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A6 Glass and Brittle Plastic Incident Report

This document provides instructions for reporting glass and brittle plastic incidents. It outlines immediately informing management and completing an incident report form. The incident report requests information on the activity, location, date, employee, and description of the incident. For incidents affecting food safety, it also requests details on the affected product, actions taken, and supervisor signatures.

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Matheus Perotti
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94 views1 page

A6 Glass and Brittle Plastic Incident Report

This document provides instructions for reporting glass and brittle plastic incidents. It outlines immediately informing management and completing an incident report form. The incident report requests information on the activity, location, date, employee, and description of the incident. For incidents affecting food safety, it also requests details on the affected product, actions taken, and supervisor signatures.

Uploaded by

Matheus Perotti
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Resource Manual

 Immediately following the incident, inform a


management team member,
A.6 - Glass and Brittle Plastics  Follow up by immediately completing and submitting an
Incident Report Incident Report Form.

Completed by: ______________________________

Date: _____________________________________

Information on the Incident

Nature of the Activity:

Place of the Incident:

Date : Time:

Exact Location of the Incident:

Employee responsible:

Description of Incident:

Complete this only if this Incident Affected Food Safety

Supervisor:

Shift:

Product Affected:

Lot # & Case #:

Action Taken:

Superviser Signature :

Additional Comments:

Onsite verification completed by: Date: Deviations/comments:

Record verification completed by: Date: Deviations/comments:

Premises Program: Glass and Brittle Plastics Incident Report Page 1 of 1

Issue Date: _______________________

Developed by: ___________________________ Date last revised: ____________________________

Authorized by: ___________________________ Date authorized: ____________________________

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