RFP 4001 - Attachment F - GAP Equivalent Form.pdf

City: State: Zip:

City: State: Zip:

Fax:

Time:

Travel Time (hours)

USDA or Fed-State Office performing audit:

Arrival Date:

Departure Date:

USDA Good Agricultural Practices Good Handling Practices Audit Verification Checklist

This program is intended to assess a participant’s efforts to minimize the risk of contamination of fresh fruits, vegetables, nuts and miscellaneous commodities by microbial pathogens based on the U.S. Food and Drug Administration’s “Guide to Minimize Microbial Food Safety Hazards for Fresh Fruits and Vegetables,” and generally recognized good agricultural practices.

Firm Name:

Contact Person:

E-mail:

Telephone No:

Audit Site Address:

Mailing Address:

Auditor(s) (list all auditors with the lead listed first):

Person(s) Interviewed:

Time:

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

September 18, 2014 Version 1.2

Audit Scope: (Please check all scopes audited)

Yes

Yes No

No

Is there a floor plan of the packing house facility(s) indicating flow of product, storage areas, cull areas, employee break rooms, restrooms, offices?

Is there a map that accurately represents the farm operations?

N/A

NoYes

Are all crop production areas located on this audit site?

Does the company have more than one packing facility?

Yes

Total acres farmed (Owned, leased/rented, contracted, consigned):

Did the auditee participate in GAP & GHP training?

Commodities:

General Questions (All audits must begin with and pass this portion)

Part 4 – Storage and Transportation…………………………………………………...……

Part 3 - House Packing Facility………………………………………………………………

Part 7 – Preventive Food Defense Procedures.………………………….…………...….

Part 6 – Wholesale Distribution Center/Terminal Warehouse.…………………………

Part 1 – Farm Review…………………………………………………………………………..

Part 5 – (Not Used)

Part 2 - Field Harvest and Field Packing Activities…………………………………...……

N/A

Yes

Yes

Is any product commingled prior to packing?

N/A

N/ANo

Legal Description/GPS/Lat.&Long. of Location:

No

No

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

• The "Doc" column:

• For clarification and guidance in answering these questions, please refer to the Good Agricultural Practices & Good Handling Practices Audit Verification Program Policy and Instruction Guide.

• Place the point value for each question in the proper column (Yes, No, or N/A).

A "D" indicates that a document(s) is required to show conformance to the question. A document may be a combination of standard operating procedures outlining company policy as well as a record indicating that a particular action was taken.

• Any “N/A” or “No” designation must be explained in the comments section.

• Gray boxes in the “N/A” column indicate that question cannot be answered “N/A”.

A "P" indicates that a policy/standard operating procedure (SOP) must be documented in the food safety plan in order to show conformance to the question.

A "R" indicates that a record is required to be kept showing an action was taken.

or may jeopardize the safety of the produce.

• Falsification of records.

• Answering of Questions P1 or P2 as “NO”.

Auditor Completion Instructions contaminated.

• The presence or evidence of rodents, an excessive amount of insects or other pests in the produce during packing, processing or storage.

• Observation of employee practices (personal or hygienic) that have jeopardized packed or held under conditions that promote or cause the produce to become

• An immediate food safety risk is present when produce is grown, processed, Conditions Under Which an Automatic "Unsatisfactory" Will be Assessed

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

USDA Good Agricultural Practices and Good Handling Practices Audit Verification Checklist

Points Yes NO N/A Doc

Name

Points Yes NO N/A Doc

Points Yes NO N/A Doc G-3 10 R

All toilet/restroom/field sanitation facilities are serviced and cleaned on a scheduled basis.

10 R

The operation has designated someone to implement and oversee an established food

Questions

G-8 washing their hands before beginning or

Questions

Questions G-1 been established.

G-7

Traceability that was proven to be effective.

A documented traceability program has

The operation has performed a "mock recall" G-2 10 R

DG-5 15

All employees and all visitors to the location are

D

Employees who handle or package produce are returning to work.

General Questions

D A documented food safety program that incorporates GAP and/or GHP has been implemented.

G-9 use towels, toilet paper, hand soap or anti-clean. They are properly supplied with single All toilet/restroom/field sanitation facilities are bacterial soap, and potable water for hand washing.

