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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Table of Contents
Ohio Uniform Food Safety Code2 Person In Charge.2 Why Practice Food Safety?....................................................................................................3 What is Foodborne Illness?....................................................................................................3 Types of Hazards4 Examples of How Bacteria Cause Illness...4 Foodborne Illness is a Big Deal..5 Common Factors Causing Food Safety..6 Food Safety In Emergency Events..6 The World of Microbes and Fun Facts...7 12 Most Unwanted Bacteria Poster.8 Pathogen Information Table9 What Bacteria Needs to Grow10 Food...10-11 Acidity11 Temperature...12 Time...12 Oxygen ..13 Moisture.13 Time/Temperature Abuse...13 Your Health Can Affect Others..14 Reporting to the Person In Charge.14 Exclusion vs Restriction .15 Reporting to the Health Department...15 What is My Best Defense?.....................................................................................................16 Clean...Practice Good Personal Hygiene..16 Hand Sinks Are Important17 Wash Your Hands.17 Clean Your Tools.18 3 Sinks to Wash Utensils..18 Dishwashers..19 Clean Wiping Cloths.19 CleanKeep things Clean...20 SeparateDont Cross-Contaminate20 Separate in the Refrigerator...Food to Food.....21 SeparateEquipment to Food.22 SeparatePeople to Food ..22 CookMinimum Safe Internal Cooking Temperatures.......23 CookMeasuring Temperatures.23 Calibrate Your Thermometer...24 ChillRefrigerate Foods Right Away..24 ChillUse Proper Cooling Methods...25 ChillThaw Frozen Foods the Right Way..25 Keep the Food You Serve SAFE26 Its Your Responsibility to Fight BAC!.................................................................................26 Appendix27
C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Person In Charge
The Ohio Uniform Food Safety Code requires that the Person In Charge should be knowledgeable about: Food microbiology Time/temperature relationships Prevention of foodborne diseases Personal hygiene and sanitation practices o Handwashing Correct sanitation procedures o Cleaning and sanitizing o Preventing crosscontamination
Person In Charge
Demonstrates knowledge during an inspection through
Dialogue/Questions & Answers Actual Food Operation: o Compliance with the Code A Certified Food Protection Manager o Through accredited program such as ServSafe
C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Types of Hazards
3 different categories:
o Biological Hazards Bacteria, viruses, parasites and fungi o Chemical Hazards Pesticides, food additives & preservatives, cleaning supplies & toxic metals (from cookware and equipment) o Physical Hazards Foreign objects such as hair, dirt, broken glass, crockery & other objects What are some foreign objects you have found in your food?
C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
This is estimated because most people Do not report their illness Do not visit a doctor Do not get a diagnosis
In the news
In November of 2003, three people died and over 500 were infected with hepatitis A due to a foodborne illness outbreak. This outbreak was caused by contaminated green onions that were being used in a variety of dishes at a Chi Chis restaurant in Pennsylvania. Immunization was provided to approximately 9,000 individuals who had eaten at the restaurant in question. It was determined that these green onions were grown in Mexico and then delivered to the restaurant in Pennsylvania. Initially, employees of the restaurant contracted hepatitis A but continued to work while shedding the organism, which caused this large outbreak. The restaurant which caused the outbreak was immediately closed, and eventually Chi Chis restaurants were closed across the nation.
C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
A common example of cross contamination at home, is cooking chicken on the outdoor grill.
1. What did you carry the raw chicken to the grill on? ____________________________________________ 2. Did you use the same plate to carry the cooked chicken back into the house? ____________________________________________
C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Fun Facts
How many microbes do you think are on you right now? o Trillions (1,000,000,000,000) Run your tongue over your teethYoure licking thousands of microbes that normally live on your teeth. Millions live on your tongue too1,000,000 In fact, a large part of you is actually something else, including bacteria, viruses and fungi. Isnt that a weird thought? Microbes live just about everywhere... o In the soil, water and air o In animals, plants, rocks and even us! In fact, one teaspoon of dirt contains over: o 1,000,000,000 bacteria o 120,000 fungi o 25,000 algae So, are all microbes bad?...No, we could not live without some microbes. Here are some good things that microbes do o You can thank fungi for the cheese on your cheeseburger and yeast for your bun o Turn milk into yogurt o Makes antibiotics (penicillin and tetracycline) o Help crops get nutrients from soil o Natural pest killer in gardens and on agricultural fields o Makes insulin for diabetics
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Bacteria
Campylobacter jejuni
Clostridium botulinum
Clostridium perfringens
Listeria monocytogenes
Salmonella Enteritidis
Salmonella Typhimurium
Shigella
Staphylococcus aureus
Vibreo cholerae
Vibrio vulnificus
Yersinia enterocolitica
Viruses Parasites
NoroViruses
