condition. |
5 |
|
|
|
C. |
Floors not smooth and readily cleanable, or |
|
|
|
|
|
|
|
|
|
|
|
|
|
impervious under normal usage. |
3 |
|
IX. |
CONSTRUCTION AND REPAIR EQUIPMENT |
|
|
|
|
D. |
Floors that frequently get wet not constructed to |
|
|
|
A. |
Adequate space not allowed around equipment |
|
|
|
|
|
prevent pooling or are not kept dry. |
3 |
|
|
|
for cleaning and inspection process. |
4 |
|
|
|
E. |
Exposed, unprotected overhead sewer lines present |
|
|
|
B. |
Equipment not designed to protect the product |
|
|
|
|
|
in product lines. |
Critical |
|
|
|
zone against contamination or extraneous |
|
|
|
|
F. |
Walls not sealed at juncture with floor. |
|
|
|
|
material. |
5 |
|
|
|
|
|
3 |
|
|
C. |
Equipment not free of parts or areas |
|
|
|
|
G. |
Walls and ceilings not free of flaked paint, nor in good repair. |
|
|
|
|
inaccessible for cleaning and sanitary |
|
|
|
|
|
repair. |
3 |
|
|
|
inspection. |
4 |
|
|
|
H. |
Windows not intact. |
|
|
|
|
|
|
|
|
I. |
Entranceways to production rooms not equipped |
3 |
|
X. |
CLEANING AND SANITIZING TREATMENT |
|
|
|
|
|
with self-closing doors nor provided with other |
|
|
|
A. |
Equipment not cleaned at frequencies to |
|
|
|
|
|
effective means to prevent entrance of vermin. |
3 |
|
|
|
prevent contamination of the product. |
Critical |
|
|
|
J. |
Screen doors, where present, not self closing. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
|
XI. |
CONTROL OF INSECTS AND ANIMALS |
|
|
|
IV. |
LIGHTING |
|
|
|
|
|
|
|
A. |
Presence of evidence of any rodents in plants. |
5 |
|
|
|
A. |
Production rooms not adequately lighted (20-foot candles). |
3 |
|
|
B. |
Presence of any birds or any other animals |
|
|
|
|
B. |
Places where detailed inspection of the product |
|
|
|
|
including domestic types in the plants. |
5 |
|
|
|
|
or ingredients is required not adequately lighted |
|
|
|
C. |
Presence of live insects in processing or |
|
|
|
|
|
(50-foot candles). |
4 |
|
|
|
product storage area (two or more). |
Critical |
|
|
|
|
|
|
|
|
D. |
Presence of dead insects in processing |
|
|
|
|
C. |
Places where inspection of the processes or |
|
|
|
|
equipment (two or more). |
Critical |
|
|
|
|
operations is required not adequately lighted |
|
|
|
E. |
Presence of live or dead insects in more than |
|
|
|
|
|
(50-foot candles). |
4 |
|
|
|
minimal number in other areas (three or more). |
5 |
|
|
|
|
|
|
|
|
F. |
Rodenticides, insecticides, and other control or |
|
|
|
|
D. |
Storage areas not adequately lighted (20-foot candles) |
3 |
|
|
|
eradication material including applicatory |
|
|
|
|
E. |
Toilets and dressing rooms not adequately lighted |
|
|
|
|
equipment not used in safe acceptable manner. |
Critical |
|
|
|
|
(20-foot candles). |
3 |
|
|
G. |
Evidence that effective pest control not |
|
|
|
|
F. |
Protective shields for lights not present in areas |
|
|
|
|
exercised where needed. |
3 |
|
|
|
|
where essential to protect the product during protection. |
5 |
|
|
|
|
|
|
|
|
|
|
|
XII. |
PERSONNEL |
|
|
|
V. |
VENTILATION |
|
|
|
A. |
Employees not wearing garments suitable for |
|
|
|
|
A. |
Plant not reasonably free of undesirable odors. |
3 |
|
|
|
work being performed. |
4 |
|
|
|
B. |
Evidence of presence of excessive condensate on |
|
|
|
B. |
Personnel in contact with unwrapped product or |
|
|
|
|
|
walls, ceilings, equipment, or pipeline. |
4 |
|
|
|
ingredients not using proper headwear |
|
|
|
|
C. |
Windows opening to the outside not screened with |
|
|
|
|
including protection from facial hair. |
4 |
|
|
|
|
14-mesh or finer screen (during presence of flies |
|
|
|
C. |
Gloves, if worn, not kept in a sanitary condition. |
|
|
|
|
|
or other flying insects). |
3 |
|
|
|
|
3 |
|
|
|
D. |
Exhaust fans not screened or equipped with |
|
|
|
D. |
Storage of employees personal effects in |
|
|
|
|
|
self-closing louvers. |
3 |
|
|
|
production rooms. |
