FGIS 952-2 Sanitation Inspection Report (Overpacker)

---

Overview

FORM
EXHIBIT
INSTRUCTIONS
CONTACT

---

Sheet 1: FORM

FORM APPROVED OMB NO. 0580-0013: According to the Paperwork Reduction Act of 1995, no agency may 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

(OVERPACKER)

SANITATION INSPECTION OF (Name and Address of Plant)

INSPECTOR

DATE INSPECTED

PLANT OWNED BY (Company or Individual)

INSPECTOR ACCOMPANIED BY (Name and Title)

GENERAL TYPES OF ITEMS INSPECTED

Assigned

Inspr's

Assigned

Inspr's

SANITARY DEFECTS

Defect

Defect

SANITARY DEFECTS

Defect

Defect

Points

Points

Points

Points

I.

PACKING MATERIALS

V.

CONTROL OF INSECTS, BIRDS, AND

A.

Not free from adulteration.

Critical

ANIMALS

B.

Shows evidence of insanitary conditions

A.

Rodent harborages or insect-breeding places

or deterioration.

5

places present.

4

C.

Not stored under sanitary conditions.

B.

Insects, birds, or animals present in plant.

5

5

II.

LIGHTING

C.

Insecticides or rodenticides are handled so as to

A.

Insufficient lighting in areas where inspection and

as to contaminate the product.

Critical

examination are performed (50-foot candles).

4

VI.

STORAGE FACILITIES

III.

DISPOSAL OF WASTES

A.

Storing methods do not minimize deterioration

A.

Floor drains not functional not properly trapped.

3

deterioration nor contamination.

5

B.

Dry wastes not collected in suitable containers

B.

Storage facilities not clean, sanitary

conveniently located throughout the plant.

3

nor in good repair.

3

C.

All waste not collected and disposed of at frequent

C.

Shelves, cabinets, or dunnage not used

intervals nor in a sanitary condition.

4

where necessary to prevent contamination

or deterioration.

5

IV.

TOILET AND HAND-WASHING FACILITIES

A.

Toilet room opens directly into packing or storage areas.

5

VII.

PERSONNEL

B.

Doors not self closing and tight fitting.

A.

Not free of communicable nor

3

infectious disease.

Critical

C.

Absence of sign directing employees to wash hands.

B.

Not free of infected cuts, open sores

3

or other lesions on exposed parts of the

D.

Absence of hot or cold water, soap, or hand-drying

body.

Critical

facilities.

5

E.

Toilet rooms not properly vented to the outside.

TOTAL

……………………………………………………………………………

5

Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a score of 21or higher.

REMARKS

Name of Inspector

Date

Please use reverse side of this form for additional remarks.

FORM FGIS 952-2 (7-02) (Replaces Form FGIS-952-2 (1-84)

---

Sheet 2: EXHIBIT

FORM APPROVED OMB NO. 0580-0013: According to the Paperwork Reduction Act of 1995, no agency may 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 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

(OVERPACKER)

SANITATION INSPECTION OF (Name and Address of Plant)

INSPECTOR

DATE INSPECTED

PLANT OWNED BY (Company or Individual)

INSPECTOR ACCOMPANIED BY (Name and Title)

GENERAL TYPES OF ITEMS INSPECTED

Assigned

Inspr's

Assigned

Inspr's

SANITARY DEFECTS

Defect

Defect

SANITARY DEFECTS

Defect

Defect

Points

Points

Points

Points

I.

PACKING MATERIALS

V.

CONTROL OF INSECTS, BIRDS, AND

A.

Not free from adulteration.

Critical

1

ANIMALS

B.

Shows evidence of insanitary conditions

A.

Rodent harborages or insect-breeding places

or deterioration.

5

1

places present.

4

1

C.

Not stored under sanitary conditions.

B.

Insects, birds, or animals present in plant.

5

1

5

II.

LIGHTING

C.

Insecticides or rodenticides are handled so as to

A.

Insufficient lighting in areas where inspection and

as to contaminate the product.

Critical

1

examination are performed (50-foot candles).

4

1

VI.

STORAGE FACILITIES

III.

DISPOSAL OF WASTES

A.

Storing methods do not minimize deterioration

A.

Floor drains not functional not properly trapped.

3

1

deterioration nor contamination.

5

1

B.

Dry wastes not collected in suitable containers

B.

Storage facilities not clean, sanitary

conveniently located throughout the plant.

3

1

nor in good repair.

3

1

C.

All waste not collected and disposed of at frequent

C.

Shelves, cabinets, or dunnage not used

intervals nor in a sanitary condition.

4

1

where necessary to prevent contamination

or deterioration.

5

1

IV.

TOILET AND HAND-WASHING FACILITIES

A.

Toilet room opens directly into packing or storage areas.

5

1

VII.

PERSONNEL

B.

Doors not self closing and tight fitting.

A.

Not free of communicable nor infectious

3

disease.

Critical

1

C.

Absence of sign directing employees to wash hands.

B.

Not free of infected cuts, open sores

3

1

or other lesions on exposed parts of the

D.

Absence of hot or cold water, soap, or hand-drying

body.

Critical

1

facilities.

5

1

E.

Toilet rooms not properly vented to the outside.

TOTAL

……………………………………………………………………………

17

5

1

Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a score of 21or higher.

REMARKS

Name of Inspector.

Date

Please use reverse side of this form for additional remarks.

FORM FGIS 952-2 (7-02) (Replaces Form FGIS-952-2 (1-84)

---

Sheet 3: INSTRUCTIONS

SANITATION INSPECTION REPORT (SIR)

FGIS‑952‑2, for overpackers. An overpacker is a facility where small containers are put into larger containers.

1. Name of plant and physical address of the sanitation inspection.

2. Name of the company or individual that owns the plant.

3. Type of items inspected

4. Name of inspector performing the inspection.

5. Date of inspection.

6. Name and title of plant personnel that accompanied the inspector during the inspection.

7. Assigned Defect Points. This column contains pre-assigned individual defect points. The range of points assigned is based on the importance of the defect item to the maintenance of good sanitation in the plant. For example, the defect item "Presence or evidence of rodents in plant," is assigned a point range of 0 to 5; whereas, "Waste not properly stored or contained," is assigned a point range of 0 to 3. The most serious defects do not have assigned defect points but are listed as "critical.”

8. Inspector’s Defect Points. In this column rate the individual defect item based on your opinion as to the relative potential for product contamination. If the item is clean and presents no sanitation problem, assign 0 defect points to the item. If the item is relatively clean but not perfect, assign 1 or 2 defect points to the item. If the item is insanitary or presents a clear hazard to sanitary operations, assign the maximum defect points possible for that item. Score critical Items as either "pass" or "fail." For example, the item "Presence of live insects in processing or product storage areas (two or more)" is a critical item. When any type of insect is present in the number indicated, it is a critical defect.

9. Total the inspector’s defect points. If the SIR score meets or exceeds 21, consider plant operations insanitary. A plant may not have any critical items but their overall sanitary condition is so poor that they should discontinue processing and have a general cleanup or initiate a maintenance program. Evaluate plants in this condition based on their total SIR score.

10.  Explain critical defects in the "Remarks" section to clearly describe the conditions observed.

11. Name of person that performedthe inspection.

12. Date SIR completed and signed.

Immediately after completing the SIR, give a copy to the plant representative. This copy is the plant's written notification of the conditions found.

---

Sheet 4: CONTACT