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		PAGE 1 OF 2 | 
	
	
		
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		FORM APPROVED OMB NO. 0580-0013: According to the Paperwork Reduction Act of 1995, an agency may not 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 0580-0013.  The time required is estimated to average 1.5 hours per response and 1 minute of recordkeeping, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. | 
		
	
		
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		SANITATION INSPECTION REPORT | 
		
	
		
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		(PROCESSED PRODUCTS)  | 
		
	
		
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		| SANITATION INSPECTION OF (Name and Address of Plant) | 
		INSPECTOR | 
		
	
		
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		DATE INSPECTED | 
		
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		| PLANT OWNED BY (Company or Individual) | 
		INSPECTOR ACCOMPANIED BY (Name and Title) | 
		
	
		
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		Assigned | 
		Inspr's | 
		
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		Assigned | 
		
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		Inspr's | 
	
	
		| SANITARY DEFECTS | 
		
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		Defect | 
		Defect | 
		SANITARY DEFECTS | 
		
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		Defect | 
		
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		Defect | 
	
	
		
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		Points | 
		Points | 
		
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		| I. | 
		PREMISES  | 
		
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		A. | 
		Outside premises not well drained. | 
		3 | 
		
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		B. | 
		Outside premises not free of weeds, clutter,    | 
		
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		VII. | 
		DISPOSAL OF WASTES | 
		
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		unused equipment or other materials. | 
		3 | 
		
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		A. | 
		Garbage, trash, and dry waste materials, inside or | 
		
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		C. | 
		Waste not properly stored or contained. | 
		3 | 
		
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		outside the building, not satisfactorily contained.  | 
		4 | 
		
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		D. | 
		Outside premises not free of harborage or breeding | 
		
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		B. | 
		Waste is not disposed of frequently enough | 
		
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		places for insects, rodents, birds, or other animals.  | 
		4 | 
		
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		to prevent unsightliness or undesirable odors. | 
		4 | 
		
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		E. | 
		Approaches to docks not clean or treated to minimize  | 
		
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		dust. | 
		3 | 
		
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		VIII. | 
		TOILET, HAND-WASHING, AND DRESSING ROOM   | 
		
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		FACILITIES | 
		
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		| II. | 
		RAW MATERIALS | 
		
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		A. | 
		Toilet facilities not provided for each sex. | 
		3 | 
		
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		A. | 
		Raw materials used in the product not handled in a   | 
		
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		sanitary manner that would prevent adulteration of finished  | 
		
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		B. | 
		Toilets and urinals not water-flushed. | 
		3 | 
		
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		product. | 
		Critical | 
		
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		C. | 
		Toilet room(s) not equipped with self-closing  | 
		
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		doors. | 
		3 | 
		3 | 
		
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		| III. | 
		CONSTRUCTION OF BUILDING  | 
		
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		D. | 
		Toilet room(s) open directly into a processing  | 
		
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		A. | 
		Plant construction does not exclude probable | 
		
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		or food storage room where food is exposed. | 
		Critical | 
		
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		entrance of insects, rodents, birds or other animals. | 
		5 | 
		
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		E. | 
		Cold and hot, water or tapped water not   | 
		
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		B. | 
		Walls, partitions, ceilings, and exposed structural  | 
		
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		provided at wash basins. | 
		3 | 
		
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		supports in poor repair. | 
		3 | 
		
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		F. | 
		Hand cleaner and towels not provided at or  | 
		
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		C. | 
		Floors not smooth and readily cleanable. | 
		3 | 
		
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		near each basin. | 
		3 | 
		
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		D. | 
		Floors that frequently get wet not constructed to  | 
		
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		prevent pooling or are not kept dry. | 
		3 | 
		
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		G.  | 
		Adequate hand-washing signs not posted. | 
		3 | 
		
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		E. | 
		Exposed, unprotected overhead sewer lines present | 
		
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		in product lines. | 
		Critical | 
		
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		H. | 
		Adequate dry waste receptacles not provided. | 
		5 | 
		
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		F. | 
		Wooden floors, where present, not coated with a suitable  | 
		
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		floor seal that effectively minimizes cracks and crevices. | 
		5 | 
		
