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Operational procedure: Food preventive control and traceability inspection – System Verification

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1.0 Purpose

The purpose of this document is to provide guidance to Canadian Food Inspection Agency (CFIA) inspection staff on preventive control (PC) and traceability inspection procedures for food (system-based inspection). The requirements for PC and traceability are prescribed in Parts 4 and 5 of the Safe Food for Canadians Regulations (SFCR).

This document is intended to be used in conjunction with other guidance documents as referenced in Section 3.0 of this document.

2.0 Authorities

The inspection powers, control actions and enforcement actions authorized by the above legislation are identified and explained in the Operational guideline: Food regulatory response guidelines.

3.0 Reference documents

References to be used when conducting verification activities of sub-elements found in Appendix 1:

4.0 Definitions

Definitions are located in the documents listed below or as a defined word where it is intended to supersede the definitions within the glossary documents:

5.0 Acronyms

Acronyms are spelled out the first time they are used and are consolidated in the Food business line acronyms list.

6.0 Operational procedure

This operational procedure (OP) provides inspection procedures specific to food PC and traceability inspection. Where more specific guidance is required to what is provided in the SIP, it will be indicated in this section, and is to be followed notwithstanding of what is indicated in the SIP.

Prior to the first planned PC inspection, within the current defined frequency of inspection cycle, as per the Program direction: Preventive control inspections frequencies for food (accessible only on the Government of Canada network – RDIMS 11010733), the inspector should review the ERA establishment risk profile (login required) (accessible only on the Government of Canada network) of the licence holder to confirm accuracy of the inherent risk factors and mitigation factors identified. The OP: Permissions verification of Safe Food for Canadians licence can be used as a reference to confirm accuracy of licensable activities which are identified in the ERA profile.

Prior to the opening meeting, the inspector contacts the licence holder's representative (for example, profile manager) to share a copy of their ERA profile with them. The inspector should use an encrypted email, according to direction for Safely share Protected B information (accessible only on the Government of Canada network) or it can be printed and given to the representative in person. The National Risk Profile (login required) (accessible only on the Government of Canada network) and ERA establishment risk profile (food) – Interpretation for inspectors and industry (accessible only on the Government of Canada network – RDIMS 14714959) can also be shared with the representative.

At this time, the inspector makes a request for the licence holder's representative to review their ERA profile and confirm the accuracy and, if required, point out any data elements of the profile that might appear to be inaccurate. The inspector is not expected to request and/or review additional information that substantiates the licence holder ERA profile. The outcome of this review is for the licence holder to confirm that their profile is accurate or that they intend to correct inaccuracies.

As a result of this review and interview or during any inspection, if discrepancies are noted between the information in the profile and the actual operation, the inspector:

The date of the review will be recorded in the "NOTES" section of the establishment profile in Digital Service delivery platform (DSDP).

6.1 Prepare for inspection

Refer to SIP section 3, Step 1 – Prepare for the inspection. In addition to the general guidance provided in SIP, the following applies:

6.1.1 Further preparation steps in case of a recall

When a supervisor/inspector is aware or is notified that a food recall has occurred, use the following instructions to verify whether the regulated party has effectively addressed the root cause of the recall.

These activities are in addition to the food safety investigation already conducted by the lead investigator and captured in the IMS. Communication with the lead investigator is important to ensure that appropriate information is captured both in the IMS and Digital Service Delivery Platform (DSDP).

If the recall was a result of a PC inspection, there is no need to create another case in DSDP. The non-compliances identified during the verification of the applicable sub-element(s) and the food safety investigation are captured in the original DSDP case.

If the inspector becomes aware of a recall either through notification or an IMS search, they consult with the lead investigator as soon as possible to confirm whether:

If answers to any of the above are yes, then open a DSDP case with incident response as the trigger. Select the applicable inspection task type(s), based on the findings of the investigation and which resulted in the recall. Capture all objective evidence supporting the non-compliance which was identified during the food safety investigation in the DSDP case. Ensure the IMS recall number is captured in the additional reference ID field in DSDP.

