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Foodborne Illness
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Foodborne-Illness Outbreak
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Foodborne Illness illness carried or transmitted to people
Foodborne-Illness Outbreak incident in which two or more people experience the same illness after eating the same food
Costs of foodborne illness to an establishment loss of customers and sales, loss of prestige and reputation, lawsuits resulting in legal fees, increased insurance premiums, lowered employee morale, employee absenteeism, need for retraining employees, embarrassment
populations at high risk for foodborne illness infants and preschool-age children, pregnant women, elderly people, people taking antibiotics and immunosuppressants, those who are seriously ill
potentially hazardous food milk and milk products, meat: beef, pork, lamb, eggs, raw sprouts and seeds, shellfish and crustacea, heat-treated plant food (cooked rice, beans, and vegs), fish, poultry, baked potatoes, tofu or other soy-protein food, sliced melons, untreated garlic-an
elderly people are at a higher risk for foodborne illness because their immune systems have weakened with age
potentially hazardous food characteristics moist, neutral or slightly acidic pH, contain protein
what microorganisms need to grow FAT TOM: Food, Acidity, Temp, Time, Oxygen, Moisture
foodborne infection result when a person eats food containing pathogens, which then grow in the intestines and cause illness. typically, symptoms of a foodborne infection do not appear immediately
foodborne intoxication result when a person eats food containing toxins that cause illness. the toxin may have been produced by pathogens found in the food, result of chemical contamination, ornatural part of a plant or animal. typically, symptoms appear quickly, within a few h
foodborne toxin-mediated infection result when a person eats food containing pathogens, which the produce illness-causing toxins in the intestines
Campylobacter jejuni- Campylobacteriosis commonly associated with poultry, known to contaminate water. illness occurs when improperly cooked and cross-contamination of other food and food-contact surfaces. D, abdominal cramps, fever, headache
Salmonella spp- - Salmonellosis naturally carried by many farm animals, often associated with poultry and eggs, dairy products and beef, found in ready-to-eat (RTF) food that has come in contact with these animals or their waste. D, abdominal cramps, V, fever
Shigella spp- Shigellosis found in feces of those with shigellosis. found in food that is easily contaminated by hands (salads containing potentially hazardous food), food that has made contact with contaminated water (produce). bloody D, abd pain and cramps, fever (prevention- ex
listeria monocytogenes- Listeriosis naturally found in soil, water, and plants. bacteria grows in cool, moist environments. commonly associated with RTE products (deli meat, hot dogs, soft cheese), raw meat, unpasteurized milk and milk products, high-risk pop vulnerable- particularly pregna
vibrio parahaemolyticus- Gastroenteritis naturally found in waters of Gulf of Mex, atlantic and pacific, commonly associated with raw or partially cooked oysters. D and abd cramps, N and V, low grade fever and chills
vibrio vulnificus- Gastroenteritis/Septicemia naturally found in waters of Gulf of Mex, atlantic and pacific, commonly associated with raw or partially cooked oysters. Septicemia (fever and chills, N, skin lesions, D and V), and gastroenteritis (D and ab cramps)
bacillus cereus spore forming bac found in soil. commonly associated with cereal crops. two different illnesses diarrheal toxin (cooked corn, cooked potatoes, cooked vegs, meat products) - watery D, ab cramps and pain. emetic toxin (cooked rice; fried and rice pudding),
staphylococcus aureus transferred to food when people carrying bacteria touch infected areas and handle food w/o washing hands. cooking does not destroy. salads containing potentially hazardous food (egg, tuna, chicken, macaroni), deli meats. N, V and retching, ab cramps
clostridium botulinum- Botulism commonly associated with produce grown in soil. improperly canned food, reduced-oxygen-packaged (ROP) food, temp abused veg (baked potatoes, untreated garlic and oil mix), does not grown well in refrigerated or highly acidic conditions, grows w/o oxygen.
clostridum perfringens naturally found in soil and carried in intestines. grows very rapidly in temp danger zone. meat, poultry, stews and gravies. D and severe ab pain.