Worker Health & Hygiene

G-4

P-2

P-1

G-6

G-10

Implementation of a Food Safety Program

P

D beginning or returning to work.

safety program.

Potable water is available to all workers.

Training on proper sanitation and hygiene practices is provided to all staff.

instruct employees to wash their hands before Readily understandable signs are posted to

Employees and visitors are following good hygiene/sanitation practices.

practices.

required to follow proper sanitation and hygiene

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Questions specify handling/disposition of produce or food contact surfaces that have come into contact with blood or other bodily fluids.

G-14 abrasions and other injuries.

Workers are instructed to seek prompt treatment with clean first aid supplies for cuts, G-11 Smoking and eating are confined to designated areas separate from where product is handled.

non-regulated materials have been trained on

P5

COMMENTS:

R

Company personnel or contracted personnel that apply regulated pre-harvest and/or post

G-15 harvest materials are licensed. Company personnel or contracted personnel applying its proper use.

P15

G-13 There is a policy describing procedures which

G-12 Workers with diarrheal disease or symptoms of other infectious diseases are prohibited from handling fresh produce.

P

P15

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

= 180

Pass (please mark one)

Multiply the Adjusted Total by .8 and show it as the Passing Score

Adjusted Total

X .8 (80%)

Passing Score

Subtract the N/A points from the Total possible points

Enter the additive number of N/A points (+points) here.

For further information regarding the USDA GAP & GHP Audit Program, please contact:

USDA Fruit and Vegetable Program, Specialty Crops Inspection Division, Audit Services Branch at 202-720-5021, or FVAudits@ams.usda.gov

This program is intended to assess a participant’s efforts to minimize the risk of contamination of fresh fruits, vegetables, nuts and miscellaneous commodities by microbial pathogens based on the U.S. Food and Drug Administration’s “Guide to Minimize Microbial Food Safety Hazards for Fresh Fruits and Vegetables,” and generally recognized good agricultural practices.

Fail

Total Points earned for General Questions =

Total Possible

Subtract "N/A"

The total number of points possible for this section.

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

(1-1)

(1-2)

Points Yes NO N/A Doc

Points Yes NO N/A Doc

Points Yes NO N/A Doc Crop production areas are not located near or adjacent to dairy, livestock, or fowl production facilities unless adequate barriers exist.

Sewage Treatment

1-4

Questions 1-8

Questions

1-7

1-6

1-5

Animals/Wildlife/Livestock

1-9

Part 1 - Farm Review

Water Usage What is the source of irrigation water? (Pond, Stream, Well, Municipal, Other)

15 D

How are crops irrigated? (Flood, Drip, Sprinkler, Other) Please specify:

1-3 15 D

Questions

Please specify:

Manure lagoons located near or adjacent to crop production areas are maintained to prevent leaking/overflowing, or measures have been taken to stop runoff from contaminating the crop production areas.

The farm sewage treatment system/septic system is functioning properly and there is no evidence of leaking or runoff.

There is no municipal/commercial sewage treatment facility or waste material landfill adjacent to the farm.

A water quality assessment has been performed to determine the quality of water used for irrigation purpose on the crop(s) being applied.

A water quality assessment has been performed to determine the quality of water use for chemical application or fertigation method.

If necessary, steps are taken to protect irrigation water from potential direct and non-point source contamination.

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

1-17 5

Raw manure is not used on commodities that are harvested within 120 days of planting.

If both raw and treated manure are used, the treated manure is properly treated, composted or exposed to reduce the expected levels of pathogens.

Manure is properly stored prior to use.

1-15

Option A. Raw manure or a combination of raw and composed manure is

1-10

1-11

Questions crop irrigation water.

presence or signs of wild or domestic animals the entering the land.

Crop production areas are monitored for the

Manure stored near or adjacent to crop production areas is contained to prevent contamination of crops.

Measures are taken to restrict access of livestock to the source or delivery system of

1-12

Please choose one of the following options as it relates to the farm operations:

1-14

R

Measures are taken to reduce the opportunity for wild and/or domestic animals from entering crop production areas.

Only answer the following manure questions (questions 1-14 to 1-22) that are assigned to the Option chosen above. DO NOT answer the questions from the other

R 1-13 total 190 points, and answering questions from the other two options will cause the soil amendments.

