Free Food Safety Incident Report Form Template
Food Safety Incident Report Form
Please fill out this form completely to document any food safety-related incident.
Date
Incident Location
Reporter's Name
Reporter's Email
Please provide your email address.
Reporter's Phone Number
Role
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Staff Member
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Customer
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Manager
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Type of Incident
-
Contamination
-
Improper Storage
-
Foodborne Illness Complaint
-
Temperature Deviation
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Detailed Description
Provide a clear explanation of the incident, including suspected causes and the food items involved.
Immediate Actions Taken
Describe actions taken to address the incident, such as isolation of food items, cleaning, or notifying supervisors.
Relevant Files or Documents
|
Supervisor |
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