shiga toxin-producing E. coli- Hemorrhagic Colitis naturally found in intestines of cattle. commonly associated with undercooked beef (ground) and contaminated produce. D, ab cramps, severe cases can result in hemolytic uremic syndrome (HUS)
hepatitis A found in feces of people infected w/ virus, associated with RTE food (deli meats, produce, salads, raw and partially cooked shellfish). Fever, general weakness, N, ab pain, Jaundice
norovirus found in feces of people infected w/ virus, also in contaminated water. commonly associated with RTE food, shellfish contaminated by sewage. V, D, N, ab cramps. people become contagious w/i a few hours of eating me
anisakis simplex parasite. found in certain fish (herring, cod, halibut, mackerel, pacific salmon), and shellfish. non-invasive - tingling in throat or coughing up worms. invasive - stomach pain, nausea, V, D
cyclospora cayetanensis a Parasite found in contaminated water and associated with produce irrigated or washed with contained water. found in feces of people. N, ab cramping, mild fever, D alternating with constipation (foodhandlers with diarrhea must be excluded from the establ
cryptosporidium parvum parasite found in contaminated water, produce irrigaed w/ contaminated water, cows and other herd animals. watery D, stomach cramps, N, wt loss (symp more severe in people with weakened immune sys)
giardia duodenalis a parasite found in improperly treatred water. easily spread in day care centers. fever, loose stools, ab cramps, N
Temp. Danger Zone- temperature foodborne microorganisms grow well between 41F and 135F
conditions which typically does not support growth of microorganisms high acidity
a person w/ campylobacteriosis may experience headache and bloody D
salmonellosis may be prevented by cooking poulty eggs to the proper temp
staphylococcal gastroenteritis may be prevented by restricting foodhandlers with infected cuts from around food
histamine toxin- scromboid poising illness caused by consuming high levels of histamine. commonly associated with tun, bonito, mackerel, mahi mahi. reddening of the face and neck,sweating, headahe, burning or tingling sensation in the mouth or throat, D and V. cannot be destroyed by freezi
ciguatoxin- ciguatera fish poisoning found in certain marine algae. commonly associated with predatory reef fish, barracuda, grouper, jacks, snapper. reversal or hot and cold sensations, N, V, tingling in fingers, lips or toes, joint and muscle pain
saxitoxin- paralytic shellfish poisoning (PS) found in colder waters, pacific and new england coasts. clams, mussels, oysters, scallops. numbness, tingling of the mouth, face, arms, and legs, dizziness, N, V, D, death due to paralysis may result if consumed in high levels
brevetoxin- neurotoxic shellfish poisoning (NSP) found in warmer water of FL, gulf of mex, caribbean. clams, mussels, oysters. tingling and numbness of the lips, tongue, and throat, dizziness, reversal of hot and cold sensations, V, D
domic acid- amnesic shellfish poisoning found in coastal waters of pacific NW and east coast of Can. clams, mussels, oysters, scallops. V, D, ab pain, confusion, memory loss, disorientation, seizure, coma
common food allergens milk, eggs, fish, shellfish, wheat, soy, peanuts, tree nuts
practices which can lead to toxic metal poisoning lead in a pewter pitcher, copper in a saucepan, zinc in a glavanized bucket. if acidic food is stored in or prepared with equipment. carbonated-bev dispensers improperly installed also cause hazard
best method for preventing a foodborne illness from seafood toxins purchasing seafood from approved, reputable suppliers
practices that can prevent food from becoming contaminated labeling chemical spray bottles, closely inspecting food during receiving, storing products in food-grade containers
symptoms of allergic reactions itching in and around the mouth, face or scalp, tightening in the throat, wheezing in the throat, wheezing or SOB, hives, swelling of the face, eyes, hands or feet, GI symp (ab cramps, V or D), death
can cooking or freezing destroy toxins found in toxic wild mushrooms no
proper handwashing procedure 1. wet hands with water as hot as you can stand (100F) 2. apply soap 3. vigorously scrub hands and arms for 10-15s (clean under nails and b/w fingers) 4. rinse thoroughly under running water 5. dry hands and arms with a single-use paper towl or warm-air d
conditions which to exclude employee from the establishment V, D, jaundice
conditions which to exclude employee and notify the local reg agency foodhandler dx w/ FB illness caused by salmonella typhi, shigella app, shiga toxin-producing E.coli, Hep A, norovirus
conditions which to restrict employee from working with or around food sore throat or fever
personal behavior that can contaminate food touching a pimple, nose picking, touching hair
items (on arms/hands) that can contaminate food rings, watch, bracelet