Option C. No manure or municipal biosolids of any kind are used as soil amendments.

used as a soil amendment.

two options. The points from the manure and municipal biosolids are worth 35 of a

R

Option A: Raw Manure

Option B. Only composted manure/treated municipal biosolids are used as

Manure and Municipal Biosolids points to calculate incorrectly.

When raw manure is applied, it is incorporated at least 2 weeks prior to planting or a minimum of 120 days prior to harvest.

R

1-16

R

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

Points Yes NO N/A Doc

Points Yes NO N/A Doc measures have been taken to mitigate the known risks and soils have been tested for

A previous land use risk assessment has been performed.

When previous land use history indicates a

Soils

Questions possibility of contamination, preventative

1-21 5 R

1-22

P

Analysis reports are available for composted manure/treated biosolids.

Option C: No Manure/Biosolids Used No animal manure or municipal biosolids are used.

Composted manure and/or treated biosolids are properly treated, composted, or exposed to environmental conditions that would lower the expected level of pathogens.

Composted manure and/or treated biosolids are properly stored and are protected to minimize

Only composted manure and/or treated biosolids are used as a soil amendment.

Option B: Composted Manure

Traceability

R

R

1-19

R

D enable traceability in the event of a recall.

Questions

1-23

1-24

1-25

1-26 subjected to flooding are tested for potential microbial hazards.

Each production area is identified or coded to

COMMENTS:

R contaminants and the land use is commensurate with test results.

Crop production areas that have been

R

1-20

1-18 recontamination.

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

= 190

Pass

Subtract "N/A" Enter the additive number of N/A points (+points) here.

Adjusted Total Subtract the N/A points from the Total possible points

X .8 (80%) Multiply the Adjusted Total by .8 and show it as the Passing Score

Passing Score

Total Points earned for Farm Review =

Total Possible The total number of points possible for this section.

and Drug Administration’s “Guide to Minimize Microbial Food Safety Hazards for Fresh Fruits and Vegetables,” and generally recognized good agricultural practices.

Fail (please mark one)

This program is intended to assess a participant’s efforts to minimize the risk of contamination of fresh fruits, vegetables, nuts and miscellaneous commodities by microbial pathogens based on the U.S. Food

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

Questions

Questions possible sources of crop contamination are major spill or leak of field sanitation units or scheduled basis and kept as clean as

P

The number, condition, and placement of field available for all workers.

units are not required), a toilet facility is readily 10

Part 2 - Field Harvest and Field Packing Activities

Field Sanitation and Hygiene

2-7

D

2-2

2-3

2-4

When question 2-2 is answered "N/A" (sanitation

2-5

Field sanitation units are located in a location and/or federal regulations.

sanitation units comply with applicable state

A response plan is in place for the event of a servicing.

contamination and are directly accessible for that minimizes the potential risk for product toilet facilities.

Field Harvesting and Transportation

2-6 product are cleaned and/or sanitized on a vehicles that come in direct contact with All harvesting containers and bulk hauling

2-8

2-9

2-10 practicable.

scheduled basis.

(knives, pruners machetes, etc.) are kept as All hand harvesting equipment and implements disposed of.

Damaged containers are properly repaired or repair.

comes into contact with product is in good Harvesting equipment and/or machinery which or fields in the case of breakage.

are protected so as not to contaminate produce Light bulbs and glass on harvesting equipment clean as practical and are disinfected on a D

D

2-1 A documented pre-harvest assessment is made on the crop production areas. Risks and noted and assessed.

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc operations are properly stored and protected 2-20

2-21 Product moving out of the field is uniquely 10 D a recall.

Packing materials used in ranch or field pack from contamination.

Questions

R Water applied to harvested product is microbially safe.

remove foreign objects such as glass, metal, 2-11

2-12

P

P

There is a standard operating procedure or operations.

possible contamination during harvesting in the case of glass/plastic breakage and instructions on what measures should be taken

2-13

2-14

2-15

2-16

2-17

2-18 contaminating factors.

chemicals, petroleum, pesticides or other in the case of product contamination by instructions on what measures should be taken There is a standard operating procedure or

Transportation equipment used to move rocks, or other dangerous/toxic items.

are taken during harvest to inspect for and For mechanically harvested product, measures are instructed in this policy.