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		I. | 
		Toilet facilities not working. | 
		4 | 
		
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		G. | 
		Walls not sealed at juncture with floor. | 
		3 | 
		
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		J. | 
		Toilet and locker room not satisfactorily  | 
		
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		H. | 
		Walls and ceilings not free of flaked paint, nor in good | 
		
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		ventilated. | 
		5 | 
		
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		repair. | 
		3 | 
		
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		K. | 
		Toilet and dressing rooms not kept in a clean  | 
		
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		orderly condition. | 
		5 | 
		
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		I. | 
		Windows not intact. | 
		3 | 
		
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		J. | 
		Entrances to production rooms not equipped with  | 
		
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		self-closing doors nor provided with other effective means | 
		
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		IX. | 
		CONSTRUCTION AND REPAIR OF EQUIPMENT | 
		
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		to prevent entrance of vermin. | 
		3 | 
		
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		A. | 
		Equipment product contact surfaces not  | 
		
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		constructed of smooth, nontoxic, corrosion-   | 
		
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		K. | 
		Screen doors, where present, not self closing.   | 
		3 | 
		
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		resistant, odorless, materials; wood, where used,   | 
		
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		4 | 
		
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		L. | 
		Utility rooms or areas, including boiler rooms and   | 
		
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		not fine, close grained, high-density type.   | 
		5 | 
		
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		maintenance shop, not isolated enough or separated from | 
		
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		B. | 
		Equipment product zone surfaces not free of | 
		
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		production rooms. | 
		4 | 
		
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		cracks, crevices, pits, or other imperfections  | 
		
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		(such as knots in wood). | 
		5 | 
		
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		| IV. | 
		LIGHTING  | 
		
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		C. | 
		Adequate space not allowed around equipment  | 
		
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		A. | 
		Production rooms not adequately lighted (20-foot candles). | 
		3 | 
		
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		for cleaning and inspection purposes. | 
		4 | 
		
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		B. | 
		Places where detailed inspection of the product | 
		
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		D. | 
		Equipment not designed to protect the product  | 
		
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		or ingredients is required not adequately lighted | 
		
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		zone against contamination or extraneous  | 
		
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		(50-foot candles). | 
		4 | 
		
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		material. | 
		5 | 
		
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		C. | 
		Places where detailed inspection of the processes or  | 
		
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		E. | 
		Equipment not free of parts or areas inaccessible | 
		
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		operations is required not adequately lighted   | 
		
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		for cleaning and inspection purposes. | 
		4 | 
		
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		(50-foot candles).  | 
		3 | 
		
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		F. | 
		Electrical system not constructed or positioned   | 
		
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		to prevent insect harborage. | 
		3 | 
		
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		D. | 
		Storage areas not adequately lighted (20-foot candles) | 
		3 | 
		
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		G.  | 
		Equipment not kept in good repair. | 
		2 for each item not in good repair | 
		
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		E. | 
		Toilets and dressing rooms not adequately lighted | 
		
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		(20-foot candles). | 
		3 | 
		
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		F. | 
		Light bulbs, fixtures, skylights, or other glass suspended  | 
		
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		X. | 
		CLEANING | 
		
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		over food in any stage of preparation not of a safety type | 
		
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		A. | 
		Equipment not cleaned at frequencies necessary | 
		
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		or otherwise protected where essential to prevent  | 
		
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		to prevent contamination of the product.  | 
		Critical | 
		
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		contamination of the product during production. | 
		5 | 
		
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		B. | 
		A dust-free method of cleaning not used  | 
		
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		whenever possible. | 
		3 | 
		
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		| V. | 
		VENTILATION | 
		
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		A. | 
		Plant not reasonably free of undesirable odors, hot air  | 
		
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		XI. | 
		CONTROL OF INSECTS AND ANIMALS | 
		
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		vapors, or dust. | 
		3 | 
		
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		A. | 
		Presence of evidence of any rodents in plant. | 
		5 | 
		
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		B. | 
		Evidence or presence of excessive condensate on walls, | 
		
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		B. | 
		Presence of any birds or any other animals  | 
		
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		ceilings, equipment, or pipelines. | 
		4 | 
		
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		including domestic types in the plant. | 
		5 | 
		