hand anticeptics can be used in establishments only if they are FDA compliant
hand care for foodhandlers fingernails short, no false nails or polish, bandage cuts and cover bandages
policies regarding eating, drinking, chewing gum, and tobacco no smoking, chewing gum or tobacco, no eating or drinking when preparing or serving food, working in food-prep areas, working in areas used to clean utensils and equip
amount of time temperature can remain in temp danger zone <4 hours
steps to calibrating a thermometer fill container with crushed ice and clean tap water, submerge sensing area of thermometer stem or probe and wait for reading to steady, hold the adjusting nut with a wrench or other tool, rotate the head of the thermometer until it reads 32F (0C)
immersion probe measure temp of liquids (soups, sauces, or frying oil)
surface probe measure temp of flat cooking equipment like a griddle
penetration probe (thermocouple) measure internal temp of food
air probe measure temp inside refrigerator or oven
bimetallic stemmed thermometer internal temp of roast, internal temp of shipments
infrared thermometer measure temp of food and equipment surface
thermometer guidelines keep thermometers and storage cases clean, calibrate regularly, never use glass thermometers, to measure internal temp insert into thickest part, wait for temp reading to steady
criteria for receiving meat <41F, bright, red, firm and springs back, no oder, package intact and clean. reject if brown or greeen, slimy, sticky or dry, sour oder, broken carton
criteria for receiving poultry <41F, no discoloration, firm and springs back, no oder, product surrounded by crushed, self-draining ice. reject if purple or green discolor around neck, dark tips, abnormal unpleasant oder
criteria for receiving fish <41F, bright red gills, bright shiny skin, firm flesh that springs back, mild ocean or seaweed smell, bright, clear and full eyes, product surrounded by crushed, self-draining ice. reject if dull gray gills, dull dry skin, soft flesh that leaves imprint,
criteria for receiving shellfish live: on ice at <45F. shucked:<45F, milkd ocean or seaweed smell, shells closed and unbroken, fresh receiving alive. reject if sticky, slimy, or dry, strong fishy smell, broken shells, dead on arrival
criteria for receiving crustaceans <41F, mild ocean or seaweed smell, alive (tail will curl when picked up) packed with seaweed and kept moist. reject if strong fishy smell, dead on arrival (tail does not curl)
criteria for receiving shell eggs <45F, no odor, clean and unbroken. reject if sulfer smell or off oder, dirty or cracked
criteria for receiving dairy <41F, milk:sweetish flavor. butter:sweetish flavor, typical uniform color, firm tex, cheese, flavor. Reject if milk: sour, bitter or moldy taste. butter: sour, bitter, or moldy taste; uneven color, soft tex. cheese: abnor flavor or tex, uneven color, mold
criteria for receiving RTE food <41F, intact. reject if torn packages, holes or expired use-by dates
cristeria for receiving frozen food frozen (ice cream 6-10F), intact. reject if torn package, fluids or frozen liquids in case bottoms, large ice crystals on product
criteria for ROP <41F, intact and current code dates, acceptable color. reject if torn or leaking, expired code, unacceptable color, slime, bubbles, excessive liquid
criteria for receiving canned food can and seal in good condition, normal color, tex, oder. reject if swollen ends, leaks and flawed seals, rust, dents, no labels. product foamy, milky or has abnorm color, tex, oder
criteria for receiving dry food intact. normal color and oder. reject if holes, tears, or punctures, dampness or water stains. product abnormal color or oder, spots of mold, or slimy appearance, contains insets, insect eggs or rodent droppings
criteria for receiving UHT (ultra-high-temp) pasteurized and aseptically packaged food aseptically packaged - room temp. not aseptically packaged - <41F, intact. reject if punctured or broken seals
criteria for receiving bakery goods at temp specified, intact. reject if temp higher than specified, torn, signs of pest damage or mold
most important factor in choosing a food supplier inspected and is compliant with lcal, state, and fed law
USDA inspection stamp and USDA grading stamp tell you meat and processing plant have met USDA standards and the meat quality is acceptable
dry storage guidelines cool (50-70F), dry (50-60 humidity), well ventilated
general storage guidelines label food, rotate products, establish schedule to ensure stored product depleted on a regular basis, discard expired food, transfer food b/w containers properly, keep potentially hazardous food out of temp danger zone, check temps of stored food and stor
proper storage in fridge (top to bottom) cooked and RTE, whole, raw meat, raw, ground meat, raw poultry
req for storing meat <41F, airtight, moisture-proof materail
