HACCP PLAN FORMS

(See HACCP Guidance Notes for tips on implementing the Plan.)

These are the recommended forms to use. All are on the CD-Rom so that you can
adapt them to suit your hospital’s needs.

A. Hazard Analysis Forms

B. Approved Hospital Suppliers List

C. Delivery Check Record

D. Fridge Temperature Checks

E. Freezer Temperature Checks

F. Defrosting Time/Temperature Checks

G. Cooking Temperature Records

H. Servery Temperature Records

I.1. Monitoring Food Trail From Cooking To Delivery To Patient

I.2. Food Trolley Temperature Records

J. Training Records

K. Cleaning Schedule

L. Pest Control Records

M. Probe Thermometer Maintenance Records

N. Internal Audit

O. HACCP Diary Planner

Drafted by ECU, Saudi Aramco, 06 March ’06