If answers to all of the above are no, there is no need to perform a PC inspection in response to this recall.

Table 1: Recording inspection data in Digital Service Delivery Platform (DSDP)
DSDP Triggers
  • Preventive control inspection plan
  • Incident response
DSDP Inspection task type
  • Preventive control inspection
DSDP Inspection level 1 task
  • System verification
DSDP Inspection level 2 task

Sub-elements:

6.2 Conduct the inspection

  1. 6.2.1 Confirm the scope
  2. 6.2.2 Conduct the verification activities
  3. 6.2.3 Impact assessment

Refer to SIP, section 4, Step 2 – Conduct the inspection. In addition to the general guidance provided in SIP, the following applies.

6.2.1 Confirm the scope

If a potential non-compliance is observed part way through a planned inspection, which is not part of the selected scope, the following applies:

6.2.2 Conduct the verification activities

Determine whether the licence holder meets applicable regulatory requirements by reviewing the Acts and Regulations listed in each sub-element and using the outcomes, performance criteria and verification activities as indicated in Appendix 1.

Under SFCR, some licence holders are required to have a written PCP in place. If during the preparation of the inspection, it is determined that a licence holder is required to have a written PCP, however they do not have one, this may constitute a non-compliance to SFCR 86. Refer to SIP, section 4.6 – Determine non-compliance, for further guidance.

As per SFCR 47, all licence holders (regardless of whether they require a written PCP or not) are required to identify and analyse hazards and prevent, eliminate or reduce the identified hazards to an acceptable level using control measures shown by evidence to be effective.

Where a written PCP is required, the design and implementation of the PCP should include the requirements of a PCP found in SFCR Part 4, Division 6.

Where a written PCP is not required by regulations:

For Element 7, licence holders are required to have documents and procedures as per the SFCR Part 4, Division 5 and Part 5.

The following elements and sub-elements provide guidance to inspectors on specific verification activities.

Element 1: Process and product controls

Element 2: Sanitation, biosecurity, bio-containment, pest control and chemicals

Element 3: Hygiene, biosecurity and employee training

Element 4: Equipment design and maintenance

Element 5: Physical structure, surroundings and maintenance

Element 6: Receiving, transportation and storage

Element 7: Traceability, control and complaints

Perform sufficient verification activities to determine whether the outcome(s) for the sub-element(s) have been met. Select the appropriate verification activities as indicated in Appendix 1 for each sub-element that will allow for the assessment of compliance.

During the course of a PC inspection, other inspection task types (such as sample collection and commodity inspection) can be conducted to support the information gathered to determine compliance. Caution should be exercised when deciding to take samples or conduct a commodity inspection when verifying compliance of PC and traceability. In some cases, sample collection or commodity inspections may not be useful to support an inspection assessment and could lead to a discrepancy between findings of the inspection and the results of the additional inspection task types.

Before considering the use of additional inspection task types to support an inspection finding, consider the following:

6.2.3 Impact assessment

Complete an impact assessment for each sub-element where a non-compliance has been identified as having an impact on food safety. The purpose of an impact assessment is to:

An impact assessment has three levels of impact which are defined as:

Use the 'ERA impact assessment inspection reference document (accessible only on the Government of Canada network – RDIMS 12598976)" for guidance on determination of impact.

Conduct one impact assessment per sub-element assessed when non-compliance is identified. Determine the impact on food safety based on how the commodity is affected (i.e. direct, potential or no impact); regardless of whether there is one or more non-compliance or if one regulation supports more than one sub-element. Consider the objective evidence related to the sub-element and how the commodity is affected to determine the impact assessment result.

The impact assessment is conducted using the evidence / information supporting the non-compliance.

