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pdfFORM APPROVED OMB NO. 0581-0309: According to the Paperwork Reduction Act of 1995, no
FORM FGIS 952 (01/21). Expires XX-XX
SANITATION INSPECTION REPORT
(PROCESSED PRODUCTS)
SANITATION INSPECTION OF (Name and Address of Plant)
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 0581-0309.
The time required is estimated to average 1.5 hours per response and 1 minute of record keeping, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.
INSPECTOR
DATE INSPECTED
PLANT OWNED BY (Company or Individual)
SANITARY DEFECTS
I. PREMISES
INSPECTOR ACCOMPANIED BY (Name and Title)
Assigned
Defect
Points
A. Outside premises not well drained.
3
B. Outside premises not free of weeds, clutter, unused
equipment or other materials.
3
C. Waste not properly stored or contained.
3
D. Outside premises not free of harborage or breeding places
for insects, rodents, birds, or other animals.
4
E. Approaches to docks not clean or treated to minimize dust.
3
II. RAW MATERIALS
A. Raw materials used in the product not handled in a sanitary
manner that would prevent adulteration of finished product.
III. CONSTRUCTION OF BUILDING
A. Plant construction does not exclude probable entrance of
insects, rodents, birds or other animals.
CRITICAL
5
B. Walls, partitions, ceilings, and exposed structural supports
in poor repair.
3
C. Floors not smooth and readily cleanable.
3
D. Floors that frequently get wet not constructed to prevent
pooling or are not kept dry.
3
E. Exposed, unprotected overhead sewer lines present in
product lines.
CRITICAL
F. Wooden floors, where present, not coated with a suitable
floor seal that effectively minimizes cracks and crevices.
5
G. Walls not sealed at juncture with floor.
3
H. Walls and ceilings not free of flaked paint, nor in good
repair.
3
I. Windows not intact.
Inspector
Defect
Points
SANITARY DEFECTS
Assigned
Defect
Points
VI. VENTILATION
A. Plant not reasonably free of undesirable odors, hot air
3
B. Evidence or presence of excessive condensate on walls,
ceilings, equipment, or pipelines.
4
C. Areas where steam or hot air vapors are predominant not
effectively exhaust-ventilated.
3
D. Storage areas not adequately lighted (20-foot candles)
3
E. Toilets and dressing rooms not adequately lighted (20-foot
candles).
3
F. Exhaust fans not screened or equipped with self-closing
louvers.
3
VII. DISPOSAL OF WASTES
A. Garbage, trash, and dry waste materials, inside or outside
the building, not satisfactorily contained.
B. Waste is not disposed of frequently enough to prevent
unsightliness or undesirable odors.
VIII. TOILET, HAND-WASHING, AND DRESSING
ROOM FACILITIES
4
4
3
A. Toilet facilities not provided for each sex.
B. Toilets and urinals not water-flushed.
3
C. Toilet room(s) not equipped with self-closing doors.
3
D. Toilet room(s) open directly into a processing or food
storage room where food is exposed.
CRITICAL
E. Cold and hot, water or tepid water not provided at wash
basins.
3
3
F. Hand cleaner and towels not provided at or near each basin.
3
J. Entrances to production rooms not equipped with selfclosing doors nor provided with other effective means to
prevent entrance of vermin.
G. Adequate hand-washing signs not posted.
3
3
H. Adequate dry waste receptacles not provided.
5
K. Screen doors, where present, not self closing.
3
I. Toilet facilities not working.
4
L. Utility rooms or areas, including boiler rooms and
maintenance shop, not isolated enough or separated from
production rooms.
J. Toilet and locker room not satisfactorily ventilated.
5
4
K. Toilet and dressing rooms not kept in a clean orderly
condition.
5
IV. LIGHTING
A. Production rooms not adequately lighted (20-foot candles).
3
IX. CONSTRUCTION AND REPAIR OF EQUIPMENT
5
4
A. Equipment product contact surfaces not constructed of
smooth, nontoxic, corrosion-resistant, odorless, materials;
wood, where used, not fine, close grained, high-density type.
C. Places where detailed inspection of the processes or
operations is required not adequately lighted (50-foot candles).
3
B. Equipment product zone surfaces not free of cracks,
crevices, pits, or other imperfections (such as knots in wood).
5
D. Storage areas not adequately lighted (20-foot candles)
3
4
E. Toilets and dressing rooms not adequately lighted (20-foot
candles).
C. Adequate space not allowed around equipment for cleaning
and inspection purposes.
3
5
F. Light bulbs, fixtures, skylights, or other glass suspended
over food in any stage of preparation not of a safety type or
otherwise protected where essential to prevent contamination
of the product during production.
