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Produce Safety Cooperative Agreement Program
Inspection Aggregate Data Workbook
See Instructions for completing aggregate data reports for Inspections, Compliance, and Enforcement.
Standard
Save this Name
form locally and often using "(state abbreviation_last 4 FAIN#_YYYYMMDD_Document Title" 0filename.
OPEI
All information should be reported for the current budget period.

0

Once you have completed all applicable sections for your award upload the Inspection Aggregate Data Workbook to your ORAPP folder. Please email
your OP Project Manager to notify them that you have completed your submission in ORAPP.

Recipent Name (Select)
State
Federal Award Identification Number
Program Path
Report Frequency
Report Author (if not PI)
Date Completed
Project Period Start Date
Project End Date
Budget Period Start Date

Select
Select Recipient Name
Select Recipient Name
Select Recipient Name
Jul 1 - Oct 31

7/1/2021
6/30/2026
7/1/2022

Budget Period End Date

6/30/2023

Principal Investigator (PI)
PI Email
PI Phone
Is your contact and admin spreadsheet
current in ORAPP?

Select

1. General Inspection Data
Reporting Period Dates
Dec. 1 includes data for Jul 1 - Oct 31
Feb. 1 includes data for Jul 1 - Dec 31
May 1 includes data for Jul 1 - Mar 31
Sept. 1 includes data for Jul 1 - Jun 30

Total

1.1

Verified produce farms

0

1.2

Total number of farms inspected under CAP (2018 through this reporting
period)

0

1.3

Total number of inspections under CAP (2018 through this reporting
period)

0

Current Reporting Period
1.4
1.5

Farms inspected this reporting
period

1.6
1.7

Total Farms

0

Primary Production Farms

0

Secondary Activities Farms

0

Farm Mixed-Type Facilities

0

1.8

Inspections completed during this reporting period (for joint inspections,
report only if your agency issued the 4056 or equivalent)

0

1.9

Inspections completed during this reporting period with observation(s) on
the 4056 or state equivalent

0

#1 Leafy greens (kale, head lettuce,
leaf lettuce, radicchio, spinach,
watercress)

0

#2 Cucumbers

0

#3 Tomatoes

0

#4 Peppers (sweet, bell, banana,
pimiento)

0

#5 Cantaloupe

0

#6 Honeydew melon

0

#7 Onion

0

Other Priority Commodity 1

0

Other Priority Commodity 2

0

1.10

Priority commodities observed
during each inspection

1.11

From OAI to VAI or NAI

0
0

1.13

Farms with an improved inspection No improvement from OAI
classification from the previous
inspection.
From VAI to NAI

1.14

No improvement from VAI

0

1.15

# of farms

0

1.16

# of inspections

0

1.17

# of egregious observations

0

# of egregious observations corrected
during the inspection

0

1.19

# of egregious observations corrected
after the inspection

0

1.20

# of egregious observations corrected
after compliance action

0

1.12

1.18

Inspections with egregious
conditions observed

0

Large Covered Small Covered

Very Small
Covered

Qualified
Exempt (QE)

Farms Not
Commercial
Covered based
Processing
on Produce
Exempt (CPE)
Sales (<$25k)

2. Inspection Classification – Current Reporting Period
Total
Total
2.1

Inspection classification by farm size for each inspection completed this reporting period

0

Initial-routine: surveillance inspection at normally
scheduled frequency

0

Initial-for cause: an inspection to follow-up on a specific
issue, such as an outbreak, consumer complaint, or
positive sample, etc., where the inspection is also the
farm's iniitial inspection

0

Routine: surveillance inspection at the farm's normally
scheduled frequency

0

Follow-up: follow-up to a violative inspection; this would
include an inspection of a farm completed after the state
or FDA took a compliance or enforcement action at the
farm

0

2.6

For-cause: a non-initial inspection to follow-up on a
specific issue, such as an outbreak, consumer complaint,
or positive sample, etc. This would include an inspection
done at an expedited frequency due to possible
conditions of concern

0

2.7

Other type (please discuss this if used)

0

Yes

0

2.9

No

0

Farm had a previous food safety
2.10 audit

Yes

0

No

0

PSA
Alternate curricula
None

0
0
0

2.2
Initial PSR
Inspections
2.3

2.4

2.5

Inspections
completed this
reporting
period by
inspection type
Non-initial PSR
inspections

2.8

OFRR conducted

2.11
2.12 PSR Training source
2.13

Total
OAI

VAI

NAI

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0
0
0

0
0
0

0
0
0

Large Covered Farms

Small Covered Farms

Very Small Covered
Farms

Qualified Exempt (QE)

