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Food Safety Enhancement Program Manual

Appendix I - FSEP Recognition Tracking Form

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Establishment Name: Establishment #:
Address: Telephone #:
Establishment Manager: HACCP Coordinator:
Name of Responsible Inspector: Name of Recognition Team Leader:
FSEP Recognition Steps Date started Initials Step Completed Comments
Step 1  Submission of "Letter of Commitment" by Establishment.     Date Initials  
Step 2 Premeeting with establishment management          
Step 3 Submission of written notice from establishment indicating
internal audit completed.		          
Step 4 Documentation Package
  • HACCP Coordinator and team members
  • List of products
  • Prerequisite Program
  • HACCP Plans for all Risk I and II products
  • Reassessment procedures- HACCP system
 Included ____
Included ____
Included ____
Included ____
Included ____		          
Step 5 Prerequisite Program Written Review
Indicate date started and when Appendix II is completed.		          
Step 6 HACCP Plan Written Review
List each HACCP plan and its risk category below.
Indicate date started and when Appendix IV is completed for each HACCP Plan.		          
HACCP Plan Name: Risk:          
HACCP Plan Name Risk:          
HACCP Plan Name Risk:          
HACCP Plan Name Risk:          
HACCP Plan Name Risk:          
HACCP Plan Name Risk:          
Step 7 Review - Procedures for reassessment of HACCP System
Indicate date started and when the step is completed.		          
Step 8 Regulatory System Audits for Recognition of HACCP System. Indicate date audit was completed.          
Regulatory System Audit #1          
Regulatory System Audit #2          
Regulatory System Audit #3          
"Notification Letter" of actions required by the establishment to be granted recognition - Indicate date issued.          
Signature of Recognition Audit Team Leader indicating recommendation of FSEP/HACCP recognition and forward Appendix I

to Area FSEP/HACCP

Coordinator:_______________________________ Date: __________


  
Step 9 Notification of Recognition
Indicate date letter and certificate is issued.		          
Signature of Area FSEP/HACCP Coordinator indicating recognition is granted.

Signature:________________________________ Date:__________

Appendix I is faxed to appropriate HQ Program Chief Name of Program Chief: _________________________________


FAX #:__________


  
 
Overall Risk Category (1, II or III): [ ]

Frequency of delivery of Regulatory System Audits:

Comments:

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