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		C. | 
		Areas where steam or hot air vapors are predominant not | 
		
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		C. | 
		Presence of live insects in processing or product  | 
		
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		effectively exhaust-ventilated. | 
		3 | 
		
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		storage areas(two or more).  | 
		Critical | 
		
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		D. | 
		Cooling and air-conditioning units not equipped with | 
		
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		D. | 
		Presence of dead insects in processing equipment | 
		
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		filtering devices; filters not changed or cleaned when  | 
		
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		(two or more). | 
		Critical | 
		
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		necessary. | 
		3 | 
		
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		E. | 
		Presence of live or dead insects in other plant areas | 
		
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		E. | 
		Window openings to the outside not screened with 14-mesh | 
		
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		(three or more). | 
		5 | 
		
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		or finer window screen (during presence of flies or other  | 
		
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		F. | 
		Rodenticides, insecticides, and other control  | 
		
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		flying insects. | 
		3 | 
		
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		or eradication material including applicatory  | 
		
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		F. | 
		Exhaust fans not screened or equipped with self-closing | 
		
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		equipment not used in a safe acceptable manner. | 
		Critical | 
		
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		louvers. | 
		3 | 
		
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		G. | 
		Evidence that effective pest control not exercised | 
		
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		where needed. | 
		3 | 
		
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		| VI. | 
		WATER SUPPLY | 
		
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		H. | 
		Type of insecticides and rodenticides not in  | 
		
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		A. | 
		Lack of satisfactory evidence that the water supply is potable.  | 
		Critical | 
		
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		compliance with Federal Food and Drug  | 
		
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		B. | 
		Presence of a cross-connection between water lines and | 
		
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		Administration regulations. | 
		4 | 
		
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		sewage system (not allowed). | 
		Critical | 
		
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		I. | 
		Poisoned baits, if used, not adequately secured.  | 
		
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		| FORM FGIS 952 (7-02) (Replaces Form FGIS-952 (1-84).  Expires January 2015   | 
		
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		PAGE 2 OF 2 | 
	
	
		
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		Assigned | 
		Inspr's | 
		
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		Assigned | 
		
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		Inspr's | 
	
	
		| SANITARY DEFECTS | 
		
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		Defect | 
		Defect | 
		SANITARY DEFECTS | 
		
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		Defect | 
		
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		Defect | 
	
	
		
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		Points | 
		Points | 
		
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		Points | 
		
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		Points | 
	
	
		| XII. | 
		COOLING AND REFRIGERATION FACILITIES | 
		
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		XIV. | 
		PERSONNEL | 
		
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		A. | 
		Perishable supplies and products not adequately | 
		
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		A. | 
		Employees not wearing garments suitable for  | 
		
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		protected from contamination or from  | 
		
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		work being performed. | 
		4 | 
		
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		becoming spoiled. | 
		5 | 
		
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		B. | 
		Personnel in contact with unwrapped product or  | 
		
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		B. | 
		Storage areas not free of visible mold and   | 
		
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		ingredients not using proper headwear  | 
		
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		objectionable odors. | 
		3 | 
		
  | 
		
  | 
		
  | 
		including protection from facial hair. | 
		4 | 
		
  | 
		
  | 
	
	
		
  | 
		C. | 
		Storage area not reasonably clean. | 
		3 | 
		
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  | 
		C. | 
		Fingernail polish, costume jewelry, and    | 
		
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  | 
		
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  | 
		D. | 
		Where required refrigeration facilities not   | 
		3 | 
		
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		wrist watches worn by plant personnel  | 
		
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		properly cooling and keeping perishable | 
		
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		working on the processing line. | 
		3 | 
		
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		supplies and products at temperatures | 
		
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  | 
		
  | 
		D. | 
		Gloves, if worn, not kept in a sanitary condition. | 
		3 | 
		
  | 
		
  | 
	
	
		
  | 
		
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		not exceeding 45 degrees F. | 
		5 | 
		
  | 
		
  | 
		E. | 
		Storage of employees personal effects in  | 
		
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  | 
	
	
		
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		E. | 
		Adequate skids or pallets not used when  | 
		
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		production rooms. | 
		3 | 
		
