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Food Safety Enhancement Program Manual

Chapter 2. - Developing a HACCP System


Section 6 - FSEP Forms

Form 1

Product Description

Process/product type name:

1. Product name(s)  
2. Important product characteristics (aw, pH, preservatives, etc.)  
3. How the product will be used  
4. Packaging  
5. Shelf life  
6. Where it will be sold  
7. Labelling instructions  
8. Special distribution control  

Date _________ Approved by:_________


Form 2

List of Product Ingredients and Incoming Material

Product name:

     
     
     

Date _________ Approved by:_________


Form 3

Process Flow Diagram

Product name:

 

 

 

Date _________ Approved by _________


Form 4

Plant Schematic

Product name(s):

 

 

Date _________ Approved by:_________


Form 5

Hazard Identification

Product name(s):

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

Identified biological hazards
(Bacteria, parasites, viruses, etc.)
Controlled at
   
   
   

Date :_________ Approved by:_________


Form 6

Hazard Identification

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

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

Product name

CCP Determination

Incoming material/ process step/ hazards on schematic diagram Category and identified hazard

Determine if fully controlled by prerequisite program.

* If yes = indicate "Prerequisite Program" and proceed to next identified hazard.

* If no = proceed to question 1 (Q1).

Q1. Could a control measure(s) be used by the operator at any process step?

* If no = not CCP. Identify how this hazard will be controlled before and after the process. Then proceed to the next identified hazard.

* If yes = describe the measure and proceed to Q2.

Q2. Is it likely that contamination with the identified hazard could occur in excess of the acceptable level or could increase to an unacceptable level?

* If no = not CCP. Proceed to the next identified hazard.

* If yes = proceed to Q3.

Q3. Is this process step specifically designed to eliminate or reduce the likely occurrence of the identified hazard to an acceptable level?

* If no = proceed to Q4.

* If yes = CCP. Enter its number in the last column.

Q4. Will a subsequent step eliminate the identified hazard or reduce its likely occurrence to an acceptable level?

* If no = CCP. Enter its number in the last column.

* If yes = not a CCP. Identify subsequent (controlling) step and proceed to the next identified hazard.

CCP number

 

 

 

* Proceed to next identified hazard.

             
             
             

Date _________ Approved by:_________


Form 9

Hazards Not Controlled by Operator

Product name(s):

List here any biological, chemical and physical hazards that are not controlled by the operator

Hazards Indicate how the hazard could be addressed
(cooking instructions, public education, "use before" date, etc.)
   
   
   

Date ______________ Approved by:_____________


Form 10

HACCP Plan

Product name:

Process Steps CCP/ Hazard Number Hazard Description Critical Limits Monitoring Procedures Deviation Procedures Verification Procedures HACCP Records
               
               

Date _________ Approved by: _________

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