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Annex 1 - Blank HACCP forms

FORM 1
PRODUCT DESCRIPTION

1. Product name(s)


2. Important product characteristics of end product (e.g. Aw, pH, etc.)


3. How the product is to be used


4. Packaging


5. Shelf-life


6. Where the product will be sold


7. Labelling instructions


8. Special distribution control


DATE: ___________________ APPROVED BY: ____________________

FORM 2
PRODUCT INGREDIENTS AND INCOMING MATERIAL

PRODUCT NAME(S):



















DATE:___________________ APPROVED BY:_________________

FORM 3
FLOW DIAGRAM

PRODUCT NAME(S):

DATE: _________________ APPROVED BY: ___________________

FORM 4
PLANT SCHEMATIC/FLOOR PLAN

PRODUCT NAME(S):

DATE:_________________ APPROVED BY:__________________

FORM 5
HAZARD IDENTIFICATION: BIOLOGICAL HAZARDS

PRODUCT NAME(S):

List all biological hazards related to ingredients, incoming material, processing, product flow, etc.

Identified biological hazards

Controlled at


DATE: ________________ APPROVED BY: __________________

FORM 6
HAZARD IDENTIFICATION: CHEMICAL HAZARDS

PRODUCT NAME(S):

List all chemical hazards related to ingredients, incoming material, processing, product flow, etc.

Identified chemical hazards

Controlled at


DATE:_______________ APPROVED BY:_________________

FORM 7
HAZARD IDENTIFICATION: PHYSICAL HAZARDS

PRODUCT NAME(S):

List all physical hazards related to ingredients, incoming material, processing, product flow, etc.

Identified physical hazards

Controlled at


DATE:_______________ APPROVED BY:_________________

FORM 8
CCP DETERMINATION

Process step/ incoming material

Category and identified hazard

Question 1

Question 2

Question 3

Question 4

CCP number







Instructions:

· Category and identified hazard: Determine if hazard is fully controlled by adherence to Codex General Principles of Food Hygiene. If Yes, indicate "GMPs", describe and proceed to next identified hazard. If No, proceed to Question 1.

· Question 1: Do control preventive measure(s) exist? If No, this is not a CCP. Identify how the hazard can be controlled before or after the process and proceed to the next identified hazard. If Yes, describe and proceed to the next question.

· Question 2: Is the operation specifically designed to eliminate or reduce the likely occurrence of a hazard to an acceptable level? If No, proceed to Question 3. If Yes, this is a CCP; identify it as such in the last column.

· Question 3: Could contamination with identified hazard(s) occur in excess of acceptable level(s) or could these increase to unacceptable levels? If No, this is not a CCP; proceed to the next identified hazard. If Yes, proceed to Question 4.

· Question 4: Will a subsequent operation eliminate identified hazard(s) or reduce likely occurrence to an acceptable level? If No, this is a CCP; identify it as such in the last column. If Yes, this is not a CCP; identify the subsequent step and proceed to the next identified hazard.

FORM 9
UNADDRESSED HAZARDS

PRODUCT NAME(S):

List any biological, chemical and/or physical hazards that are not controlled at the establishment.

Unaddressed hazard from previous list

Identified methods of addressing the hazard (e.g. cooking instructions, public education, use by date, etc.)


DATE:________________ APPROVED BY:__________________

FORM 10
HACCP PLAN

PRODUCT NAME(S):

Process step

CCP No.

Hazard description

Critical limits

Monitoring procedures

Deviation procedures

HACCP records








DATE:______________ APPROVED BY:____________________


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