req for storing poultry <41F,if ice-packed in self-draining containers, change ice often and clean and sanitize container regularly
req for storing fish <41F, if ice-packed in self-draining containers, change ice often and sanitize container regularly
req for storing eggs <45F, dried egg product in a dry cool storeroom, keep refrigerated until use
req for storing shellfish store alive <45F, in original container, shellstock tags must be kept on file for 90 days from harvest date
req for storing dairy <41F, use FIFO (first in-first out) method of stock rotation, discard after passed use-by or exp dates
req for storing ice cream and frozen yogurt 6-10F
req for storing ROP food <41F, discard if passed exp or use-by date
req for storing UHT room temp, once opened store at <41. if not aseptically packaged, < 41F
req for storing canned and dry food 50-70F, keep storerooms dry, removed from container store in airtight, clearly labeled container, ck for insect, rodent damage, discard damaged can
condition in which you could use a tank to display live mussels that will be served to customers obtained a variance from the health dept
FIFO method First-in First-out: earliest use-by dates stored in front of products with later use-by dates
how long can potentially hazardous RTE food prepared in house be stored for? max of seven days at <41F
when storing potentially hazardous food what must be included on the label sell by or discard date
to package fresh juice for later sale what is req? variance from the reg agency, juice must be treated (pasteurized) according to an approved HACCP plan, or contain a warning label
req for cooking poultry min int temp of 165F for 15 s
req for cooking stuffing stuffed meat, fish, poultry, and pasta. min int temp or 165 for 15s
req for including previously cooked, potentially hazardous in a dish min int temp of 165 for 15s
req for cooking potentially hazardous food cooked in a microwave min int temp of 165F, cover it, rotate or stir halfway through, let stand for at least 2 min, cehck temp in several places
req for cooking ground meat min int temp of 155F for 15s
req for cooking injected meat min int temp of 155 for 15s
req for cooking pork, beef, veal and lamb min int temp of 145F for 15s
req for cooking roast min int temp of 145F for 4 min
req for cooking fish min int temp of 145F for 15s
req for cooking ground, chopped, minced fish min int temp of 155F for 15s
req for cooking eggs min int temp of 145F for 15s
req for cooking eggs that will be hot-held min int temp of 155F for 15s
req for cooking fruit or veg that will be hot-held min int temp of 135F
req for cooking commerically processed, RTE that will be hot-held min int temp of 135 for 15s
req for cooling foods 135F to 70F w/i 2 hours, then from 70F-40F or lower in the next 4 hours
methods for cooling foods 1. divide into smaller containers and place in ice-water bath. 2. stir with ice paddle. 3. place in blast chiller. 4. place in tumble chiller. 5. add ice or cold water as ingredient. 6. use SJK
req for reheating potentially hazardous food for hot-holding must be reheated to int temp of 165F for 15s w/i 2 hours, discard if it has not reached this temp in 2 hours
methods for thawing food in a frig at <41F, submerged under running potable water at a temp <70F, in a mircowave if food will be cooked immediated after thawing, as part of the cooking process
methods for holding cold food safely <41
foodsafety management system group of programs, procedures, and measures designed to prevent foodborne illness by actively controlling risks and hazards throughout the flow of food
active managerial control food safety management sys designed to prevent foodborne illness by addressing the five most common risk factors identified by the CDC
HACCP food safety management sys based on the idea that if significat biological, chemical, or physical hazards are identified at specif poins w/i a product's flow through the operation, they can be prevented, eliminated, or reduce to safe levels
steps to active managerial control approach This approach focuses on controlling the five most common risk factors that cause foodborne illness (according to the CDC) 1. Purchasing food from unsafe sources 2. Failing to cook food adequately 3. Holding food at incorrect temperatures 4. Using
Good Managerial Approach 1. Consider the five risk factors throughout the flow of food in your establishment, and identify any issues that could impact food safety ? Ex: seafood restaurant identified purchasing of seafood from unsafe sources as a risk factor 2. Create Poli
HACCP Groups Group 1: Identify and evaluate your hazards: 1. Conduct a Hazard Analysis 2. Determine CCP's Group 2. Establish critical limits: Establish Controls: 3. Establish Critical Limits 4. Establish Monitoring Procedures 5. Identify Corrective Action
CCP Critical Control Points: the points in the process where the identified hazard can be prevented, eliminated or reduced to safe levels.