5 P during the harvest season, and farm workers for carrying or storing non- produce items Harvesting containers, totes, etc. are not used moved from field to storage areas or processing implemented that harvested product being There is a policy in place and has been contact with product is clean and in good repair.

during harvest.

dirt and mud from product and/or containers Efforts have been made to remove excessive areas to processing plant which comes into product from field to storage areas or storage

5 P identified to enable traceability in the event of plants are covered during transportation.

2-19 In ranch or field pack operations, only new or

10 D product.

sanitized containers are used for packing the

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

= 185

Pass

This program is intended to assess a participant’s efforts to minimize the risk of contamination of fresh

Total Points earned for Field Harvesting & Field Packaging =

Total Possible The total number of points possible for this section.

Adjusted Total Subtract the N/A points from the Total possible points fruits, vegetables, nuts and miscellaneous commodities by microbial pathogens based on the U.S. Food and Drug Administration’s “Guide to Minimize Microbial Food Safety Hazards for Fresh Fruits and Vegetables,” and generally recognized good agricultural practices.

X .8 (80%) Multiply the Adjusted Total by .8 and show it as the Passing Score

Passing Score

Fail (please mark one)

COMMENTS:

Subtract "N/A" Enter the additive number of N/A points (+points) here.

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

USDA Good Agricultural Practices Good Handling Practices

Points Yes NO N/A Doc

Points Yes NO N/A Doc

R sanitary conditions.

manufactured, transported and stored under Any ice used for cooling produce is

R10 3-11

Part 3 - HOUSE PACKING FACILITY

Receiving

3-1 protected from possible contamination.

a staging area prior to packing or processing is Product delivered from the field which is held in

Questions

3-2

Washing/Packing Line

3-3 R contamination.

and/or handled in order to reduce possible Prior to packing, product is properly stored potable.

Source water used in the packing operation is Questions

3-4

3-5

3-6

3-7 reduce microbial contamination.

Processing water is sufficiently treated to cleaned and/or sanitized on a scheduled basis.

water used in dump tanks, flumes, etc., is If applicable, the temperature of processing appropriate for the commodity.

monitored and is kept at temperatures flumes, wash tanks and hydro coolers, are Water-contact surfaces, such as dump tanks, demonstrated it is appropriate for the product.

exposure time is monitored and the facility has Water treatment (strength levels and pH) and cleaning logs are maintained.

Food contact surfaces are in good condition;

3-9

3-8 of contamination.

Product flow zones are protected from sources is potable.

cleaned and/or sanitized prior to use and

3-10 The water used for cooling and/or making ice

D10

D

15 D

D

10 D

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

3-20 5

3-22 5 lubricants are used in the packing from packing area.

break areas, etc.) are clean and located away

When there is a written policy regarding the use

Packing House Worker Health & Hygiene

3-12 Employee facilities (locker rooms, lunch and Questions

Questions 3-15

3-13

3-14

Only food grade approved and labeled

P being followed by all employees and visitors.

wearing of jewelry in the production area, it is When there is a written policy regarding the is being followed by all employees and visitors.

of hair nets/beard nets in the production area, it and debris.

The plant grounds are reasonably free of litter equipment/machinery.

3-19

3-21

3-18

Packing House General Housekeeping

P5

R

3-23

3-24

3-25 food handling operations, are clean.

Pipes, ducts, fans and ceilings which are over contained in case of breakage.

standing water.

The plant grounds are reasonably free of reasonably clean.

entrances and the area around such sites is closed or are located away from packing facility Outside garbage receptacles/dumpsters are

Packing facilities are enclosed.

3-16

3-17 stored and segregated away from packing area.

Chemicals not approved for use on product are maintained in an orderly manner.

The packing facility interior is clean and

Floor drains appear to be free of obstructions.

Glass materials above product flow zones are contaminating any food handling area by Possible wastewater spillage is prevented from with the floor.

There is a policy describing procedures which

P

3-26 barriers, drains, or a sufficient distance.

specify handling/disposition of finished product that is opened, spilled, or comes into contact

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

Points Yes NO N/A Doc

COMMENTS:

Questions 3-27 for packing the product.

Only new or sanitized containers are used

D for the facility.

There is an established pest control program

3-29 Packing containers are properly stored and and other pests).