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		needed. | 
		3 | 
		
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		F. | 
		Employees not washing hands after | 
		
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  | 
	
	
		
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		F. | 
		Items not stored in an orderly, easily    | 
		
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		contamination. | 
		
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		Critical | 
		
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		accessible manner in suitable, covered, or     | 
		
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		G. | 
		Failure of employees to be hygienically | 
		
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		3 | 
		
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		closed containers. | 
		3 | 
		
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		clean: fingernails not kept clean and  | 
		
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		trimmed. | 
		4 | 
		
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		| XIII. | 
		STORING AND STORAGE FACILITIES | 
		
  | 
		
  | 
		
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		H. | 
		Employees affected with or a carrier | 
		
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		A. | 
		Supplies and products not adequately  | 
		
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		of a communicable or infectious disease | 
		
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		protected from contamination nor | 
		
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		not excluded from product area. | 
		Critical | 
		
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		from becoming spoiled. | 
		5 | 
		
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		I. | 
		Plant employees having an infectious wound, sore,  | 
		
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		B. | 
		Storage areas not well ventilated and | 
		
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		or lesion on hands, arms, or other exposed parts of   | 
		
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		free from objectionable odors. | 
		3 | 
		
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		the body not excluded from contacting | 
		
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		ingredients, products, or product zone.   | 
		5 | 
		
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		C. | 
		Storage areas not clean and dry. | 
		3 | 
		
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		J. | 
		Plant personnel not instructed in  | 
		
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  | 
		D. | 
		Materials not stored in an orderly manner | 
		
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		acceptable hygienic practices and proper  | 
		
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		in suitable, covered, or closed containers.  | 
		3 | 
		
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		sanitary rules of food handling. | 
		5 | 
		
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		E. | 
		Supplies and product not protected  | 
		
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		K. | 
		Personnel not prohibited from    | 
		
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		against unfavorable temperatures and | 
		
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		expectorating, eating, or smoking   | 
		
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		humidity. | 
		3 | 
		
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		in product areas. | 
		5 | 
		
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		F. | 
		Adequate skids or pallets not used where | 
		
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		needed. | 
		3 | 
		
  | 
		     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 | 
		
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		| FORM FGIS 952 (7-02) Reverse   | 
		
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		PAGE 1 OF 2 | 
	
	
		
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		FORM APPROVED OMB NO. 0580-0013: According to the Paperwork Reduction Act of 1995, an agency may not 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 00580-0013.  The time required is estimated to average 1.5 hours per response and 1 minute of recordkeeping, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. | 
		
	
		
  | 
		SANITATION INSPECTION REPORT | 
		
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		(PROCESSED PRODUCTS)  | 
		
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		| SANITATION INSPECTION OF (Name and Address of Plant) | 
		INSPECTOR | 
		
	
		
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		DATE INSPECTED | 
		
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		| PLANT OWNED BY (Company or Individual) | 
		INSPECTOR ACCOMPANIED BY (Name and Title) | 
		
	
		
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		Assigned | 
		Inspr's | 
		
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		Assigned | 
		
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		Inspr's | 
	
	
		| SANITARY DEFECTS | 
		
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		Defect | 
		Defect | 
		SANITARY DEFECTS | 
		
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		Defect | 
		
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		Defect | 
	
	
		
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		Points | 
		Points | 
		
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		Points | 
		
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		Points | 
	
	
		| I. | 
		PREMISES  | 
		
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		A. | 
		Outside premises not well drained. | 
		3 | 
		
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		B. | 
		Outside premises not free of weeds, clutter,    | 
		
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		VII. | 
		DISPOSAL OF WASTES | 
		
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		unused equipment or other materials. | 
		3 | 
		
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		A. | 
		Garbage, trash, and dry waste materials, inside or | 
		
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		C. | 
		Waste not properly stored or contained. | 
		3 | 
		
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		outside the building, not satisfactorily contained.  | 
		4 | 
		
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		D. | 
		Outside premises not free of harborage or breeding | 
		
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		B. | 
		Waste is not disposed of frequently enough | 
		
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		places for insects, rodents, birds, or other animals.  | 
		4 | 
		
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		to prevent unsightliness or undesirable odors. | 
		4 | 
		
