EXEMPTION REVIEW RECORD FSMA bases exemptions on average sales of produce and total food in the last three years. Year Produce Sales ($) Total Food Sales ($) 3 Year Average: Exemptions are also based on % of total food sales to end users:” retail establishments “qualified or end consumers in Hawaii. $__________ ÷ $ __________ x 100 = __________% Sales to qualified end users Average food sales Percent food sales to qualified end users Based on our sales and distribution, our farm status under FSMA’s Produce Rule is currently: FSMA Status Justification FSMA Requirements We sell on average less than $25,000 Exempt None at this time. of produce per year. We sell less than $500,000 of total Must display business Qualified food per year, and more than 50% of it name and address at Exemption goes to qualified end users. point of sale Our total food sales are less than $500,000 per year, but less than 50% Must comply with all of sales are to qualified end users relevant Produce Rule Not Exempt OR Our average total food sales are above requirements $500,000 per year. Sales receipts are retained to support this record. Reviewed by:_______________________ Title:_________________________ Date:____ FSMA PSR Reference § 112.7(b)
EXEMPTION REVIEW RECORD FSMA bases exemptions on average sales of produce and total food in the last three years. Year Produce Sales ($) Total Food Sales ($) 3 Year Average: Exemptions are also based on % of total food sales to “qualified end users:” retail establishments or end consumers in Hawaii. $__________ ÷ $ __________ x 100 = __________% Sales to qualified end users Average food sales Percent food sales to qualified end users Based on our sales and distribution, our farm status under FSMA’s Produce Rule is currently: FSMA Status Justification FSMA Requirements Exempt We sell on average less than $25,000 of produce per year. None at this time. Qualified Exemption We sell less than $500,000 of total food per year, and more than 50% of it goes to qualified end users. Must display business name and address at point of sale Not Exempt Our total food sales are less than $500,000 per year, but less than 50% of sales are to qualified end users OR Our average total food sales are above $500,000 per year. Must comply with all relevant Produce Rule requirements Sales receipts are retained to support this record. Reviewed by:_______________________ Title:_________________________ Date:____ FSMA PSR Reference § 112.7(b)
Model-Food-Safety-Plan_final.docx