3-28 Pallets and containers are clean and protected from contamination (birds, rodents, Pest Control

3-30 Measures are taken to exclude animals or

3-31 10 D in good condition.

D pests from packing and storage facilities.

Questions

3-32 Service reports for the pest control program 5 R are available for review.

Questions

Traceability

3-33 Interior walls, floors and ceilings are well 5maintained and are free of major cracks and crevices.

3-34 Records are kept recording the source of

10 D incoming product and the destination of enable traceability.

outgoing product which is uniquely identified to

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

= 290

Pass fruits, vegetables, nuts and miscellaneous commodities by microbial pathogens based on the U.S. Food and Drug Administration’s “Guide to Minimize Microbial Food Safety Hazards for Fresh Fruits and Vegetables,” and generally recognized good agricultural practices.

Passing Score

Fail (please mark one)

This program is intended to assess a participant’s efforts to minimize the risk of contamination of fresh

Total Possible The total number of points possible for this section.

Subtract "N/A" Enter the additive number of N/A points (+points) here.

Adjusted Total Subtract the N/A points from the Total possible points

X .8 (80%) Multiply the Adjusted Total by .8 and show it as the Passing Score

Total Points earned for House Packing Facility =

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

4-4 Storage grounds are reasonably free of litter

4-5

4-6 contamination (birds, rodents, pests, and other which is opened, spilled, or comes into contact P specify handling/disposition of finished product

Part 4 - STORAGE AND TRANSPORTATION

Product, Containers & Pallets

4-1

The storage facility is cleaned and maintained in an orderly manner.

Questions

Bulk storage facilities are inspected for foreign free of standing water.

Floors in storage areas are reasonably contaminating any food handling area by Possible wastewater spillage is prevented from and debris.

R5 and are protected from external contamination.

maintained and sufficiently sealed or isolated material prior to use and records are maintained.

4-2

4-3 Storage rooms, buildings, and/or facilities are barriers, drains, or sufficient distance.

4-7 There is a policy describing procedures which with the floor.

4-11 Non-food grade substances such as paints, 10lubricants, pesticides, etc., are not stored in close proximity to the product.

4-8 Packing containers are properly stored and sufficiently sealed, to be protected from contaminants).

4-10 Product stored outside in totes, trucks, bins, 10other containers or on the ground in bulk is covered and protected from contamination.

4-9 Pallets, pallet boxes, tote bags, and portable 5bins, etc. are clean, in good condition and do not contribute foreign material to the product.

4-12 Mechanical equipment used during the storage 5 Dprocess is clean and maintained to prevent contamination of the product.

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

Points Yes NO N/A Doc

P contaminating products.

and conveyances to maintain a specified P temperature(s) during transit.

Questions

4-17 come in contact with produce.

4-20 Thermometer(s) are checked for accuracy and records are available for review.

There is an established pest control program available for review.

Service reports for the pest control program are crevices.

maintained and are free of major cracks and Interior walls, floors, and ceilings are well-

Transportation

4-24

4-25 Produce items are not loaded with potentially

R potable.

Questions

Ice & Refrigeration

D

D

4-23

The water used for cooling and/or making ice is stored below.

Iced product does not drip on pallets of produce

4-22 Refrigeration equipment (condensers, fans, etc.)

4-15

4-16

R

Pest Control

4-13

4-14 from storage facilities.

Measures are taken to exclude animals or pests for the facility.

D10

10 D is cleaned on a scheduled basis.

4-18 Manufacturing, storage, and transportation

4-21 Refrigeration system condensation does not

4-19 Climate-controlled rooms are monitored for dirt/debris.

product.

Conveyances are loaded to minimize damage to required to be clean, in good physical condition, 4-26 Company has a written policy for transporters

Questions free from disagreeable odors, and from obvious

Prior to the loading process, conveyances are

5 P

P

4-27

D temperature and logs are maintained.

10 Rfacilities used in making and delivering ice used for cooling the product have been sanitized.

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

COMMENTS:

4-28

4-29 of hair/beard nets in the storage and from storage, shipping, and receiving areas.

break areas, etc.) are clean and located away

4-30 affected employees and visitors.