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		E. | 
		Approaches to docks not clean or treated to minimize  | 
		
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		dust. | 
		3 | 
		
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		VIII. | 
		TOILET, HAND-WASHING, AND DRESSING ROOM   | 
		
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		FACILITIES | 
		
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		| II. | 
		RAW MATERIALS | 
		
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		A. | 
		Toilet facilities not provided for each sex. | 
		3 | 
		
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		A. | 
		Raw materials used in the product not handled in a   | 
		
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		sanitary manner that would prevent adulteration of finished  | 
		
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		B. | 
		Toilets and urinals not water-flushed. | 
		3 | 
		
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		product. | 
		Critical | 
		
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		C. | 
		Toilet room(s) not equipped with self-closing  | 
		
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		doors. | 
		3 | 
		3 | 
		
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		| III. | 
		CONSTRUCTION OF BUILDING  | 
		
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  | 
		D. | 
		Toilet room(s) open directly into a processing  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		A. | 
		Plant construction does not exclude probable | 
		
  | 
		
  | 
		
  | 
		
  | 
		or food storage room where food is exposed. | 
		Critical | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		entrance of insects, rodents, birds or other animals. | 
		5 | 
		
  | 
		
  | 
		E. | 
		Cold and hot, water or tapped water not   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		B. | 
		Walls, partitions, ceilings, and exposed structural  | 
		
  | 
		
  | 
		
  | 
		
  | 
		provided at wash basins. | 
		3 | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		supports in poor repair. | 
		3 | 
		
  | 
		
  | 
		F. | 
		Hand cleaner and towels not provided at or  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		C. | 
		Floors not smooth and readily cleanable. | 
		3 | 
		
  | 
		
  | 
		
  | 
		near each basin. | 
		3 | 
		
  | 
		
  | 
	
	
		
  | 
		D. | 
		Floors that frequently get wet not constructed to  | 
		
  | 
		
  | 
		
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  | 
		
  | 
	
	
		
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		prevent pooling or are not kept dry. | 
		3 | 
		
  | 
		
  | 
		G.  | 
		Adequate hand-washing signs not posted. | 
		3 | 
		
  | 
		
  | 
	
	
		
  | 
		E. | 
		Exposed, unprotected overhead sewer lines present | 
		
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  | 
		
  | 
	
	
		
  | 
		
  | 
		in product lines. | 
		Critical | 
		
  | 
		
  | 
		H. | 
		Adequate dry waste receptacles not provided. | 
		5 | 
		
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  | 
	
	
		
  | 
		F. | 
		Wooden floors, where present, not coated with a suitable  | 
		
  | 
		
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  | 
	
	
		
  | 
		
  | 
		floor seal that effectively minimizes cracks and crevices. | 
		5 | 
		
  | 
		
  | 
		I. | 
		Toilet facilities not working. | 
		4 | 
		
  | 
		
  | 
	
	
		
  | 
		G. | 
		Walls not sealed at juncture with floor. | 
		3 | 
		
  | 
		
  | 
		J. | 
		Toilet and locker room not satisfactorily  | 
		
  | 
		
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  | 
	
	
		
  | 
		H. | 
		Walls and ceilings not free of flaked paint, nor in good repair.  | 
		
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  | 
		
  | 
		
  | 
		ventilated. | 
		5 | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		repair. | 
		3 | 
		
  | 
		
  | 
		K. | 
		Toilet and dressing rooms not kept in a clean  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
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  | 
		
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  | 
		
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  | 
		orderly condition. | 
		5 | 
		
  | 
		
  | 
	
	
		
  | 
		I. | 
		Windows not intact. | 
		3 | 
		
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  | 
	
	
		
  | 
		J. | 
		Entrances to production rooms not equipped with  | 
		
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  | 
	
	
		