D. Equipment not designed to protect the product zone
against contamination or extraneous material.
5
E. Equipment not free of parts or areas inaccessible for
cleaning and inspection purposes.
4
F. Electrical system not constructed or positioned to prevent
insect harborage.
3
B. Places where detailed inspection of the product or
ingredients is required not adequately lighted (50-foot candles).
V. WATER SUPPLY
A. Lack of satisfactory evidence that the water supply is
potable.
B. Presence of a cross-connection between water lines and
sewage system (not allowed).
CRITICAL
CRITICAL
Inspector
Defect
Points
G. Equipment not kept in good repair
2 for
each
item not
in good
repair
CLEAR FORM
SANITARY DEFECTS
X. CLEANING
A. Equipment not cleaned at frequencies necessary
B. A dust-free method of cleaning not used whenever possible.
Assigned
Defect
Points
CRITICAL
3
B. Presence of any birds or any other animals including
domestic types in the plant.
SANITARY DEFECTS
XIII. STORING AND STORAGE FACILITIES
A. Supplies and products not adequately protected from
contamination nor from becoming spoiled.
Assigned
Defect
Points
3
5
C. Storage areas not clean and dry.
3
5
D. Materials not stored in an orderly manner in suitable,
covered, or closed containers.
3
E. Supplies and product not protected against unfavorable
temperatures and humidity.
3
F. Adequate skids or pallets not used where needed.
3
C. Presence of live insects in processing or product storage
areas(two or more).
CRITICAL
D. Presence of dead insects in processing equipment (two or
more).
CRITICAL
E. Presence of live or dead insects in other plant areas (three
or more).
5
F. Rodenticides, insecticides, and other control or eradication
material including applicatory equipment not used in a safe
acceptable manner.
CRITICAL
XIV. PERSONNEL
A. Employees not wearing garments suitable for work being
performed.
4
B. Personnel in contact with unwrapped product or ingredients
not using proper headwear including protection from facial hair.
4
G. Evidence that effective pest control not exercised where
needed.
3
3
H. Type of insecticides and rodenticides not in compliance with
Federal Food and Drug Administration regulations.
C. Fingernail polish, costume jewelry, and wrist watches worn by
plant personnel working on the processing line.
4
D. Gloves, if worn, not kept in a sanitary condition.
3
5
E. Storage of employees personal effects in production rooms.
I. Poisoned baits, if used, not adequately secured.
XII. COOLING AND REFRIGERATION FACILITIES
F. Employees not washing hands after contamination.
A. Perishable supplies and products not adequately
5
B. Storage areas not free of visible mold and objectionable odors.
3
C. Storage area not reasonably clean.
3
D. Where required refrigeration facilities not properly cooling
and keeping perishable supplies and products at temperatures
not exceeding 45 degrees F.
Inspector
Defect
Points
5
B. Storage areas not well ventilated and free from objectionable
odors.
XI. CONTROL OF INSECTS AND ANIMALS
A. Presence of evidence of any rodents in plant.
Inspector
Defect
Points
G. Failure of employees to be hygienically clean: fingernails not
kept clean and trimmed.
H. Employees affected with or a carrier of a communicable or
infectious disease not excluded from product area.
3
CRITICAL
4
CRITICAL
5
I. Plant employees having an infectious wound, sore, or
lesion on hands, arms, or other exposed parts of the body not
excluded from contacting ingredients, products, or product zone.
5
E. Adequate skids or pallets not used when needed.
3
J. Plant personnel not instructed in acceptable hygienic
practices and proper sanitary rules of food handling.
5
F. Items not stored in an orderly, easily accessible manner in
suitable, covered, or closed containers.
3
K. Personnel not prohibited from expectorating, eating, or
smoking in product areas.
5
TOTAL
0
Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a
score of 76 or higher.
When Section XII, “Cooling and Refrigeration Facilities” is not applicable, the plant must have a score of 54 or
higher.
REMARKS
Name of Inspector
Date
FORM FGIS 952 (1/18) Reverse
PRINT
FORM APPROVED OMB NO. 0581-0309: According to the Paperwork Reduction Act of 1995, no
FORM FGIS 952 (01/21). Expires XX-XX
SANITATION INSPECTION REPORT
(PROCESSED PRODUCTS)
SANITATION INSPECTION OF (Name and Address of Plant)
1
Assigned
Defect
Points
A. Outside premises not well drained.
63
B. Outside premises not free of weeds, clutter, unused
equipment or other materials.
3
C. Waste not properly stored or contained.
3
D. Outside premises not free of harborage or breeding places
for insects, rodents, birds, or other animals.