The impact assessment is a mandatory field in DSDP; DSDP data entry requirement is as follows:

  1. In the 'Is Non-Compliance Observed?' field of the inspection task screen:
    • If non-compliance has not been observed:
      • Select 'No'
      • Impact assessment is not conducted
    • If non-compliance has been observed
      • Select 'Yes'
      • Proceed to enter the impact assessment result
  2. Select the appropriate impact assessment result in the 'Impact Assessment' field of the inspection task screen
  3. Continue data entry process

6.2.4 Document the non-compliance

For food, more than one regulatory reference can be captured in a non-compliance record. The regulatory reference(s) will be based on the findings within each sub-element being assessed at the time of inspection. For example:

For food, when non-compliance(s) are determined when assessing a sub-element, all regulatory reference(s) and the objective evidence which support the non-compliance(s) should be documented in one non-compliance record.

For example, when assessing sub-elements:

There will be two non-compliance records created, one for non-compliances found under SE 3.1 and another one for non-compliances found under SE 5.2

Note: If required, an additional non-compliance record may be created for one sub-element when there are unrelated issues. For example, when assessing SE 5.2, if non-compliance is found under ventilation and humidity control systems and exterior and interior building structures, separate non-compliance records can be created.

6.2.5 Categorise the non-compliance

Since a non-compliance record may have more than one regulatory reference with supporting objective evidence, the categorization of non-compliance should be based on the sum of all the documented objective evidence within that non-compliance record.

6.3 Communicate the results

Refer to SIP, section 5, Step 3 – Communicate the inspection results. In addition to the general guidance provided in SIP, the following applies:

6.4 Conduct follow-up

Refer to SIP, section 6, Step 4 – Conduct the follow-up inspection. In addition to the general guidance provided in SIP, the following applies to this OG:

6.4.1 Assess follow-up inspection results

If a state of compliance is not re-established, then the inspector:

The follow-up inspection case must remain open until compliance is re-established and can only be closed (deactivated) once follow-up inspection activities and the appropriate control and/or enforcement actions are complete. As the case cannot be closed (deactivated) at this time, the inspection report must be issued by other means than through the portal (such as in person/email/fax).

If subsequent follow-up inspections are required, create a new inspection task record to enter the findings, create another non-compliance record and issue an inspection report after each inspection.

Once compliance has been achieved and control and/or enforcement actions are complete, create a final non-compliance record without an associated sub-element or task, indicating in the objective evidence that "Licence holder found to be in compliance on [date of inspection]" then issue the report and close (deactivate) the follow-up inspection case.

For general inquiries related to this Operational Guidance Document, please follow established communication channels, including submitting an electronic Request for Action Form (e-RAF).

7.0 Appendix 1: PC and traceability elements and sub-elements

The information presented for each element and sub-element is organised as follows:

Note: When selecting types and number of items (for example, room, equipment, product, process, label, conveyance, container, interviewee, record, etc.) to inspect, consider the information gathered during the opening meeting and the following:

Inspectors may use discretion to expand verification of recommended items, as required

Inspectors will select all available items if it is not possible to select the minimum number of recommended items

Element 1: Process and product controls

Sub-element 1.1a: Incoming inputs

Note: This sub-element covers the sourcing/purchasing of incoming inputs, including imported inputs, while sub-element 6.1 covers the receiving step

Legal authorities

SFCA

SFCR

FDA

Note: For imported food inputs, refer to the sub-element 1.3 for additional legal authorities.

Outcome

The sourcing of incoming inputs is controlled to achieve regulatory compliance.

Rationale

Inadequate input controls could result in non-compliance (for example, product contamination, inadequate processing, misrepresentation of the product, infestation, residues, etc.).

Performance criteria

When sourcing for incoming inputs (for example, ingredients, raw materials, packaging materials and chemicals), a licence holder should ensure that hazards are identified and control measures are in place to ensure that the incoming inputs are suitable for their intended use and do not provide a source of contamination.

Verification activities

Document/records review

On-Site: Observation and interview

Element 1: Process and product controls

Sub-element 1.1bc: Product formulation, specifications and processing

Legal authorities

General

Product formulation and specifications (b)
Processing (c)
Outcome

The process is controlled to achieve regulatory compliance.