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		self-closing doors nor provided with other effective means | 
		
  | 
		
  | 
		IX. | 
		CONSTRUCTION AND REPAIR OF EQUIPMENT | 
		
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  | 
	
	
		
  | 
		
  | 
		to prevent entrance of vermin. | 
		3 | 
		
  | 
		
  | 
		A. | 
		Equipment product contact surfaces not  | 
		
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  | 
		constructed of smooth, nontoxic, corrosion-   | 
		
  | 
		
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  | 
	
	
		
  | 
		K. | 
		Screen doors, where present, not self closing.   | 
		3 | 
		
  | 
		
  | 
		
  | 
		resistant, odorless, materials; wood, where used,   | 
		
  | 
		4 | 
		
  | 
	
	
		
  | 
		L. | 
		Utility rooms or areas, including boiler rooms and   | 
		
  | 
		
  | 
		
  | 
		
  | 
		not fine, close grained, high-density type.   | 
		5 | 
		
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  | 
	
	
		
  | 
		
  | 
		maintenance shop, not isolated enough or separated from | 
		
  | 
		
  | 
		
  | 
		B. | 
		Equipment product zone surfaces not free of | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		production rooms. | 
		4 | 
		
  | 
		
  | 
		
  | 
		cracks, crevices, pits, or other imperfections  | 
		
  | 
		
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  | 
	
	
		
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		(such as knots in wood). | 
		5 | 
		
  | 
		
  | 
	
	
		| IV. | 
		LIGHTING  | 
		
  | 
		
  | 
		
  | 
		C. | 
		Adequate space not allowed around equipment  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		A. | 
		Production rooms not adequately lighted (20-foot candles). | 
		3 | 
		
  | 
		
  | 
		
  | 
		for cleaning and inspection purposes. | 
		4 | 
		
  | 
		
  | 
	
	
		
  | 
		B. | 
		Places where detailed inspection of the product | 
		
  | 
		
  | 
		
  | 
		D. | 
		Equipment not designed to protect the product  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		or ingredients is required not adequately lighted | 
		
  | 
		
  | 
		
  | 
		
  | 
		zone against contamination or extraneous  | 
		
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  | 
	
	
		
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  | 
		(50-foot candles). | 
		4 | 
		
  | 
		
  | 
		
  | 
		material. | 
		5 | 
		
  | 
		
  | 
	
	
		
  | 
		C. | 
		Places where detailed inspection of the processes or  | 
		
  | 
		
  | 
		
  | 
		E. | 
		Equipment not free of parts or areas inaccessible | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		operations is required not adequately lighted   | 
		
  | 
		
  | 
		
  | 
		
  | 
		for cleaning and inspection purposes. | 
		4 | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		(50-foot candles).  | 
		3 | 
		
  | 
		
  | 
		F. | 
		Electrical system not constructed or positioned   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		to prevent insect harborage. | 
		3 | 
		
  | 
		
  | 
	
	
		
  | 
		D. | 
		Storage areas not adequately lighted (20-foot candles) | 
		3 | 
		
  | 
		
  | 
		G.  | 
		Equipment not kept in good repair. | 
		2 for each item not in good repair | 
		
  | 
		
  | 
	
	
		
  | 
		E. | 
		Toilets and dressing rooms not adequately lighted | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		(20-foot candles). | 
		3 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		F. | 
		Light bulbs, fixtures, skylights, or other glass suspended  | 
		
  | 
		
  | 
		X. | 
		CLEANING | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		over food in any stage of preparation not of a safety type | 
		
  | 
		
  | 
		
  | 
		A. | 
		Equipment not cleaned at frequencies necessary | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		or otherwise protected where essential to prevent  | 
		
  | 
		
  | 
		
  | 
		
  | 
		to prevent contamination of the product.  | 
		Critical | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		contamination of the product during production. | 
		5 | 
		
  | 
		
  | 
		B. | 
		A dust-free method of cleaning not used  | 
		
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  | 
	
	
		
  | 
		
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		whenever possible. | 
		3 | 
		
  | 
		
  | 
	
	
		| V. | 
		VENTILATION | 
		
  | 
		
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  | 
	
	
		
  | 
		A. | 
		Plant not reasonably free of undesirable odors, hot air  | 
		
  | 
		
  | 
		XI. | 
		CONTROL OF INSECTS AND ANIMALS | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		vapors, or dust. | 
		3 | 
		
  | 
		
  | 
		A. | 
		Presence of evidence of any rodents in plant. | 
		5 | 
		
  | 
		
  | 
	
	
		
