Note:
This Establishment Inspection Report is to be used by establishments applying for initial C-PIQ registration, as part of the company self-assessment required prior to proceeding to Pre-Validation
Establishment name:![]()
Address:![]()
SFC licence number:![]()
Establishment representative:![]()
Date of inspection:![]()
Establishment inspection report
S= Satisfactory
U= Unsatisfactory
| S | U | Comments | Correction dates | |
|---|---|---|---|---|
| Land free of debris and refuse. | ||||
| Land permits good drainage. | ||||
| Not close to any source of pollution. |
| S | U | Comments | Correction dates | |
|---|---|---|---|---|
| Separate from and has no direct access to areas where operations are carried out which are incompatible with the handling of food. | ||||
| Protected against entrance of insects, birds, rodents etc. | ||||
| No room in the establishment used for storage or manufacture of anything that is likely to emit an odour that could affect flavour of the produce. | ||||
| Of sound construction and in good repair. | ||||
| Constructed of materials that are durable and free of noxious constituents. | ||||
| Has areas with temperature, light and ventilation suitable for the preservation of produce. | ||||
| Adequate means of drainage, waste removal and waste disposal. | ||||
| Physical facilities are maintained in a sanitary manner. | ||||
| Equipped with shatter proof light bulbs and fixtures in areas where produce or packaging materials are exposed. | ||||
| Adequate supply of potable hot and cold water to serve the water needs of the establishment. | ||||
| There is no connection between the non-potable and potable water systems. |
| S | U | Comments | Correction dates | |
|---|---|---|---|---|
| Detergent, sanitizer, food contact lubricant or other chemical agent is properly labelled, stored and used in a manner that prevents contamination of produce or a surface with which produce comes in contact. |
| S | U | Comments | Correction dates | |
|---|---|---|---|---|
| Clean and kept in a sanitary manner. | ||||
| Adequate in size and equipment for the number of people. | ||||
| Well lighted and ventilated. | ||||
| Separate from and do not lead directly into any room used to handle produce. | ||||
| "Wash Hands" sign is clearly posted. |
| S | U | Comments | Correction dates | |
|---|---|---|---|---|
| Lighting over the grading equipment must be appropriate for the activity being conducted. | ||||
| No stagnant or polluted water used in the washing or fluming of the product. | ||||
| Final rinse water is potable. | ||||
| If final rinse water is reused, it is only used for initial washing or fluming of the produce. | ||||
| Produce is handled with equipment that is cleaned regularly and maintained in a sanitary condition. | ||||
| Adequate facilities and means for cleaning of equipment. | ||||
| Operations in relation to the preparation of produce are carried out in a sanitary manner. |
| S | U | Comments | Correction dates | |
|---|---|---|---|---|
| Lighting over the grading equipment must be appropriate for the activity being conducted. | ||||
| The location is free from vehicular traffic or other hazards. | ||||
| There is a suitable grading table. | ||||
| An electrical outlet is available to facilitate the use of electronic equipment necessary to carry out a full inspection. | ||||
| The inspection room or area is a suitable environment with adequate temperature to allow the inspector to determine the condition of produce. | ||||
| Establishment is willing to provide assistance as required to obtain samples and open and close containers and provide other assistance as the inspector requires. | ||||
| Waste disposal is provided for the inspector. |
| S | U | Comments | Correction dates | |
|---|---|---|---|---|
| Accurate records are maintained of produce shipments from the establishment by kind and grade of produce, size of container, date of shipment and number of containers shipped. | ||||
| Annual water test records are maintained and available. | ||||
| Pest control records are maintained and available. |
Name of Establishment
Representative:![]()
Signature:![]()
Date:![]()