4
E. Approaches to docks not clean or treated to minimize dust.
3
II. RAW MATERIALS
A. Raw materials used in the product not handled in a sanitary
manner that would prevent adulteration of finished product.
III. CONSTRUCTION OF BUILDING
A. Plant construction does not exclude probable entrance of
insects, rodents, birds or other animals.
CRITICAL
5
B. Walls, partitions, ceilings, and exposed structural supports
in poor repair.
3
C. Floors not smooth and readily cleanable.
3
D. Floors that frequently get wet not constructed to prevent
pooling or are not kept dry.
3
E. Exposed, unprotected overhead sewer lines present in
product lines.
4
INSPECTOR ACCOMPANIED BY (Name and Title)
2
I. PREMISES
3
INSPECTOR
DATE INSPECTED
PLANT OWNED BY (Company or Individual)
SANITARY DEFECTS
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 0581-0309.
The time required is estimated to average 1.5 hours per response and 1 minute of record keeping, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.
CRITICAL
F. Wooden floors, where present, not coated with a suitable
floor seal that effectively minimizes cracks and crevices.
5
G. Walls not sealed at juncture with floor.
3
H. Walls and ceilings not free of flaked paint, nor in good
repair.
3
I. Windows not intact.
Inspector
Defect
Points
7
5
SANITARY DEFECTS
Assigned
Defect
Points
VI. VENTILATION
A. Plant not reasonably free of undesirable odors, hot air
3
B. Evidence or presence of excessive condensate on walls,
ceilings, equipment, or pipelines.
4
C. Areas where steam or hot air vapors are predominant not
effectively exhaust-ventilated.
3
D. Storage areas not adequately lighted (20-foot candles)
3
E. Toilets and dressing rooms not adequately lighted (20-foot
candles).
3
F. Exhaust fans not screened or equipped with self-closing
louvers.
3
VII. DISPOSAL OF WASTES
A. Garbage, trash, and dry waste materials, inside or outside
the building, not satisfactorily contained.
B. Waste is not disposed of frequently enough to prevent
unsightliness or undesirable odors.
VIII. TOILET, HAND-WASHING, AND DRESSING
ROOM FACILITIES
4
4
3
A. Toilet facilities not provided for each sex.
B. Toilets and urinals not water-flushed.
3
C. Toilet room(s) not equipped with self-closing doors.
3
D. Toilet room(s) open directly into a processing or food
storage room where food is exposed.
CRITICAL
E. Cold and hot, water or tapped water not provided at wash
basins.
3
3
F. Hand cleaner and towels not provided at or near each basin.
3
J. Entrances to production rooms not equipped with selfclosing doors nor provided with other effective means to
prevent entrance of vermin.
G. Adequate hand-washing signs not posted.
3
3
H. Adequate dry waste receptacles not provided.
5
K. Screen doors, where present, not self closing.
3
I. Toilet facilities not working.
4
L. Utility rooms or areas, including boiler rooms and
maintenance shop, not isolated enough or separated from
production rooms.
J. Toilet and locker room not satisfactorily ventilated.
5
4
K. Toilet and dressing rooms not kept in a clean orderly
condition.
5
IV. LIGHTING
A. Production rooms not adequately lighted (20-foot candles).
3
IX. CONSTRUCTION AND REPAIR OF EQUIPMENT
5
4
A. Equipment product contact surfaces not constructed of
smooth, nontoxic, corrosion-resistant, odorless, materials;
wood, where used, not fine, close grained, high-density type.
C. Places where detailed inspection of the processes or
operations is required not adequately lighted (50-foot candles).
3
B. Equipment product zone surfaces not free of cracks,
crevices, pits, or other imperfections (such as knots in wood).
5
D. Storage areas not adequately lighted (20-foot candles)
3
4
E. Toilets and dressing rooms not adequately lighted (20-foot
candles).
C. Adequate space not allowed around equipment for cleaning
and inspection purposes.
3
5
F. Light bulbs, fixtures, skylights, or other glass suspended
over food in any stage of preparation not of a safety type or
otherwise protected where essential to prevent contamination
of the product during production.
D. Equipment not designed to protect the product zone
against contamination or extraneous material.
5
E. Equipment not free of parts or areas inaccessible for
cleaning and inspection purposes.
4
F. Electrical system not constructed or positioned to prevent
insect harborage.
3
B. Places where detailed inspection of the product or
ingredients is required not adequately lighted
V. WATER SUPPLY
A. Lack of satisfactory evidence that the water supply is
potable.
B. Presence of a cross-connection between water lines and
sewage system (not allowed).