  | 
		B. | 
		Evidence or presence of excessive condensate on walls, | 
		
  | 
		
  | 
		
  | 
		B. | 
		Presence of any birds or any other animals  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		ceilings, equipment, or pipelines. | 
		4 | 
		
  | 
		
  | 
		
  | 
		including domestic types in the plant. | 
		5 | 
		
  | 
		
  | 
	
	
		
  | 
		C. | 
		Areas where steam or hot air vapors are predominant not | 
		
  | 
		
  | 
		
  | 
		C. | 
		Presence of live insects in processing or product  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		effectively exhaust-ventilated. | 
		3 | 
		
  | 
		
  | 
		
  | 
		storage areas(two or more).  | 
		Critical | 
		
  | 
		
  | 
	
	
		
  | 
		D. | 
		Cooling and air-conditioning units not equipped with | 
		
  | 
		
  | 
		
  | 
		D. | 
		Presence of dead insects in processing equipment | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		filtering devices; filters not changed or cleaned when  | 
		
  | 
		
  | 
		
  | 
		
  | 
		(two or more). | 
		Critical | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		necessary. | 
		3 | 
		
  | 
		
  | 
		E. | 
		Presence of live or dead insects in other plant areas | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		E. | 
		Window openings to the outside not screened with 14-mesh | 
		
  | 
		
  | 
		
  | 
		
  | 
		(three or more). | 
		5 | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		or finer window screen (during presence of flies or other  | 
		
  | 
		
  | 
		
  | 
		F. | 
		Rodenticides, insecticides, and other control  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		flying insects. | 
		3 | 
		
  | 
		
  | 
		
  | 
		or eradication material including applicatory  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		F. | 
		Exhaust fans not screened or equipped with self-closing | 
		
  | 
		
  | 
		
  | 
		
  | 
		equipment not used in a safe acceptable manner. | 
		Critical | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		louvers. | 
		3 | 
		
  | 
		
  | 
		G. | 
		Evidence that effective pest control not exercised | 
		
  | 
		
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  | 
	
	
		
  | 
		
  | 
		
  | 
		
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  | 
		
  | 
		
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  | 
		where needed. | 
		3 | 
		
  | 
		
  | 
	
	
		| VI. | 
		WATER SUPPLY | 
		
  | 
		
  | 
		
  | 
		H. | 
		Type of insecticides and rodenticides not in  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		A. | 
		Lack of satisfactory evidence that the water supply is potable.  | 
		Critical | 
		
  | 
		
  | 
		
  | 
		compliance with Federal Food and Drug  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		B. | 
		Presence of a cross-connection between water lines and | 
		
  | 
		
  | 
		
  | 
		
  | 
		Administration regulations. | 
		4 | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		sewage system (not allowed). | 
		Critical | 
		
  | 
		
  | 
		I. | 
		Poisoned baits, if used, not adequately secured.  | 
		
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		5 | 
		
  | 
		
  | 
	
	
		| FORM FGIS 952 (7-02) (Replaces Form FGIS-952 (1-84)   | 
		
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		PAGE 2 OF 2 | 
		
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		Assigned | 
		Inspr's | 
		
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		Assigned | 
		
  | 
		Inspr's | 
		
  | 
	
	
		| SANITARY DEFECTS | 
		
  | 
		
  | 
		Defect | 
		Defect | 
		SANITARY DEFECTS | 
		
  | 
		
  | 
		Defect | 
		
  | 
		Defect | 
		
  | 
	
	
		
  | 
		Points | 
		Points | 
		
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		Points | 
		
  | 
		Points | 
		
  | 
	
	
		| XII. | 
		COOLING AND REFRIGERATION FACILITIES | 
		
  | 
		
  | 
		XIV. | 
		PERSONNEL | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		A. | 
		Perishable supplies and products not adequately | 
		
  | 
		
  | 
		
  | 
		A. | 
		Employees not wearing garments suitable for  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		protected from contamination or from  | 
		
  | 
		
  | 
		
  | 
		
  | 
		work being performed. | 
		4 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		becoming spoiled. | 
		5 | 
		
  | 
		
  | 
		B. | 
		Personnel in contact with unwrapped product or  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		B. | 
		Storage areas not free of visible mold and   | 
		