When there is a written policy regarding the use affected employees and visitors.

wearing of jewelry in the storage and When there is a written policy restricting the

Employee facilities (locker rooms, lunch and Questions transportation areas, it is being followed by all transportation areas, it is being followed by all

Worker Health and Personal Hygiene

P

P

Traceability

4-31 Records are kept regarding the source of

10 D incoming product and the destination of to enable traceability.

Questions outgoing product which is uniquely identified

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

= 255

Pass

X .8 (80%) Multiply the Adjusted Total by .8 and show it as the Passing Score

Passing Score

Vegetables,” and generally recognized good agricultural practices.

Fail (please mark one)

This program is intended to assess a participant’s efforts to minimize the risk of contamination of fresh fruits, vegetables, nuts and miscellaneous commodities by microbial pathogens based on the U.S. Food and Drug Administration’s “Guide to Minimize Microbial Food Safety Hazards for Fresh Fruits and

Total Possible The total number of points possible for this section.

Subtract "N/A" Enter the additive number of N/A points (+points) here.

Adjusted Total Subtract the N/A points from the Total possible points

Total Points earned for Storage & Transportation =

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

6-12 10 R

6-6 potentially contaminating products.

are loaded with or are not protected from Company does not accept produce items that

Part 6-Wholesale Distribution Center/Terminal Warehouses

Receiving

6-1 D

6-2

P required to have passed a third party audit All companies that supply fresh produce are at time of unloading.

obvious objectionable odors, dirt and/or debris

P of receiving.

The company has a written policy regarding the

Storage Facility/Temperature Control

P

6-3

6-4 R

6-5 verification of GAP and/or GHP.

clean, in good physical condition and free from Upon receiving, conveyances are required to be

Refrigerated commodities are monitored for temperatures at the time of receiving.

disposition of product when temperatures are temperature and logs are maintained.

Refrigerated rooms are monitored for6-7

6-14 with the floor.

specify handling/disposition of finished product There is a policy describing procedures which

6-11

6-13 records are available for review.

Thermometer(s) are checked for accuracy and6-8

6-9

6-10 Refrigeration equipment (condensers, fans, D

D etc.) is cleaned on a scheduled basis.

D come into contact with produce.

Refrigeration system condensation does not

D

P

The water used for cooling/ice is potable.

Questions

Questions not within the company's guidelines at the time for cooling the product are sanitized on a which is opened, spilled, or comes into contact scheduled basis.

facilities used in making and delivering ice used produce stored below.

Iced product does not drip on pallets of

Manufacturing, storage, and transportation orderly manner.

The facility is clean and maintained in an

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

6-20 5 6-21 5

Points Yes NO N/A Doc

YES

6-15

6-16

6-18

6-19

6-22 lubricants, pesticides, etc., are not stored in distance.

6-23 close proximity to the product.

Non-food grade substances such as paints, are reasonably clean.

Pipes, ducts, fans, and ceilings in the facility

The facility is enclosed.

reasonably clean.

entrances and the area around such sites is

6-24 water.

The grounds are reasonably free of standing

Floor drains appear to be free of obstructions.

Interior walls, floors and ceilings are well-

Measures are taken to exclude animals or pests from the facility.

Service reports for the pest control program for the facility.

There is an established pest control program maintained and free of major cracks and are available for review.

Product flow zones are protected from sources

Pest Control debris.

Glass materials above product flow zones are of contamination.

closed or are located away from facility Outside garbage receptacles/dumpsters are

If the answer to question 6-29 is YES, answer questions 6-30 through 6-41. If the answer for question 6-29 is NO, then questions 6-30 through 6-41 are answered N/A.

crevices.

D

R

D

6-25

6-26

6-27 contained in case of breakage.

The grounds are reasonably free of litter and

6-17

Questions

Questions

(6-29) Does the facility repack and/or recondition product?

NO (please mark one)

Possible wastewater spillage is prevented from contaminating any food storage or handling area by barriers, drains, or a sufficient

Repacking/Reconditioning

6-28

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc good condition.

of hair nets/beard nets in the facility, it is being

6-42

6-43

6-41 and other pests, etc.).

Packing containers are properly stored and

6-32 Source water used in the repacking operation 15 R is potable.

Worker Health and Personal Hygiene

6-35 If applicable, the temperature of processing

10 D water used in dump tanks, flumes, etc., is appropriate for the commodity.

monitored and is kept at temperatures

6-40

Questions facility.

