Please note that this page has been updated for 2015 following a quality check and review of the templates and many new ones have been added. This page is a resource for the food establishment industry as well as for plan reviewers.
1 these worksheets are used in training by the fspca.
Safety plan worksheet sop. The worksheets and applications found below are intended for actual use in completing a plan review. The following steps represent my plan for increasing my safety and preparing in advance for the possibility for further violence. These sops are available in both microsoft word format doc and adobe acrobat portable document format pdf and are listed below.
Accurate record keeping and documentation is the cornerstone of a successful food safety systemhaccp plan. This safety plan comes with several phone numbers for suicide hotlines in the united states including one for the deaf and hard of hearing. Standard operating procedures logs worksheets resources the national food service management institute nfsmi has developed haccp based sops in conjunction with usda and fda.
Welcome to global health trials tools and templates library. Appendix 2 food safety plan forms page 1. In order to keep myself safe i will remove or safely store things i could use to hurt myself.
Remember to complete a thorough assessment of suicidality first. Where will i keep this plan. Safety plans should be used carefully and with sound clinical judgment.
Print the haccp based sops and complete the worksheets. Safety during a violent incident. Helpful training videos youtube.
Only one component of your overall food safety program. Make sure both the patient and therapist have a copy and plan where the patient will leave the copy where it will be easily accessible in case of emergency. This resource provides sample haccp based standard operating procedures sops and worksheets which contain the minimum elements that can assist you when developing your food safety program.
Your food safety plan for two reasons. Although i do not have control over my partners violence i do have a choice about how to respond to himher and how to best get myself and my children to safety. It is important that the safety plan worksheet is completed with the therapist and patient working together.
Safety plan worksheet purpose. If you have trouble downloading them please email mda info at michigangov. Procedures can include cleaning.
Providers and patients complete safety plan together and patients keep it with them. All employees involved with the haccp plan must be fully aware of the identification definition and importance of critical limits and associated monitoring procedures.