CRITICAL
CRITICAL
G. Equipment not kept in good repair
2 for
each
item not
in good
repair
Inspector
Defect
Points
Assigned
Defect
Points
SANITARY DEFECTS
X. CLEANING
A. Equipment not cleaned at frequencies necessary
B. A dust-free method of cleaning not used whenever possible.
CRITICAL
3
B. Presence of any birds or any other animals including
domestic types in the plant.
Assigned
Defect
Points
SANITARY DEFECTS
XIII. STORING AND STORAGE FACILITIES
A. Supplies and products not adequately protected from
contamination nor from becoming spoiled.
3
5
C. Storage areas not clean and dry.
3
5
D. Materials not stored in an orderly manner in suitable,
covered, or closed containers.
3
E. Supplies and product not protected against unfavorable
temperatures and humidity.
3
F. Adequate skids or pallets not used where needed.
3
C. Presence of live insects in processing or product storage
areas(two or more).
CRITICAL
D. Presence of dead insects in processing equipment (two or
more).
CRITICAL
E. Presence of live or dead insects in other plant areas (three
or more).
5
F. Rodenticides, insecticides, and other control or eradication
material including applicatory equipment not used in a safe
acceptable manner.
CRITICAL
XIV. PERSONNEL
A. Employees not wearing garments suitable for work being
performed.
4
B. Personnel in contact with unwrapped product or ingredients
not using proper headwear including protection from facial hair.
4
G. Evidence that effective pest control not exercised where
needed.
3
3
H. Type of insecticides and rodenticides not in compliance with
Federal Food and Drug Administration regulations.
C. Fingernail polish, costume jewelry, and wrist watches worn by
plant personnel working on the processing line.
4
D. Gloves, if worn, not kept in a sanitary condition.
3
5
E. Storage of employees personal effects in production rooms.
I. Poisoned baits, if used, not adequately secured.
XII. COOLING AND REFRIGERATION FACILITIES
F. Employees not washing hands after contamination.
A. Perishable supplies and products not adequately
5
B. Storage areas not free of visible mold and objectionable odors.
3
C. Storage area not reasonably clean.
3
D. Where required refrigeration facilities not properly cooling
and keeping perishable supplies and products at temperatures
not exceeding 45 degrees F.
Inspector
Defect
Points
5
B. Storage areas not well ventilated and free from objectionable
odors.
XI. CONTROL OF INSECTS AND ANIMALS
A. Presence of evidence of any rodents in plant.
Inspector
Defect
Points
G. Failure of employees to be hygienically clean: fingernails not
kept clean and trimmed.
H. Employees affected with or a carrier of a communicable or
infectious disease not excluded from product area.
3
CRITICAL
4
CRITICAL
5
I. Plant employees having an infectious wound, sore, or
lesion on hands, arms, or other exposed parts of the body not
excluded from contacting ingredients, products, or product zone.
5
E. Adequate skids or pallets not used when needed.
3
J. Plant personnel not instructed in acceptable hygienic
practices and proper sanitary rules of food handling.
5
F. Items not stored in an orderly, easily accessible manner in
suitable, covered, or closed containers.
3
K. Personnel not prohibited from expectorating, eating, or
smoking in product areas.
5
8
TOTAL
Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a
score of 76 or higher.
When Section XII, “Cooling and Refrigeration Facilities” is not applicable, the plant must have a score of 54 or
higher.
REMARKS
9
Name of Inspector
FORM FGIS 952 (1/21) Reverse
10
Date
11
Instructions for Completing FGIS‑952
1. Name of plant and physical address of the sanitation inspection.
2. Name of the company or individual that owns the plant.
3. Name of the inspector performing the inspection.
4. Date of inspection.
5. Name and title of plant personnel that accompanied the inspector during the inspection.
6. 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.
7. 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.
8. Total the inspector’s defect points. If the SIR score meets or exceeds 76, consider plant
operations insanitary. When section XII, Cooling and Refrigeration Facilities, is not applicable,
delete the assigned defect points (22) from the total overall score of 76 or higher and use 54 or
higher as the defect limit.
9. Explain critical defects in the “Remarks” section to clearly describe the conditions observed.
10. Name of Inspector who performed inspection.
11. Date of inspection.
Immediately after completing the SIR, give a copy to the plant representative. This copy is the
plant’s written notification of the conditions found.
Contact Information
Patrick McCluskey, Chief
Field Management Division
Policy, Procedures, and Market Analysis Branch
[email protected]
| File Type | application/pdf |
| File Title | FGIS 952 |
| File Modified | 2021-01-22 |
| File Created | 2018-05-14 |