Free fda-2682.xft - Federal

DEPARTMENT OF HEALTH AND HUMAN SERVICES

FOOD AND DRUG ADMINISTRATION

BEVERAGE PLANT INSPECTION REPORT
1. ESTABLISHMENT NAME AND ADDRESS (Include ZIP code) 2. DATE INSPECTED

3. STATE LICENSE OR PERMIT NUMBER

4. NAME OF OWNER

8. TELEPHONE NUMBER (Include Area Code)

6. NAME OF MANAGER

7. TELEPHONE NUMBER (Include Area Code)

INSTRUCTIONS:

Answer the following questions by checking the appropriate box. Explain "No", answers on continuation sheet(s). Precede each explanation with the item number. Use "N/A" where questions are Not Applicable.

NO.
1. 2. 3. 4. 5. 6.

STORAGE CONDITIONS
Is water supply used for manufacturing purposes from an approved source and of satisfactory quality Are stocks of liquid and/or dry sugar stored under conditions which prevent adulteration by rodents, insects, mold, etc. Are beverage bases, concentrates, colors, flavors, and other raw materials stored in clean containers, which are properly identified and adequately protect contents Are new bottles, cans, and crowns stored off the floor and protected from contamination. Are finished product sufficiently separated from mixing and filling areas so that contamination will not occur Is plant free from evidence of domestic pets, rodent, insect or bird activity

YES

NO

MANUFACTURING PROCESSES
7. 8. 9. 10. 11. 12. 13. 14. 15.
Are tanks, vats, transfer lines, mixers, and other equipment used for mixing, storage, and transfer of syrups constructed of smooth, impervious, non-toxic materials Does firm adequately clean and sanitize syrup mixing and transfer equipment before use Is syrup room clean, in good repair, and generally free of potential contaminants Are single-use containers rinsed or inspected prior to filling Are product lines and equipment maintained in a mold-free condition Are multi-use bottles inspected for filth or foreign objects after wash, but prior to fill Are returned multi-use bottles containing foreign objects or excessive filth rejected prior to entering the washer Is bottle washer operating properly with respect to water pressure and temperature, soak time, caustic concentration, mechanical brushing, and rinsing Are filling and capping operations conducted under satisfactory sanitary conditions PAGE 1 OF 3
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FORM FDA 2682 (10/88)

INSPECTION CRITERIA NO.
16. 17. 18. 19. 20.

MANUFACTURING PROCESSES (Cont.)
Are bottled beverage production lines operating without apparent excessive glass breakage Does post-fill inspection procedure (visual or mechanical) appear to be effective Were food / color additives or pesticides used properly Do labels of products covered during inspection comply with Fair Packaging and Labeling Act Does examination of warehouse stock reveal finished product to be free of mold or other visible filth

YES

NO

BUILDING AND GROUNDS
21. 22. 23. 24. 25. 26. 27.
Are outside premises free from spillage, trash, etc. which may attract or harbor rodents or other pests

Is building of suitable construction and generally in good physical repair Are doors and windows leading to outside in good repair, tight-fitting, and closed or screened adequately Are processing and storage areas adequately lighted, ventilated, and reasonably free of odors and condensation Are floors, walls, and ceilings clean and in good repair Does firm maintain a regular cleaning schedule covering both processing and storage areas Are insecticides and rodenticides properly used and stored

TRANSPORATION PRACTICES
28. 29.
Are vehicles used to transport finished product adequate, clean, and in good repair Are finished products adequately protected from adulteration during transport

TOILET, DRESSING ROOMS, AND EMPLOYEES
30. 31. 32. 33.
Are toilets and dressing rooms in good repair, clean, properly ventilated, and adequately separated from processing areas Are handwashing facilities clean and provided with hot water, soap and approved sanitary towels Are employees clean and properly clothed (including head covers) Do employee practices appear to be satisfactory

CORRECTIONS AND SAMPLES
34. 35.
If any corrections were made during this inspection or as a result of a previous inspection (including voluntary destructions, capital improvements, etc.), complete Voluntary Correction section of cover sheet Form FDA 481 (E) - CG. If any samples were collected, list sample numbers and briefly describe samples.

FORM FDA 2682 (10/88)

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DISCUSSION WITH MANAGEMENT
Indicate individual with whom inspection was discussed. Identify official (name and title) having authority to authorize corrections. Record any recommendations and / or warnings given, and management's responses.

CONTINUATION SHEET
(Use additional sheets as appropriate.)

SIGNATURE OF INSPECTOR

DATE

FORM FDA 2682 (10/88)

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