Food Supplier HACCP: Ingredient/Packaging Assessment

Form Template

The Food Supplier HACCP: Ingredient/Packaging Assessment mobile app allows you to replace your paper assessment with a smartphone, tablet or computer.

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The mobile form includes fields to document items such as RM number, ingredient name, storage condition, significant risk and control mechanisms. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your food manufacturing records. You can also use the App Builder to personalize and customize this mobile form. The purpose of the app is to identify biological, physical, and chemical hazards that may be introduced by ingredients, ingredient packaging materials, rework or finished product contact packaging materials, and to determine the control mechanisms for the identified hazards. Note: Listing of control mechanisms for biological, physical, and chemical hazards is optional on Form C if Form F (Product / Process Hazard Evaluation Summary) is completed. List the Raw Material (RM) number. The ingredient list shall include all raw materials, processing aids, rework, packaging materials in direct contact with finished product, or finished product non-contact packaging materials that will become contact packaging materials during consumer use (i.e. resealable lids for multiple use containers, drinking straws for RTD pouches, eating utensils built into lidding material). Fully describe the name or type of material, for example, starch is corn starch. List carriers for flavors, for example lactose; propylene glycol; ethyl alcohol; corn maltodextrin; salt; refined, bleached, and deodorized cottonseed oil. List the storage condition, for example, A=ambient, R=refrigerated, F=frozen. Describe the hazards and assess the severity and likelihood of occurrence (significance) for each hazard. Describe the rationale behind the decision for each hazard, and determine the control mechanism(s). Determine if the control mechanism(s) shall be a Critical Control Point (CCP) or Prerequisite Program (PP). Do not leave any sections blank. List “NA” (not applicable) if appropriate and avoid the use of acronyms (e.g. CMC is carboxymethyl cellulose).

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