the seven HACCP priciples 1. hazard analysis 2. critical control points (CCPs) 3. critical limits (ex: max/min temp) 4. monitoring procedures 5. Identify corrective action 6. Verify that the system works 7. record keeping and documentation
when is a HACCP plan required smoke or cure food as a method of food preservation. use of food additives. ROP method. offer live, olluscan shellfish from a display case. custom-process animals for personal use. package unpasteurized juice for sale to customer w/o warnhing label. sprou
HACCP Hazard Analysis and Critical Control Points
5 most common risk factors responsible for foodborne illness 1. purchasing food from unsafe sources 2. failing to cook food adequately 3. holding food at improper temp 4. using contaminated equipment 5. practicing poor personal hygiene
program that should be in place before you begin developing your food safety system personal hygiene program
a handwashing station must be equipped with hot and cold running water, soap, a means to dry hands, waste container, signage indicating employees are req to was hands before returning to work
establishement that use a private water source must have it tested at least once a year
how to prevent backflow air gap b/w the sink and drain pipe and the floor drain, air space b/w the faucet and the flood rim of a sink, a vacuum breaker
the clearance b/w the base of the equp and the tabletop when mounting tabletop equip on legs must be 4 in (10 cm)
food-contact surfaces must be safe, durable, corrosion resistant, nonabsorbent, sufficient in wt and thickenss to withstand repeated cleaning, smooth and easy to clean, resistant to pitting, chipping, crazing (spider cracks), scratching, scoring, distortion, and decomposition
NSF International mark equipment has been evaluated, tested, and certified as meeting international commercial food equipment standards
stationary equipment must be mounted at least 6 in (15 cm) off the floor or sealed to a masonry base
minimum lighting intensity req for food prep area 50 foot candles (540 lux)
min lighting intensity req for handwashing, dishwashing, buffet, display for produce, utensil storage, restroom, inside some pieces of equip 20 foot candles (215 lux)
min lighting intensity req for inside walk-in frig, dry-storage, dining rooms (for cleaning) 10 foot candles (108 lux)
steps for cleaning and santizing in a three-compartment sink 1. rinse, scrape, or soak 2. wash (at least 110F) 3. rinse 4. sanitize 5. air-dry
How to Clean and Sanitize a Work Surface 1. Clean the surface 2. Rinse the surface 3. Sanitize the surface 4. Allow the surface to dry
Types of Cleaners Detergents ? General purpose detergents ? Heavy-duty detergent (alkaline) Degreasers Delimers (acid cleaners) Abrasive Cleaners
Sanitizing done after cleaning, two ways, by heat or by chemicals
Heat Sanitizing Soak in hot water at least as hot as 171°F (77°C) for 30 seconds – you can use a heating device to keep water at that temperature
Chemical Sanitizing ? Soaking in sanitizing solution ? Rinse, swab or spray them with sanitizing solution ? Chemical sanitizers are regulated by state and federal environmental protection agencies (EPA)
label on a new chemical container must contain what information chemical name, manufacturer's name and address, potental hazards of the chemical
2 Parts of Integrated Pest Management Two parts: ? Prevention of pests ? Control for elimination – If you actually see pests, it usually indicates that there is a sizable infestation
three basic rules of Integrated Pest Management program 1. deny pests access to the establishment 2. deny pests food, water, and a hiding or nesting place 3. work with a licensed PCO to eliminate pests that do enter
signs of a roach problem strong oily oder, droppings that look like grains of black pepper, capsule-shaped cases that are brown, dark red, or black and may appear leathery, smooth or shiny
signs of rodents signs of gnawing, dropping, tracks, nesting materials, holes
what should you do to ensure that you have made the proper sanitizing soln? test the soln with a sanitizer test kit
proper procedure for sanitizing a table that has been used to prepare food wash w/ detergent, rinse it, wipe it with sanitizing soln
how often should food-contact surfaces be cleaned and sanitized if in constant use 4-hr intervals
how should glasses and cups be stored? upside down
how should flatware be stored? with the handles up
how should utensils be stored? in a covered container until needed
cockroaches are usually found in places that are warm, moist, and dark
when pesticides are applied in the establishment, you must remove all movable, food-contact surfaces, cover stationary equip, wash,rinse and sanitize food-contact surfaces that have been sprayed, make a corresponding MSDS available to employees for the pesticide used
coving a curved, sealed edge placed b/w the floor and wall, eliminates sharp corners or gaps that would be impossible to clean, must adhere tightly to the wall to eliminate hiding places for pests and prevent moisture from deteriorating the wall