Rationale
Performance criteria

b) For product formulation and specifications, the licence holder:

c) Processes have:

Verification activities

b) Product formulation and specifications

Select as applicable to the operations at the establishment:

Document/records review
On-Site: Observation and interview

c) Processing

Select the process(es) associated with the product(s) manufactured at the establishment and selected in b) Product formulation and specifications

Document/records review
On-Site: Observation and interview

Element 1: Process and product controls

Sub-element 1.2: Product controls

Note: This sub-element can be assessed by adding a sample collection or commodity inspection task type to the inspection case in DSDP in order to assess compliance, if required

Legal authorities
Outcome

End products meet regulatory requirements including appropriate packaging and product identification.

Rationale

Inadequate commodity controls could result in:

Performance criteria
Verification activities

a) End product identification

Document/records review
On-site: Observation and interview

b) End product specification

Document/records review
On-site: Observation and interview

Element 1: Process and product controls

Sub-element 1.3: Import controls

Note: This sub-element will apply to food commodities which are imported solely for sale and distribution in its imported state. For example, when a licence holder have both import and domestic activities under the same licence, any imported food commodities that they use as ingredients in their process will be covered under sub-element 1.1a. Imported food commodities, for direct sale and distribution in its imported state, will be assessed under sub-element 1.3. The following table can be used as a guide to determine when to use sub-elements 1.1a and 1.3, as well as where to capture the associated inspection findings.

Licence Activities Associated to the Party Details of the activities S.E 1.1a S.E 1.3 Inspection findings
Import activity only The food is imported and only sold in its imported condition X Party Level
Import and domestic preparation (process/ treat/ preserve/manufacture) activities All imported food are processed/treated/preserved/manufactured, for inter-provincial and/or export trade and none are sold in their imported condition. X Establishment Level
Import and domestic preparation (process/ treat/ preserve/manufacture) activities Where some imported food is sold in its imported condition, and some imported foods are processed/treated/preserved/manufactured, for inter-provincial and/or export trade.

applicable to foods further processed for interprovincial and/or export

applicable only to foods sold in their imported condition

Establishment Level
Import activity only Where some imported food is sold in its imported condition, and some imported foods are processed/treated/preserved/manufactured, for intra-provincial trade (without SFC licence activity). X Party Level
Legal authorities
Outcome

Imported food commodities meet regulatory requirements.

Rationale

Ineffective strategies to source and verify imported food commodities could result in food commodities not meeting Canadian requirements.

Performance criteria

Control measures and sourcing are done to ensure that food commodities meet Canadian requirements. Possible strategies include:

Verification activities

Select at least two different imported food commodities

Document/records review
On-site: Observation and interview

Element 1: Process and product controls

Sub-element 1.4: Export Controls

Note: This sub-element will apply to licence holders with "preparing food for export" and/or "exporting food" as activities on their licence (including sole exporters)

Legal authorities
Outcome

Exported commodities meet regulatory requirements.

Rationale

Commodities that do not meet Canadian requirements could reach the Canadian marketplace if controls are inadequate.

Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Element 2: Sanitation, biosecurity, bio-containment, pest control and chemicals

Sub-element 2.1: Sanitation, biosecurity and bio-containment

Legal authorities
Outcome

Effective sanitation of equipment, utensils, containers and premise is in place to prevent contamination of the commodity; and ensure effective biosecurity and bio-containment in order to prevent the introduction, establishment or spread of disease.

Rationale

Improper or inadequate sanitation/biosecurity/bio-containment, activities can lead to contamination of commodities, premises, packaging materials and contact surfaces or the spread of diseases.

Performance criteria

Verification activities

Document/records review

On-site: Observation and interview

Select at least two rooms/areas and three pieces of equipmentFootnote 3

Sub-element 2.2: Pest control

Legal authorities
Outcome

An effective control program is in place for pests to prevent entry, to detect and eliminate pests and to prevent contamination of the commodity.

