ANNEX 10

Form

CR 1
EUROPEAN COMMUNITIES (FOOD AND FEED HYGIENE) REGULATIONS 2005
S.I. No. 910 of 2005

COMPLIANCE REPORT
Report No.:

To: ______________________________________________________________________________
(Name and Status)
Name of Establishment: _____________________________________________________________
Address of Establishment: ___________________________________________________________
Unit Inspected __________________________________________
Approval Number _________ Date of Inspection ______________
Processing Establishment
Off-site Dry Store

Collection Centre

Milk Purchaser

Off-site Temperature-controlled Store

Report Type: ______________

Brief summary of findings:

Type of non-compliance

Category 1

Category 2

Number of non-compliances

Signed: ________________________________
(Inspector, Dairy Regions Division)

Category 3
Compliance Notice(s) issued: Yes / No

Contact No.___________________

Date: _____________________
Elements shown in these diagnosis grids are personal observations made by the trainee. They do NOT reflect the opinion of any
competent authority of any third country or EU member state. They CANNOT be considered as the results of an official inspection and
do not reflect the opinion of the European Commission.
The information contained is PERSONAL and CONFIDENTIAL and CANNOT be used for any other purpose than the
training programme referred to in the header of these documents.
The checklist proposed in these diagnosis grids are training tools prepared by independent experts. They are NOT mandatory
requirements to be followed by third countries towards approving food establishments for exports to the EU

Form CR 1

Report No.:

DETAILS OF NON-COMPLIANCES
CATEGORY

PART

OPS/ 024 Rev.2 issued March 2006

DETAILS

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Form CR 1

Report No.:

COMMENTS (if required)

OPS/ 024 Rev.2 issued March 2006

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