3 |
|
|
|
|
|
|
|
E. |
Employees not washing hands after |
|
|
|
VI. |
WATER SUPPLY |
|
|
|
|
contamination. |
Critical |
|
|
|
A. |
Lack of satisfactory evidence that the water supply |
|
|
|
F. |
Failure of employees to be hygienically clean; |
|
|
|
|
|
is potable. |
Critical |
|
|
|
fingernails not kept cleaned and trimmed. |
4 |
|
|
|
B. |
Presence of cross-connection between water |
|
|
|
G. |
Employees affected with or a carrier of a |
|
|
|
|
|
lines and sewage system (not allowed). |
|
|
|
|
communicable or infectious disease not |
|
|
|
|
|
|
|
|
|
|
excluded from product areas. |
Critical |
|
|
VII. |
DISPOSAL OF WASTES |
Critical |
|
|
H. |
Plant employees having an infectious wound, |
|
|
|
|
A. |
Garbage, trash, and dry waste material, inside |
|
|
|
|
sore, or lesion on hands, arms, or other exposed |
|
|
|
|
|
or outside the building, not satisfactorily contained. |
4 |
|
|
|
parts of the body, not excluded from contacting |
|
|
|
|
B. |
Waste is not disposed of frequently enough to |
|
|
|
|
ingredients, products or product zone. |
5 |
|
|
|
|
prevent unsightliness or undesirable odors. |
|
|
|
I. |
Plant personnel not instructed in acceptable |
|
|
|
|
|
|
4 |
|
|
|
hygienic practices and proper sanitary rules |
|
|
|
VIII. |
TOILET, HAND-WASHING, AND DRESSING ROOM |
|
|
|
|
of food handling. |
5 |
|
|
|
FACILITIES |
|
|
|
J. |
Personnel not prohibited from expectoring, |
|
|
|
|
A. |
Toilet Facilities not provided for each sex. |
3 |
|
|
|
eating, or smoking in product areas. |
5 |
|
|
|
B. |
Toilets and urinals not water flushed. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
|
TOTAL |
…………………………………………………………………………… |
|
|
|
|
|
|
|
Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a score of 46 or higher. |
|
|
|
Please use reverse side of this form for remarks. |
|
|
|
|
|
|
|
|
|
|
|
|
FORM FGIS 952-1 (7-02) (Replaces Form FGIS-952-1 (7-91)). Expires January 2015 |
|
|
|
|
|
|
FORM APPROVED OMB NO. 0580-0013: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 00580-0013. The time required is estimated to average 1 hour per response and 1 minute of recordkeeping, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. |
|
SANITATION INSPECTION REPORT |
|
|
|
|
(BEANS, PEAS, And LENTILS) |
|
|
|
|
|
|
|
|
|
SANITATION INSPECTION OF (Name and Address of Plant) |
INSPECTOR |
|
|
|
|
DATE INSPECTED |
|
|
|
|
|
|
|
|
|
|
|
|
|
PLANT OWNED BY (Company or Individual) |
INSPECTOR ACCOMPANIED BY (Name and Title) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Assigned |
Inspr's |
|
|
|
|
|
|
Assigned |
|
Inspr's |
|
SANITARY DEFECTS |
|
|
Defect |
Defect |
SANITARY DEFECTS |
|
|
Defect |
|
Defect |
|
|
Points |
Points |
|
Points |
|
Points |
|
I. |
PREMISES |
|
|
|
|
|
|
|
C. |
Toilet room(s) not equipped with self-closing |
|
|
|
|
|
A. |
Outside premises not well drained. |
3 |
|
|
|
doors. |
3 |
|
|
|
|
B. |
Outside premises not free of weeds, clutter, |
|
|
|
D. |
Toilet room(s) open directly into a processing |
|
|
|
|
|
|
or unused equipment or other materials. |
3 |
|
|
|
of food storage room where food is exposed. |
Critical |
|
|
|
|
C. |
Waste not properly stored or contained. |
|
|
|
E. |
Cold and hot, water or tepid water not provided |
|
|
|
|
|
D. |
Outside premises not free of harborage or breeding |
3 |
|
|
|
at wash basins. |
3 |
|
|
|
|
|
places for insects, rodents, birds, or other animals. |
|
|
|
F. |
Hand cleaner and towels not provided at or |
|
|
|
|
|
|
|
4 |
|
|
|
near each basin. |
3 |
|
|
|
II. |
RAW MATERIALS |
|
|
|
G. |
Adequate hand-washing signs not posted. |
|
|
|
|
|
A. |
Beans, peas, and lentils not handled in a |
|
|
|
|
|
3 |
|
|
|
|
|
sanitary manner that would prevent adulteration. |
Critical |
|
|
H. |
Adequate dry waste receptacles not provided. |
|
|
|
|
|
|
|
|
|
|
|
|
3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
III. |
CONSTRUCTION OF BUILDING |
|
|
|
I. |
