US Food & Drug Administration / Center for Food Safety and Applied Nutrition / November 10, 2004; Updated October 2007
SUBJECT Centralized Deviation Log |
| PLANT NAME |
| ADDRESS |
Deviation #1 | |
| TODAY'S DATE: | DATE OF INCIDENT: |
| DATE REPORTED: | REPORTED BY: |
| EXPLAIN CCP CRITICAL LIMIT DEVIATION: | |
| PRODUCT / PROCESS INVOLVED | |
| • Product Name and Description: | |
| • Code Date(s): | |
| • Date(s) of Manufacture: | |
| • Production Line #: | |
| CORRECTIVE ACTION: | ACTION TAKEN |
|---|---|
| 1. Segregate and hold the affected product until 2. and 3. are completed |  YES NO Date:Comments: |
| 2. Perform or obtain a review to determine the acceptability of the affected product for distribution. The review shall be performed by an individual or individuals qualified by training or experience to perform such a review; | YES NO Date: Comments: |
| 3. Take corrective action, when necessary, with respect to the affected product to ensure that no product is allowed to enter commerce that is either injurious to health or is otherwise adulterated as a result of the deviation; | YES NO Date: Comments: |
| 4. Take corrective action, when necessary, to correct the cause of the deviation; and | YES NO Date: Comments: |
| 5. Perform or obtain timely validation by a qualified individual(s), as required in Appendix K, to determine whether modification of the HACCP Plan is required to reduce the risk of recurrence of the deviation, and modify the HACCP Plan as necessary. | YES NO Date: Comments: |
| DISPOSITION OF PRODUCT | ROOT CAUSE OF DEVIATION |