UL- Underwriters Laboratories equipment is in compliance with NSF standards or UL's own environmental and public health (EPH) standards
cross connection physical link through which contaminants from drains, sewers, and other wastewater sources can enter the potable water supply
backflow reverse flow of contaminants through a cross-connection into the potable water supply
heat sanitizing methods water must be at least 171F, immerse for 30s
chemical sanitizing methods Chlorine, Iodine, Quaternary Ammonium (quats)
why must concentration of sanitizers be frequently checked low conc - may fail to sanitize objects. high conc - may be unsafe, leave and oder or bad taste, corrode metals
high-temp dishwashing machines temp of final sanitizing rinse must be at least 180F
when may an inspector close the establishment? 1. a significant lack of refrigeration 2. a backup of sewage into the establishment 3. an emergency (fire or flood) 4. sig pest infestation 5. long interruption of electrical or water service 6. clear evidence of a foodborne illness outbreak related to th
goals of the food safety inspection program to evaluate whether an establishment is meeting min food safety standards, to protect the public's health, to convey new food safety info to establishment
operations that cross state borders are inspected by the FDA
agency which enforces food safety in a restaurant state or local health dept
if a person shows up at a restaurant claiming to be a health inspector the manager should do what? ask to see ID
violations noted on the health inspection report should be discussed in detail with the inspector, corrected w/i 48 hr or when indicated by the inspector if they are critical, explored to determine why they occurred
who is responsible for keeping food safe in an establishment? the manager/operator
are food regulations developed by state agencies minimum, maximum or voluntary standards to ensure food safety? minimum
what should new employees receive training on? pest ID and prevention
regarding food safety traning, should training records be used to document training? yes
what is a benefit of group traning? it ensures traning is more uniform
when demonstrating a task you should explain task steps before demonstrating, have the employee explain the steps before demonstraing, demonstrate the task slowly the first time and the again at normal speed
criteria for cooking food in a microwave min 165F for 15s
before cleaning and sanitizing items in a 3-compartment sink you should do what first? clean and sanitize each sink and work surface
Cleaning vs. Sanitizing Cleaning ? removes food and other dirt from a surface Sanitizing ? reduces pathogens on a surface to safe levels
Good Work Flow ? Keep the food out of the temperature danger zone as much as possible and limit the number of times food is actually handled ? Storage areas should be near the receiving area to prevents delays in storing food ? Prep tables should be near coolers and
Flooring Porosity is the extent to which a floor covering can become saturated by liquids ? When liquids are absorbed, flooring can be damaged and microorganisms and mold can grow
Flooring Resiliency ability to react to shock without breaking or cracking ? Hard surface flooring: quarry tile, ceramic tile, brick, terrazzo, marble, travertine etc...
Cross-connections ? greatest challenge to water safety! ? This is a physical link between safe water and dirty water which came from drains, sewers, or other waste water sources ? This is dangerous because back flow can occur (reverse flow of contaminants into potable w
Only way to prevent back flow is to create an AIR GAP: ? air space that separates a water supply outlet from a potentially contaminated source A correctly designed sink has two air gaps ? Between the faucet and the flood rim of the sink ? Between the drainpipe of the sink a
Occupational Safety and Health Administration (OSHA) Requires employers to develop a written plan describing how they will meet requirements of the HCS: ? List of hazardous chemicals ? Purchase specs of rchemicals/procedures of revceiving and storage ? Labeling requirements ? Procedures for ac
Material Safety Data Sheets (MSDS) ? are required for each hazardous chemical – must contain the following information ? Safe use handling ? Physical, health, fire and reactivity hazards ? Precautions ? Appropriate personal protective equipment to wear when using the
FDA Food Code covers Food handling and preparation: ? criteria for receiving, storage, display service, transportation Personnel: ? health, personal cleanliness, clothing, hygiene practices Equipment and utensils: ? material design, installation, storag
The 3 risk designations when evaluating establishments as established by the FDA Priority: ? most critical (hand washing, proper temperatures) Priority foundation items: ? support a priority item (having soap at the hand washing sink) Core items: ? general sanitation, equipment, kitchen layout etc....
Critical areas to cover during training ? Personal hygiene ? Safe food preparation ? Cleaning and sanitizing ? Safe chemical handling
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