OAI

OAI

OAI

OAI

VAI
0

NAI
0

0

VAI
0

NAI
0

0

VAI
0

NAI
0

0

VAI
0

0

alified Exempt (QE)
NAI
0

Commercial
Processing Exempt
(CPE)
OAI
VAI
NAI
0

0

Under 25K
OAI
0

VAI
0

NAI
0

0

3. Inspection Observations – Current Reporting Period

Regulation Category

PSR Subpart C: Personnel Qualifications and
Training

PSR Subpart D: Health and Hygiene

FDA Form
4056 Item #

CFR
Citation

All
Large Covered
Observations
Farms

2
3
4
5
6
7

112.21
112.22
112.23
112.30
112.31
112.32
112.33
112.41

8

112.42

0 N/A

9
10
11

112.43
112.44
112.45
112.46
112.47
112.48
112.50
112.52
112.53

0 N/A
0 N/A
0 N/A

1

0
0
0
0
0
0
0 N/A

PSR Subpart E: Agricultural Water

12
13
14
15
16

0 N/A
0 N/A
0 N/A
0
0

17

112.51
112.54
112.55
112.56

0

18

112.60

0

PSR Subpart I: Domesticated and Wild Animals

19

112.83

0

PSR Subpart K: Growing, Harvesting, Packing,
and Holding Activities

20
21
22
23
24
25

112.111
112.112
112.113
112.114
112.115
112.116

0
0
0
0
0
0

PSR Subpart F: Biological Soil Amendments of
Animal Origin and Human Waste

PSR Subpart L: Equipment, Tools, Buildings,
and Sanitation

PSR Subpart M: Sprouts

26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42

43
44
PSR Subpart O: Records

45

Other observations
Total observations

46

112.123
112.124
112.125
112.126
112.127
112.128
112.129
112.130
112.131
112.132
112.133
112.134
112.140
112.142
112.143(a)
112.143(b)
112.144(a)
112.145
112.146
112.144(b)
112.144(c)
112.147
112.148
112.150
112.161112.167
N/A

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0

0

Small Covered
Farms

Very Small
Covered
Farms

Qualified
Exempt (QE)

Commercial
Processing
Exempt (CPE)

Under 25K

# Observations
reported on the 4056
that were corrected
during the inspection

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A
N/A
N/A

N/A
N/A
N/A

N/A
N/A
N/A

N/A
N/A
N/A

N/A
N/A
N/A

N/A
N/A
N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A
N/A

N/A
N/A

N/A
N/A

N/A
N/A

N/A
N/A

N/A
N/A

0

0

0

0

0

0

Note: The
compliance
dates for
Subpart E were
extended in a
final rule dated
3/18/2019 (see
84 FR 9706).

4. Compliance and Enforcement - Current Reporting Period
Total
4.1

Advisory actions (e.g. Regulatory letter,
Regulatory meeting)

0

4.2

Administrative actions (e.g. Administrative
detention, State embargo, State stop sale)

0

Fines/monetary penalties

0

4.3

Compliance and Enforcement
actions completed this reporting
period

4.4

Judicial actions (e.g. Seizure, Injuction,
Prosecution)

4.5

Other (not inspection) (# and type)

4.6

Farms having compliance/enforcement action(s) completed this reporting period

4.7
4.8

4.9

4.10

4.11
4.12

0

Compliance follow-up inspections
Compliance follow-up inspections Farms having a compliance follow-up
that were completed this reporting inspection
period.
Compliance follow-up inspections resulting in
an improved inspection classification from the
Compliance follow-up inspection: previous inspection
an inspection of a farm completed
after the state or FDA took a
compliance or enforcement action
at the farm (see actions in rows
Farms having a compliance follow-up
4.1-4.5 of this table).
inspections resulting in an improved inspection
classification from the previous inspection

Recalls resulting from a PSR
inspection

0
0

0

0

Number of recalls

0

Total volume of products recalled

0

Large Covered Small Covered
Farms
Farms

Very Small
Covered
Farms

Qualified
Exempt (QE)

Commercial
Processing
Exempt (CPE)

Under
25K

5. Sprouts - Current Reporting Period
Large
Farms

Total

5.1

Farms conducting covered
activities on Sprouts in state
inventory

0

5.2

Joint with FDA subpart M sprout
inspections this reporting period

0

5.3

Sprout compliance actions taken
by the State during this reporting
period

0

Small
Farms

Very
Small
Farms

Qualified
Exempt (QE)

Commercial
Processing Exempt
(CPE)

Under 25K