SHELLFISH PLANT SANITATION ITEMS CHECKLIST Company Name:____________________________________Cert. #:_______________ Company Address:_______________________________________________________ Date of Daily Sanitation Monitoring:___________Product Identity:_________________ Sanitation Item/Area Time Acceptable Corrective Initials Y or N (List value Actions where needed) 8 - Safety of Water & Ice Production Private system testing adequate √ Cross connections/backflow devices √ Ice from approved source √ 9 Condition and Cleanliness of FCS – FCS construction √ FCS clean & sanitized prior to start-up √ * Document sanitizer concentration ppm 10 Prevention of Cross Contamination – Protection of Shellfish (General) √ Employee Practices Hand-washing & √ – Hand-sanitizing Hand Sanitizing Station √ ppm * Document sanitizer concentration Equipment Stored Protected √ 11 Maintenance of Hand-washing, Hand- – sanitizing, and toilet facilities. Hand Wash Stations w/ Warm Water & √ Mixing Valve Faucet Toilet Facilities Adequate in Number and √ Supplied w/ Toilet Paper
SHELLFISH PLANT SANITATION ITEMS CHECKLIST Company Name:____________________________________Cert. #:_______________ Company Address:_______________________________________________________ Date of Daily Sanitation Monitoring:___________Product Identity:_________________ Sanitation Item/Area Time Acceptable Y or N (List value where needed) Corrective Actions Initials 8 - Safety of Water & Ice Production √ Private system testing adequate √ Cross connections/backflow devices √ Ice from approved source 9 – Condition and Cleanliness of FCS √ FCS construction √ FCS clean & sanitized prior to start-up * Document sanitizer concentration ppm 10 – Prevention of Cross Contamination √ Protection of Shellfish (General) √ Employee Practices – Hand-washing & Hand-sanitizing √ Hand Sanitizing Station * Document sanitizer concentration √ Equipment Stored Protected ppm 11 – Maintenance of Hand-washing, Hand- sanitizing, and toilet facilities. √ Hand Wash Stations w/ Warm Water & Mixing Valve Faucet √ Toilet Facilities Adequate in Number and Supplied w/ Toilet Paper
ShellfishPlantSanitationChecklist.docx