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Temporary Food Service Permit
Questionnaire
1) Will you be serving any
Potentially Hazardous Foods? YES
NO
Potentially Hazardous Foods
include: Meats, eggs, fish, shellfish, poultry, dairy, beans,
rice, cooked plant foods and sliced melons. We will
require that you store and hold all PHF's at or below 41 degrees
F or at or above 140 degrees F. In addition, all raw meat,
fish, and poultry must be stored in such a manner as to keep
these raw foods and their juices from contact with ready-to-eat
or foods that will not be cooked.
2) Do you have handwashing
facilities?
YES NO
Acceptable handwashing facilities
include a separate handwashing sink with a potable water supply,
liquid soap and paper towels. If you do not have adequate
handwashing facilities, we will require that you have an
adequate supply of alcohol towellets, that you use tongs and
serving utensils to avoid bare hand contact with food and that
you use disposable gloves which are changed after touching
anything which may contaminate your hands. We will require
a separate waste can for gloves, so we can monitor usage.
3) Do you have thermometers
adequate to take monitor
temperatures for cooking, storing and holding all
Potentially Hazardous
Foods?
YES NO
4) What are your minimum cooking
temperatures for cooking
Potentially Hazardous Foods?:
Item:__________________________Minimum
Cooking Temperature _______F
Item:__________________________Minimum
Cooking Temperature _______F
Item:__________________________Minimum
Cooking Temperature _______F
Item:__________________________Minimum
Cooking Temperature _______F
Item:__________________________Minimum
Cooking Temperature _______F
Item:__________________________Minimum
Cooking Temperature _______F
The above statements are correct
and true to the best of my knowledge. I hereby agree to
abide by the Food Code.
Signature:
_______________________________ Date:
________________
Need
proof that paper towels are better than drying machines?
AFSI has long
recommended the use of paper towels instead of or with drying
machines. Now, Kimberly-Clark has come out with a free one page
sheet on how using paper towels reduces the general bacteria
count on the hands by 58%.
Contact Linda Duncan at:
Food
Protection Report
For a monthly
report of current developments in food protection, AFSI
recommends subscribing to the Food Protection Report. At $135
per year, FPR summarizes industry and regulatory activities and
events. To subscribe, call 800-225-8131
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