Allergen Risk Assessment Template 1
Uploaded by
Kate NavajaAllergen Risk Assessment Template 1
Uploaded by
Kate NavajaIssue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
Potential Allergen Cross-Contact
Potential Allergen Description Significant Hazards
Supplier Mitigation Steps
(W) Wheat
(Sh) Shellfish
Serious Allergen Cross-
Contact Hazard
In Same Facility
(E) Egg
Ingredient/Packaging/Workplace-related
On Same Line
Allergen (F) Fish
Rationale or Basis Control Mechanism
In Product
(P) Peanut
(S) Soy
(TN) Tree Nuts ( Yes or No )
(Se) Sesame
W N Y Y Y Wheat cross-contact in production facility No Manufacturer has controls to prevent cross-contact Cross-contact prevention
Sh N N N N/A N/A No Not present in product, on line, or in facility N/A
E N N N N/A N/A No Not present in product, on line, or in facility N/A
F N N N N/A N/A No Not present in product, on line, or in facility N/A
Cultures
P N N N N/A N/A No Not present in product, on line, or in facility N/A
S N N N N/A N/A No Not present in product, on line, or in facility N/A
TN N N N N/A N/A No Not present in product, on line, or in facility N/A
Se N N N N/A N/A No Not present in product, on line, or in facility N/A
W N N N N/A N/A No Not present in product, on line, or in facility N/A
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
No
Sh N N N N/A N/A Not present in product, on line, or in facility N/A
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
F N N N N/A N/A No Not present in product, on line, or in facility N/A
Salt No
P N N N N/A N/A Not present in product, on line, or in facility N/A
No
S N N N N/A N/A Not present in product, on line, or in facility N/A
No
TN N N N N/A N/A Not present in product, on line, or in facility N/A
No
Se N N N N/A N/A Not present in product, on line, or in facility N/A
W N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Sh N N N N/A N/A Not present in product, on line, or in facility N/A
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
F N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Rennet
P N N N N/A N/A Not present in product, on line, or in facility N/A
No
S N N N N/A N/A Not present in product, on line, or in facility N/A
No
TN N N N N/A N/A Not present in product, on line, or in facility N/A
No
Se N N N N/A N/A Not present in product, on line, or in facility N/A
W N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Sh N N N N/A N/A Not present in product, on line, or in facility N/A
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
Calcium Chloride
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
F N N N N/A N/A No Not present in product, on line, or in facility N/A
Calcium Chloride No
P N N N N/A N/A Not present in product, on line, or in facility N/A
No
S N N N N/A N/A Not present in product, on line, or in facility N/A
No
TN N N N N/A N/A Not present in product, on line, or in facility N/A
No
Se N N N N/A N/A Not present in product, on line, or in facility N/A
W N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Sh N N N N/A N/A Not present in product, on line, or in facility N/A
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
F N N N N/A N/A No Not present in product, on line, or in facility N/A
Annatto
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
Annatto No
P N N N N/A N/A Not present in product, on line, or in facility N/A
No
S N N N N/A N/A Not present in product, on line, or in facility N/A
No
TN N N N N/A N/A Not present in product, on line, or in facility N/A
No
Se N N N N/A N/A Not present in product, on line, or in facility N/A
W N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Sh N N N N/A N/A Not present in product, on line, or in facility N/A
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
F N N N N/A N/A No Not present in product, on line, or in facility N/A
Peppers No
P N N N N/A N/A Not present in product, on line, or in facility N/A
Peppers Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
No
Supplier has highly refined soy oil in same facility. This is
not considered an allergen, but our customer would like
S N N Y Y Highly refined soy oil cross-contact
to treat the refined soy as an allergen. They do have
Cross-contact prevention
cross-contact mitigation steps in place
No
TN N N N N/A N/A Not present in product, on line, or in facility N/A
No
Se N N N N/A N/A Not present in product, on line, or in facility N/A
W N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Sh N N N N/A Shellfish cross-contact Not present in product, on line, or in facility Cross-contact prevention
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
Supplier has mitigation steps in place to prevent cross-
F N N N N/A Fish cross-contact No
contact
Cross-contact prevention
Spices No
Supplier has mitigation steps in place to prevent cross-
P N N N N/A Peanuts cross-contact
contact
Cross-contact prevention
No