Toilet facilities not working. |
5 |
|
|
|
|
A. |
Plant construction does not exclude probable |
|
|
|
J. |
Toilet and locker room not satisfactorily |
|
|
|
|
|
|
entrance of insects, rodents, birds or other animals. |
3 |
|
|
|
ventilated. |
4 |
|
|
|
|
B. |
Walls, partitions, ceilings, and exposed structural |
|
|
|
K. |
Toilet and dressing rooms not kept in a clean |
|
|
|
|
|
|
supports in poor repair. |
3 |
|
|
|
orderly condition. |
5 |
|
|
|
|
C. |
Floors not smooth and readily cleanable, or |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
impervious under normal usage. |
3 |
|
IX. |
CONSTRUCTION AND REPAIR EQUIPMENT |
|
|
|
|
|
D. |
Floors that frequently get wet not constructed to |
|
|
|
A. |
Adequate space not allowed around equipment |
|
|
|
|
|
|
prevent pooling or are not kept dry. |
3 |
|
|
|
for cleaning and inspection process. |
4 |
|
|
|
|
E. |
Exposed, unprotected overhead sewer lines present |
|
|
|
B. |
Equipment not designed to protect the product |
|
|
|
|
|
|
in product lines. |
Critical |
|
|
|
zone against contamination or extraneous |
|
|
|
|
|
F. |
Walls not sealed at juncture with floor. |
|
|
|
|
material. |
5 |
|
|
|
|
|
|
3 |
|
|
C. |
Equipment not free of parts or areas |
|
|
|
|
|
G. |
Walls and ceilings not free of flaked paint, nor in good repair. |
|
|
|
|
inaccessible for cleaning and sanitary |
|
|
|
|
|
|
repair. |
3 |
|
|
|
inspection. |
4 |
|
|
|
|
H. |
Windows not intact. |
|
|
|
|
|
|
|
|
|
I. |
Entranceways to production rooms not equipped |
3 |
|
X. |
CLEANING AND SANITIZING TREATMENT |
|
|
|
|
|
|
with self-closing doors nor provided with other |
|
|
|
A. |
Equipment not cleaned at frequencies to |
|
|
|
|
|
|
effective means to prevent entrance of vermin. |
3 |
|
|
|
prevent contamination of the product. |
Critical |
|
|
|
|
J. |
Screen doors, where present, not self closing. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
|
XI. |
CONTROL OF INSECTS AND ANIMALS |
|
|
|
|
IV. |
LIGHTING |
|
|
|
|
|
|
|
A. |
Presence of evidence of any rodents in plants. |
5 |
|
|
|
|
A. |
Production rooms not adequately lighted (20-foot candles). |
3 |
|
|
B. |
Presence of any birds or any other animals |
|
|
|
|
|
B. |
Places where detailed inspection of the product |
|
|
|
|
including domestic types in the plants. |
5 |
|
|
|
|
|
or ingredients is required not adequately lighted |
|
|
|
C. |
Presence of live insects in processing or |
|
|
|
|
|
|
(50-foot candles). |
4 |
|
|
|
product storage area (two or more). |
Critical |
|
|
|
|
|
|
|
|
|
D. |
Presence of dead insects in processing |
|
|
|
|
|
C. |
Places where inspection of the processes or |
|
|
|
|
equipment (two or more). |
Critical |
|
|
|
|
|
operations is required not adequately lighted |
|
|
|
E. |
Presence of live or dead insects in more than |
|
|
|
|
|
|
(50-foot candles). |
4 |
|
|
|
minimal number in other areas (three or more). |
5 |
|
|
|
|
|
|
|
|
|
F. |
Rodenticides, insecticides, and other control or |
|
|
|
|
|
D. |
Storage areas not adequately lighted (20-foot candles) |
3 |
|
|
|
eradication material including applicatory |
|
|
|
|
|
E. |
Toilets and dressing rooms not adequately lighted |
|
|
|
|
equipment not used in safe acceptable manner. |
Critical |
|
|
|
|
|
(20-foot candles). |
3 |
|
|
G. |
Evidence that effective pest control not |
|
|
|
|
|
F. |
Protective shields for lights not present in areas |
|
|
|
|
exercised where needed. |
3 |
|
|
|
|
|
where essential to protect the product during protection. |
5 |
|
|
|
|
|
|
|
|
|
|
|
|
XII. |
PERSONNEL |
|
|
|
|
V. |
VENTILATION |
|
|
|
A. |
Employees not wearing garments suitable for |
|
|
|
|
|
A. |
Plant not reasonably free of undesirable odors. |
3 |
|
|
|
work being performed. |
4 |
|
|
|
|
B. |
Evidence of presence of excessive condensate on |
|
|
|
B. |
Personnel in contact with unwrapped product or |
|
|
|
|
|
|
walls, ceilings, equipment, or pipeline. |