6-30 P5confined to an established location in the

Repacking/reconditioning processes are

6-31 15 Dcleaned and/or sanitized prior to use and

Food contact surfaces are in good condition;

cleaning logs are maintained.

6-33

6-34

6-36

6-37

6-38

6-39 product repacking.

Only new or sanitized containers are used for reduce microbial contamination.

Processing water is sufficiently treated to for product.

exposure time is monitored and is appropriate Water treatment (strength levels and pH) and sanitary conditions.

manufactured, transported and stored under Any ice used for cooling produce is potable.

Water used for chilling and/or to make ice is

D

D

R

R

D

P equipment/machinery.

lubricants are used in the repacking Only food grade approved and labeled

Pallets and other containers are clean and in

Employee facilities (locker rooms, lunch and protected from contamination (birds, rodents, Questions from repack and storage area.

break areas, etc.) are clean and located away followed by all affected employees and visitors.

When there is a written policy regarding the use P

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Points Yes NO N/A Doc

Points Yes NO N/A Doc required to be clean, in good physical condition, free from disagreeable odors and from obvious

Traceability

6-48 Records are kept recording the source of

10 D incoming product and the destination of enable traceability.

6-44

6-45

P

Prior to the loading process, conveyances are

P 6-46 dirt/debris.

contaminating products.

Produce items are not loaded with potentially

Questions

P 6-47 temperature(s) range during transit.

and conveyances to maintain a specified Company has a written policy for transporters

Questions outgoing product which is uniquely identified to

Questions

COMMENTS:

Shipping/Transportation

P followed by all affected employees and visitors.

wearing of jewelry in the facility, it is being When there is a written policy restricting the

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

= 410

Pass

Total Points earned for Wholesale Distribution Center/Terminal Warehouse =

Total Possible The total number of points possible for this section.

Subtract "N/A" Enter the additive number of N/A points (+points) here.

This program is intended to assess a participant’s efforts to minimize the risk of contamination of fresh fruits, vegetables, nuts and miscellaneous commodities by microbial pathogens based on the U.S. Food and Drug Administration’s “Guide to Minimize Microbial Food Safety Hazards for Fresh Fruits and Vegetables,” and generally recognized good agricultural practices.

Adjusted Total Subtract the N/A points from the Total possible points

X .8 (80%) Multiply the Adjusted Total by .8 and show it as the Passing Score

Passing Score

Fail (please mark one)

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

Name:

visitors display a decal or placard issued by

Staff access in the facility is limited to the area an employee.

D

Parked vehicles belonging to employees and items into the handling or storage areas.

D

Staff is prohibited from bringing personal they are assigned to.

should be on the premises, and the area 5 the facility.

D

Management is aware of which employee

Visitors are prohibited from the

D

7-4

7-11

7-5

7-6

7-9

7-10

7-7

7-8 of their job function and unrestricted areas.

Part 7 - Preventive Food Defense Procedures Based on the U.S. Food and Drug Administration’s Food Producers, Processors, and Transporters:

Secure Employee/Visitor Procedures

7-1 problems/issues.

Name of management representative:

they should contact about potential security

Food Security Preventive Measure Guidance for Industry.

Questions

7-2

7-3

5 D

D

D

D proof of identity) and out, when Visitors are required to check in (showing packing/storage areas unless accompanied by inspection.

vehicles to and from the site are subject to Incoming and outgoing employee and visitor

The company has a documented food defense before admittance to the facility.

The purpose of visitation to site is verified

Food defense training has been provided to all employees.

oversee it.

plan and a person has been designated to

Employees are aware of whom in management entering/leaving the facility.

D

7-12 enforced.

employees has been established and is A system of positive identification of

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

7-22 5 7-23 5

7-25 5

7-28 5 D

D

Secure Facility Procedures

7-13

7-14 termination of employment.

are collected from employees prior to the Uniforms, name tags, or identification badges packing/storage facilities.

Questions

7-16

7-17

D

The mailroom is located away from the

7-15 personnel.

Computer access is restricted to specific

A system of traceability of computer transactions has been established.

7-18

D

D

D

7-19

7-20 been established for all employees.

A minimum level of background checks has terrorist activity.

performed for signs of tampering, criminal or Routine security checks of the premises are

7-26

D5 doors, windows, and other points of entry.