Toxoplasma gondii
Cryptosporidium
C Pathogen
Campylobacter Jejuni Clostridium Botulinum
Abdominal pain, dehydration, diarrhea Dairrhea (watery or bloody), severe abdominal cramps and pain, vomiting, possible low-grade fever Nausea, vomiting, diarrhea, headache, fever, chills, backache, meningitis; may cause miscarriage
Human intestinal tract, animals, soil Animals (particularly cattle) and humans (intestinal tract) Soil, water, mud, humans, domestic and wild animals, fowl, damp environments Domestic and wild animals, humans as carriers (intestinal tract) Human intestinal track, flies
8-22 hours of incubation; 24 hours in duration 2-9 days of incubation; Duration of 8 days
Staphylococcus Aureus
Vibrio Cholerae Vibrio Vulnificus Yersinia Enterocolitica Noro-virus (Norwalk Virus) Toxoplasma Gondii
Nausea, vomiting, abdominal cramps, headache, fever (severe fever if tyhphimurium), diarrhea Diarrhea (sometimes bloody), abdominal pain, fever, vomiting, chills, dehydration Nausea, vomiting, abdominal cramps; In sever cases headache, muscle cramp, pulse and BP changes Profuse watery diarrhea, nausea, vomiting, abdominal cramps, dehydration, shock Fever, chills, nausea, hypertension, skin lesions may develop Diarrhea is common, symptoms vary by age, may mimic appendicitis Nausea, vomiting, diarrhea, abdominal pain, headache, low-grade fever Often no symptoms, but could include enlarged lymph nodes, headache, muscle pain, rash, can affect fetuses Mild to severe nausea, abdomical cramping, watery diarrhea
A few days-three weeks of incubation; Duration is indefinite depending on treatment (high fatality rates in immunocompromised) 6-48 hours of incubation; Duration of 1-2 days (may last longer) 12-50 hours of incubation; Duration is indefinite depending on treatment Rapid incubation period; Duration of 2-3 days
Humans (intestinal tract) Raw oysters, clams, crabs Domestic animals, soil, water
24-72 hours of incubation; Duration of 7 days 1-7 days of incubation; Duration of 2-3 days 24-48 hours of incubation
24-48 hours of incubation; Duration of 24-60 hours In infants at time of birth; Duration of a few weeks
Cryptosporidium
C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Food
To grow, foodborne pathogens need nutrients, specifically proteins and carbohydrates. These proteins are commonly found in potentially hazardous food items, such as meat, poultry, dairy products, and eggs. These carbohydrates are frequently found in food items, such as, cooked rice, beans, and baked or boiled potatoes. Due to the complex ingredients in some recipes, it is required that the ingredients be listed along with the quantity and/or weight of a packaged product. Please see the Labeling Requirements handout in the Appendix for more detailed information on this.
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Acidity
The pH of a substance tells how acidic or alkaline it is. The pH scale ranges from 0 to14. Food with a pH between 0 and 6.0 is acidic, while food with a pH between 8.0 and 14 is alkaline. A pH of 7.0 is neutral. Foodborne pathogens typically do not grow in highly acidic or highly alkaline food. Pathogenic bacteria grow best in food with a pH between 4.6 and 7.5 (slightly acidic to neutral), which includes most of the food we eat.
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Temperature
Most foodborne pathogens grow well between the temperatures of 41F and 135F. This range is known as the temperature Danger Zone.
Exposing pathogens to temperatures outside the danger zone does not necessarily kill them. Refrigeration temperatures, for example, may only slow down the growth. Food must be handled very carefully when it is thawed, cooked, cooled, and reheated since it can be exposed to the temperature Danger Zone during these times.
Time
Foodborne pathogens need sufficient time to grow. Bacteria can double their population every twenty minutes. If contaminated food remains in the temperature Danger Zone for four hours or more, pathogens can grow to levels high enough to make someone sick.
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Oxygen
Some pathogens require oxygen to grow, and are called aerobic, while others grow without oxygen, and are called anaerobic. The growth of these anaerobic bacteria has been known to occur in thick, heat-treated plant foods, such as: untreated garlic-in-oil mixtures and foil-wrapped baked potatoes that have been temperature abused. Bacteria causing foodborne illness that grow with or without oxygen is called facultative.
Moisture
Because most bacteria require water to grow, they grow well in moist foods. The amount of moisture available in a food for pathogens to grow is called water activity. It is measured on a scale from 0 to 1.0, with water having a water activity of 1.0. Potentially hazardous food typically have a water activity above 0.85.
Time/Temperature Abuse
Food can only stay in the Danger Zone a total of 4 hours The Danger Zone
41F
135
Question: What happens to pathogens at 41F and below? Are they killed, stopped or slowed down? Answer: It slows down the growth but does not stop or kill them Question: What happens to pathogens at 135F and above? Answer: Most are killed, except for spore forming pathogens
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
These symptoms should be recorded by the person in charge. The person in charge should also record and report specific illness to the local health department. An example of an employee illness reporting and recording log is included in the Appendix of this workbook.