4 |
|
|
|
ingredients not using proper headwear |
|
|
|
|
|
C. |
Windows opening to the outside not screened with |
|
|
|
|
including protection from facial hair. |
4 |
|
|
|
|
|
14-mesh or finer screen (during presence of flies |
|
|
|
C. |
Gloves, if worn, not kept in a sanitary condition. |
|
|
|
|
|
|
or other flying insects). |
3 |
|
|
|
|
3 |
|
|
|
|
D. |
Exhaust fans not screened or equipped with |
|
|
|
D. |
Storage of employees personal effects in |
|
|
|
|
|
|
self-closing louvers. |
3 |
|
|
|
production rooms. |
3 |
|
|
|
|
|
|
|
|
E. |
Employees not washing hands after |
|
|
|
|
VI. |
WATER SUPPLY |
|
|
|
|
contamination. |
Critical |
|
|
|
|
A. |
Lack of satisfactory evidence that the water supply |
|
|
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F. |
Failure of employees to be hygienically clean; |
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is potable. |
Critical |
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fingernails not kept cleaned and trimmed. |
4 |
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B. |
Presence of cross-connection between water |
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G. |
Employees affected with or a carrier of a |
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lines and sewage system (not allowed). |
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communicable or infectious disease not |
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excluded from product areas. |
Critical |
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VII. |
DISPOSAL OF WASTES |
Critical |
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H. |
Plant employees having an infectious wound, |
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A. |
Garbage, trash, and dry waste material, inside |
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sore, or lesion on hands, arms, or other exposed |
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or outside the building, not satisfactorily contained. |
4 |
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parts of the body, not excluded from contacting |
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B. |
Waste is not disposed of frequently enough to |
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ingredients, products or product zone. |
5 |
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prevent unsightliness or undesirable odors. |
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I. |
Plant personnel not instructed in acceptable |
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4 |
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hygienic practices and proper sanitary rules |
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VIII. |
TOILET, HAND-WASHING, AND DRESSING ROOM |
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of food handling. |
5 |
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FACILITIES |
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J. |
Personnel not prohibited from expectoring, |
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A. |
Toilet Facilities not provided for each sex. |
3 |
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eating, or smoking in product areas. |
5 |
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B. |
Toilets and urinals not water flushed. |
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3 |
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TOTAL |
…………………………………………………………………………… |
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Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a score of 46 or higher. |
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Please use reverse side of this form for remarks. |
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FORM FGIS 952-1 (7-02) (Replaces Form FGIS-952-1 (7-91)) |
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