Checklists are used to verify the security of other deterrent.

Perimeter of facility is secured by fencing or

5 D

D5

7-29

7-27

7-24 for.

All keys to the establishment are accounted

Delivery schedules have been established.

supervised.

The off-loading of incoming materials is rejecting deliveries.

7-21

Unauthorized deliveries are not accepted.

for reuse.

unless they are sanitized containers intended (empty) containers for packing of product The company does not accept returned

The organization has an established policy for that are not being used are kept locked.

Storage or vehicles/containers/trailers/railcars

The facility has an emergency lighting system.

The facility is enclosed.

D

7-32 with at least one backup, who are responsible The company has identified the individual(s), 7-30 product returned to the facility for tampering.

The facility has a program in place to inspect for recalling the product.

D

D recall of product to the facility.

The company has performed a successful mock

7-31

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Points Yes NO N/A Doc

D

Questions

D

States is segregated from domestic product.

Product imported from outside the United contamination.

segregated from products to avoid cross segregation charts are in a secure location.

D

7-35 Floor plans, product flow plans, and/or

D

Allergens handled by the facility are

7-33

7-36 The organization has registered with the FDA

7-34

COMMENTS:

not record the number on checklist).

and has been issued a registration number (do 5

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

= 180

Pass Fail (please mark one)

Adjusted Total Subtract the N/A points from the Total possible points

Total Points earned for Preventative Food Defense Procedures =

X .8 (80%) Multiply the Adjusted Total by .8 and show it as the Passing Score

Passing Score

Total Possible The total number of points possible for this section.

Subtract "N/A" Enter the additive number of N/A points (+points) here.

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division

Scopes Possible Facility

Requested Points Score

X 180

Duty Station:

For USDA HQ use:

To verify a company's continued good standing in the USDA GAP&GHP Program please visit http://www.ams.usda.gov/gapghp

Facility Name (Print) as it should appear on Certificate:

Date Audit Requested:

State (Print):

USDA Commodity Procurement Audit?

Check One Yes

Date of Previous Audit :

UnannouncedFail

Pass General

Questions

NoTime Audit Completed:

Audit Verification Program Scoresheet www.ams.usda.gov/gapghp

Zip (Print):

United States Department of Agriculture Good Agricultural Practices & Good Handling Practices Agricultural Marketing Services

Specialty Crops Inspection Division

Date Audit Completed:

City (Print):Street Address (Print):

e-mail Address (Print):

Date Audit Began:

fax number:

Directly to auditee above:

Element

All Scopes Completed:

Part 3 – House Packing Facility

Defense Procedures

Reviewing

Official

*A Passing Score is 80% of the Possible Points, or the Adjusted Points if adjustments are necessary, with no "automatic unsatisfactory" conditions.

Part 6 – Wholesale Distribution

Center/ Warehouses

Commodities:

Part 7 – Preventative Food 180

Send completed GAP&GHP Certificate to: (choose one) Inspection office: (list office)

Lead Auditor Name (Print):

Reviewing Official Name (Print):

Signature & Date:

Signature & Date:

Less N/A Date

Passed

Time Audit Began:

EVALUATION ELEMENTS

Adjusted

Points

Passing

Score*Points

General Questions

Part 1 – Farm Review

Packing Activities

Part 4 – Storage and

Transportation

Part 2 – Field Harvesting & Field

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division of

Company Name/Farm: Date:

Crops(s):

Notified company staff at time of finding non-conformity (Yes or No):

Checklist question number and/or section of auditee food safety plan associated with non-conformity:

Top portion for AUDITOR USE ONLY; bottom portion for Company and Auditor use.

Company Representative Signature:

Signature affirms statements concerning Non‐Conformity, Corrective Action, and Implementation are correct.

Auditor signature for acceptance of proposed corrective action and timetable for implementation:

CORRECTIVE ACTION REPORT

Lead Auditor:

Description of Non Conformity:

Corrective Action Proposed and Time Frame for Implementation: (Attach separate sheet if necessary)

Good Agricultural Practice & Good Handling Practices

USDA Good Agricultural Practices and Good Handling Practices USDA Checklist

USDA, AMS, Fruit and Vegetable Program Report #:

For Official Government Use Only USDA, AMS, FV, Specialty Crops Inspection Division