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Restriction
Definition: To limit the activities of a food employee so that there is no risk of transmitting a disease that is transmittable through food and the food employee does not work with exposed food, clean equipment, utensils, linens, and unwrapped single-service or single-use articles.
*Shedding organism means that a person has a positive stool culture for a pathogen but is symptom free.
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Clean
Practice good personal hygiene
Shower or bath daily Trim and clean your fingernails, and not wear nail polish or artificial nails Remove jewelry, including watches, bracelets and rings Wear clean clothes Wash hands before you start work
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Using the toilet Handling raw foods Taking a break or smoking Coughing, sneezing, eating or drinking Cleaning or taking out trash As often as necessary to remove soil and contamination
How do you wash your hands? Apply soap, warm water and wash for 20 seconds! Sanitizer is just an addition to handwashing NOT a substitution!
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Question: How often should you wash your tools? Answer: When in use constantly, every four hours. If not in use constantly, wash in between uses.
Contents of Sink
Actions
*Use test strips to measure concentration of sanitizer, and record these measurements in a daily log similar to one that can be found in the Appendix.
Columbus Health Department 240 Parsons Ave, Columbus, OH 43215 www.publichealth.columbus.gov
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Dishwashers
Wash o Using detergent and hot water 140-165F Rinse o Clear hot water Sanitize o Chemical sanitizer-50 ppm chlorine or an equivalent chemical o Use test strips to measure concentration o OR use hot water sanitization (180F) in place of a chemical sanitizer
Things to remember Temperature of water should not go over 195F because above it, the liquid turns into a gas, evaporates away, and doesnt effectively sanitize. This is probably the most expensive piece of equipment in your kitchen although the dishwasher is probably the least trained!
In the News
On July 18, 2001, the New York City Department of Health and Mental Hygiene received a complaint of illness from a person who ate at a wedding celebration on July 14. By early August, a distinct strain of Salmonella Uganda had been isolated from 11 New York City residents with illness onsets occurring June 24August. All 11 case-patients were of Hispanic ethnicity, and 6 of 10 interviewed reported having eaten roast pork from a New York City restaurant in the 3 days before illness onset. Additionally, roast pork from that restaurant had been served at the wedding named in the initial consumer complaint. A sample of leftover roast pork from the wedding was positive for the same strain of Salmonella Uganda as the one isolated from patients. At the time of a sanitary inspection initiated by the consumer complaint, raw pork was held at inadequate temperatures at the restaurant, and thermometers were inadequately used during cooking and hot-holding. Potential sources were cross-contamination, surfaces and wiping cloths that were not properly sanitized. Source: <http://www.cdc.gov/ncidod/EID/vol10no9/03-0713.htm>
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Meats, seafood and ready to eat items should be wrapped before storing them.
Examples of poor cross-contamination include: Using same knife to cut raw meat and ready-to-eat food Storing raw meat, fish, poultry and eggs above ready-to-eat foods.
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Level 4 Poultry
BOTTOM
Question: Why do we put poultry on the bottom shelf? Answer: It is cooked at highest internal temperature.
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
To prevent the spread of viruses on food, do not touch ready-to-eat foods with your bare hands.
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145F
Cooking foods to the wrong temperature may cause foodborne illness! Must have consumer advisory at point of order if you offer undercooked or cooked to order foods o See the Consumer Advisory handout in the Appendix Never keep food at room temperature! Keep a record of cooking temperatures in a log. See the Appendix for an example.
Cook
Measuring Temperatures
Thermometers should be washed, rinsed, sanitized, and air dried before and after each use to prevent cross-contamination Use a clean, sanitized and calibrated food thermometer to check the internal temperature of foods being cooked. Use temperature logs to enter temperatures during every shift.
Common thermometers: 1. Bimetallic stemmed (most common and most versatile) 2. Thermocouples 3. Thermistors 4. Infrared thermometers (surface only) How do you know your thermometers are accurate? ________________________________________________________ When was the last time you calibrated your thermometer? ________________________________________________________
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Adjust
Wait 30 seconds
Chill
Refrigerate foods right away!
Cold foods must be held at 41F or below. Date mark all ready-to-eat foods after opening or preparation. Discard after 7 days! Use temperature log sheets to enter temperatures during every shift. An example of a cooling temperature log sheet can be found in the Appendix.
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
2) Ice wand
4)
Blast chiller
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C o l u m b u s H e a l t h D e p a r t m e n t s P e r s o n I n C h a r g e W o r k s h o p
Appendix
Kitchen Log Templates o Employee Illness Log o Daily Sanitizer Concentration Log o Cooking Temperatures Log o Cooling Temperatures Log Food Safety in Emergency Events Information o Power Outage o Hurricane & Flood o Fire o Boil Advisory or Water Interruption o Tornado o Biological Attack Labeling Requirements Information Consumer Advisory Information
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