Supplier has mitigation steps in place to prevent cross-
S N Y Y Y Soy cross-contact
contact
Cross-contact prevention
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
No
Supplier has mitigation steps in place to prevent cross-
TN N N Y Y Tree nut cross-contact
contact
Cross-contact prevention
No
Supplier has mitigation steps in place to prevent cross-
Se N N Y Y Tree nut cross-contact
contact
Cross-contact prevention
W N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Sh N N N N/A N/A Not present in product, on line, or in facility N/A
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
F N N N N/A N/A No Not present in product, on line, or in facility N/A
Food Contact Packaging No
P N N N N/A N/A Not present in product, on line, or in facility N/A
No
S N N N N/A N/A Not present in product, on line, or in facility N/A
No
TN N N N N/A N/A Not present in product, on line, or in facility N/A
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
No
Se N N N N/A N/A Not present in product, on line, or in facility N/A
W N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Sh N N N N/A N/A Not present in product, on line, or in facility N/A
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
F N N N N/A N/A No Not present in product, on line, or in facility N/A
Corrugated Packaging No
P N N N N/A N/A Not present in product, on line, or in facility N/A
No
S N N N N/A N/A Not present in product, on line, or in facility N/A
No
TN N N N N/A N/A Not present in product, on line, or in facility N/A
No
Se N N N N/A N/A Not present in product, on line, or in facility N/A
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
W N N N N/A N/A No Not present in product, on line, or in facility N/A
No
Sh N N N N/A N/A Not present in product, on line, or in facility N/A
No
E N N N N/A N/A Not present in product, on line, or in facility N/A
F N N N N/A N/A No Not present in product, on line, or in facility N/A
Food Grade Lubricants No
P N N N N/A N/A Not present in product, on line, or in facility N/A
No
S N N N N/A N/A Not present in product, on line, or in facility N/A
No
TN N N N N/A N/A Not present in product, on line, or in facility N/A
No
Se N N N N/A N/A Not present in product, on line, or in facility N/A
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
GMP's, employee allergen
W N N Y Y Wheat cross-contact in production facility No GMP's, employee allergen training
training
No
GMP's, employee allergen
Sh N N Y Y Shellfish cross-contact GMP's, employee allergen training
training
No
GMP's, employee allergen
E N N Y Y Egg cross-contact GMP's, employee allergen training
training
GMP's, employee allergen
F N N Y Y Fish cross-contact No GMP's, employee allergen training
training
Factory Employee Breakroom No
GMP's, employee allergen
P N N Y Y Peanuts cross-contact GMP's, employee allergen training
training
No
GMP's, employee allergen
S N N Y Y Soy cross-contact GMP's, employee allergen training
training
No
GMP's, employee allergen
TN N N Y Y Tree nut cross-contact GMP's, employee allergen training
training
No
GMP's, employee allergen
Se N N Y Y Tree nut cross-contact GMP's, employee allergen training
training
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
GMP's, employee allergen
W N N Y N Wheat cross-contact in production facility No GMP's, employee allergen training
training
No
GMP's, employee allergen
Sh N N Y N Shellfish cross-contact GMP's, employee allergen training
training
No
GMP's, employee allergen
E N N Y N Egg cross-contact GMP's, employee allergen training
training
GMP's, employee allergen
F N N Y N Fish cross-contact No GMP's, employee allergen training
training
Employee Uniforms No
GMP's, employee allergen
P N N Y N Peanuts cross-contact GMP's, employee allergen training
training
No
GMP's, employee allergen
S N N Y N Soy cross-contact GMP's, employee allergen training
training
No
GMP's, employee allergen
TN N N Y N Tree nut cross-contact GMP's, employee allergen training
training
No
GMP's, employee allergen
Se N N Y N Tree nut cross-contact GMP's, employee allergen training
training
Issue Date: XX/XX/XXXX
Allergen Risk Analysis Template Revised: New
Approved By: Replaces: New
Version: 001
W N N N N Wheat cross-contact in production facility No Not present in product, on line, or in facility N/A
No
Sh N N N N Shellfish cross-contact Not present in product, on line, or in facility N/A
No
E N N N N Egg cross-contact Not present in product, on line, or in facility N/A
Processing Aids F N N N N Fish cross-contact No Not present in product, on line, or in facility N/A
No
P N N N N Peanuts cross-contact Not present in product, on line, or in facility N/A
No
S N N N N Soy cross-contact Not present in product, on line, or in facility N/A
No
TN N N N N Tree nut cross-contact Not present in product, on line, or in facility N/A
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