Rationale

Pests (for example, insects, rodents, birds) can contaminate commodities, inputs, packaging materials and contact surfaces.

Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Select at least one room/area that contains pest control devices (if applicable).

Sub-element 2.3: Chemicals

Legal authorities
Outcome

Chemicals are stored and used in a manner and under conditions that do not impact negatively on human or animal health or the environment.

Rationale
Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Element 3: Hygiene, biosecurity and employee training

Sub-element 3.1: Hygiene and biosecurity

Legal authorities
Outcome

Employees and visitors are not a source of contamination.

Rationale

Employees and visitors who do not follow hygienic and biosecurity practices can cause contamination or spread diseases.

Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Select at least one room/area where food is being manufactured, prepared, stored, packaged or labelled or where a food animal is slaughtered

Sub-element 3.2: Employee training

Legal authorities

Outcome

Employees have adequate technical knowledge and understanding of operations or processes for which they are responsible and of how they may impact human health, the environment and other regulatory requirements.

Rationale
Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Element 4: Equipment design and maintenance

Sub-element 4.1: Equipment design and maintenance

Legal authorities
Outcome
Rationale
Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Element 5: Physical structure, surroundings and maintenance

Sub-element 5.1: Premises and surroundings

Legal authorities
Outcome

Conditions of the premises and surroundings do not contribute to contamination, infection or infestation of regulated commodities.

Rationale

Outside sources of contamination can compromise the safety, health and/or quality of the commodity.

Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Sub-element 5.2: Buildings

Note: Buildings may include establishments, facilities, conveyances, vessels where regulated activities are conducted

Legal authorities

General

a) Exterior and interior building structures

b) Hygienic flow and separation

c) Lighting

d) Ventilation and humidity control systems

e) Employee facilities

Outcome

Buildings are designed, constructed and maintained to support the activity being conducted; support cleaning and sanitation; and prevent the entry of pests and contaminants.

Rationale
Performance criteria

a) Exterior and interior building structures

b) Hygienic flow and separation

c) Lighting

d) Ventilation and humidity control systems

e) Employee facilities

Verification activities

a) Exterior and interior building structures

Document/records review
On-site: Observation and interview

b) Hygienic flow and separation

Documentation/records review
On-site: Observation and interview

c) Lighting

Document/records review
On-site: Observation and interview

d) Ventilation and humidity control systems

Document/records review
On-site: Observation and interview

e) Employee facilities

Document/records review
On-site: Observation and interview

Sub-element 5.3: Water, ice and steam

Legal authorities
Outcome
Rationale
Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Sub-element 5.4: Waste disposal

Legal authorities
Outcome

Effluent, waste and inedible handling, storage and disposal systems are designed, constructed and maintained to prevent contamination of regulated commodities, and the environment.

Rationale
Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Element 6: Receiving, transportation and storage

Sub-element 6.1: Receiving, transportation and storage

Legal authorities
Outcome

If applicable, food commodities (including inputs, for example, ingredients, raw materials, packaging materials and chemicals) are transported, received and stored in conditions that maintain integrity and prevent damage, spoilage and contamination.

Rationale
Performance criteria

a) Conveyances

b) Storage areas

Verification activities

Document/records review
On-site: Observation and interview

a) Conveyances

b) Storage Areas

Element 7: Traceability, control and complaints

Sub-element 7.1: Traceability and control

Legal authorities
Outcome
Rationale

Identifying, controlling and removing affected commodities quickly and effectively minimizes health risk to the public.

Performance criteria

Verification activities

Document/records review
On-site: Observation and interview

Sub-element 7.2: Complaints

Legal authorities
Outcome

Complaints related to product safety and product misrepresentation are investigated to determine root cause and corrective actions are taken.

Rationale

If complaints are not investigated to mitigate risks, this could lead to the production, distribution and/or sale of unsafe food and/or product misrepresentation.

Performance criteria

Verification activities

Document/records review
On-site: Observation and interview
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