  | 
		
  | 
		
  | 
		
  | 
		ingredients not using proper headwear  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		objectionable odors. | 
		3 | 
		
  | 
		
  | 
		
  | 
		including protection from facial hair. | 
		4 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		C. | 
		Storage area not reasonably clean. | 
		3 | 
		
  | 
		
  | 
		C. | 
		Fingernail polish, costume jewelry, and    | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		D. | 
		Where required refrigeration facilities not   | 
		3 | 
		
  | 
		
  | 
		
  | 
		wrist watches worn by plant personnel  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		properly cooling and keeping perishable | 
		
  | 
		
  | 
		
  | 
		
  | 
		working on the processing line. | 
		3 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		supplies and products at temperatures | 
		
  | 
		
  | 
		
  | 
		D. | 
		Gloves, if worn, not kept in a sanitary condition. | 
		3 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		not exceeding 45 degrees F. | 
		5 | 
		
  | 
		
  | 
		E. | 
		Storage of employees personal effects in  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		E. | 
		Adequate skids or pallets not used when  | 
		
  | 
		
  | 
		
  | 
		
  | 
		production rooms. | 
		3 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		needed. | 
		3 | 
		
  | 
		
  | 
		F. | 
		Employees not washing hands after | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		F. | 
		Items not stored in an orderly, easily    | 
		
  | 
		
  | 
		
  | 
		
  | 
		contamination. | 
		
  | 
		
  | 
		
  | 
		Critical | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		accessible manner in suitable, covered, or     | 
		
  | 
		
  | 
		
  | 
		G. | 
		Failure of employees to be hygienically | 
		
  | 
		3 | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		closed containers. | 
		3 | 
		
  | 
		
  | 
		
  | 
		clean: fingernails not kept clean and  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		trimmed. | 
		4 | 
		
  | 
		
  | 
		
  | 
	
	
		| XIII. | 
		STORING AND STORAGE FACILITIES | 
		
  | 
		
  | 
		
  | 
		H. | 
		Employees affected with or a carrier | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		A. | 
		Supplies and products not adequately  | 
		
  | 
		
  | 
		
  | 
		
  | 
		of a communicable or infectious disease | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		protected from contamination nor | 
		
  | 
		
  | 
		
  | 
		
  | 
		not excluded from product area. | 
		Critical | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		from becoming spoiled. | 
		5 | 
		
  | 
		
  | 
		I. | 
		Plant employees having an infectious wound, sore,  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		B. | 
		Storage areas not well ventilated and | 
		
  | 
		
  | 
		
  | 
		
  | 
		or lesion on hands, arms, or other exposed parts of   | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		free from objectionable odors. | 
		3 | 
		
  | 
		
  | 
		
  | 
		the body not excluded from contacting | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		ingredients, products, or product zone.   | 
		5 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		C. | 
		Storage areas not clean and dry. | 
		3 | 
		
  | 
		
  | 
		J. | 
		Plant personnel not instructed in  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		D. | 
		Materials not stored in an orderly manner | 
		
  | 
		
  | 
		
  | 
		
  | 
		acceptable hygienic practices and proper  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		in suitable, covered, or closed containers.  | 
		3 | 
		
  | 
		
  | 
		
  | 
		sanitary rules of food handling. | 
		5 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		E. | 
		Supplies and product not protected  | 
		
  | 
		
  | 
		
  | 
		K. | 
		Personnel not prohibited from    | 
		
  | 
		
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		against unfavorable temperatures and | 
		
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		expectorating, eating, or smoking   | 
		
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		humidity. | 
		3 | 
		
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		in product areas. | 
		5 | 
		
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		F. | 
		Adequate skids or pallets not used where | 
		
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		needed. | 
		3 | 
		
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		     TOTAL…………………………………………………………………… | 
		
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		| Plant operations are considered to be unsanitary if one or more critical defects are found or if the plant receives a score of 76 or higher. | 
		
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		| When Section XII, "Cooling and Refrigeration Facilities" is not applicable, the plant must have a score of 54 or higher.   | 
		
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		| REMARKS | 
		
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		| FORM FGIS 952 (7-02) Reverse   | 
		
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