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U.S. Department of Health and Human Services

Food

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Risk Control Plan - Annex 3, Section 1

FDA Procedures for Standardization of Retail Food Safety Inspection Officers

Table of Contents


Risk Control Plan

Risk Control Plan

Establishment Name: 

Type of Facility: 

 

Physical Address:

Person in Charge: 

           

City:

 

State:

 

Zip:

 

County:

Inspection
Time In:

 

Inspection
Time Out:

 

Date:

 

Inspector’s Name: 

Agency:  

 

Specific observation noted during inspection:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

 

Applicable code violation(s): - (Optional)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

Risk factor to be controlled:
_________________________________________________________________________________
_________________________________________________________________________________

Hazard (most common, significant):
_________________________________________________________________________________
_________________________________________________________________________________

What must be achieved to gain compliance in the future:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

 

How will active managerial control be achieved: 

(Who is responsible for the control, what monitoring and record keeping is required, who is
responsible for monitoring and completing records, what corrective actions should be taken
when deviations are noted, how long is the plan to continue)

 

 

 

 

 

 

 

 

 

 

 

 

  

How will the results of implementing the RCP be communicated back to the inspector:

 

 

 

 

 

 

 

  

As the person in charge of the _______________ located at __________________, I have
 
voluntarily developed this risk control plan, in consultation with ______________________ and

understand the provisions of this plan.

 

 

________________________                                    _____________________________

(Establishment Manager)                                                                    (Date)

 

 

________________________                                    _____________________________

(Regulatory Official)                                                                          (Date)