Form 5420 5 General Food Defense Plan
Form 5420 5 General Food Defense Plan
Form 5420 5 General Food Defense Plan
By signing here, I acknowledge that this establishment has measures in place in accordance
with this document
Signature: Date:
PURPOSE
This voluntary plan documents your measures to protect food and food production processes from intentional harm.
Review of this plan and signing the cover sheet will result in a Food Defense Plan for your FSIS-regulated
establishment.
BENEFITS: By having a Food Defense Plan, you will contribute to a safer and more secure food supply. You will
also protect public health, your employees, and your livelihood. A functional* food defense plan may also:
INSTRUCTIONS:
This food defense plan is organized in four sections: (1) Outside Security Measures, (2) Inside Security Measures,(3)
Personnel Security Measures, and (4) Incident Response Security Measures. Attachment A provides a list of tools or
additional security measures that an establishment may consider or may already have in place. You may also have other
plans that contribute to a food defense plan such as an emergency plan, a recall plan, a security plan, etc. Attachment
B is a form that can be used to document your annual review of your food defense plan.
3. Test: Periodic monitoring fulfills this element. This can be done using simple measures, such as checking locked doors
or making unannounced perimeter checks. Monitoring can be documented using a form, such as Attachment B. Not all
security measures need to be tested at the same frequency.
4. Review and Maintain: Reviewing the plan at least annually, revising the plan as needed, and taking appropriate actions
fulfills this element.
This plan was developed through a joint effort between RTI International, the HACCP Consulting Group, a Focus Group of industry
representatives, and the U.S. Department of Agriculture's Food Safety and Inspection Service.
Not all measures suggested are appropriate or necessary for every facility.
1. Outside Security Measures
(Examples: door locks, lighting, monitoring loading/unloading)
GOAL: To prevent unauthorized access by people, or entry of unapproved materials to the facility.
This establishment has in place at least one of the following measures for outside security.
Plant boundaries are clear and secured to prevent unauthorized entry (for example, fences
installed, no trespassing signs posted)
Entrances are secured (for example, locks and/or alarms installed and operating)
Plant perimeter is periodically monitored for suspicious activity
Other:
Other:
Mail is handled away from food including ingredients and packaged food product
Employees who handle mail are aware of proper handling of suspicious mail and U.S. Postal Service guidelines
Other:
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Not all measures suggested are appropriate or necessary for every facility.
2. Inside Security Measures
(Examples: signs, observations, restricted access)
GOAL: To protect product from intentional contamination throughout the production process.
This establishment has in place at least one of the following measures for inside security.
Records ensure traceability for one step backward, one step forward, or both
Other:
Labels and packaging materials are controlled to prevent theft and misuse
Other:
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Not all measures suggested are appropriate or necessary for every facility.
2. Inside Security Measures
Restrict access to storage tanks for potable water and to water reuse systems
Access to lines that transfer water or ingredients are examined and restricted
Other:
Other:
Access to sensitive information such as site plans and processing details is controlled
Other:
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Not all measures suggested are appropriate or necessary for every facility.
3. Personnel Security Measures
(Examples: check references, use visitor log or sign-in, or check IDs)
GOAL: To ensure that only authorized personnel are in the facility at any time.
This establishment has in place at least one of the following measures for personnel security.
Other:
3.2 Non-employee Security (Example: visitors, contractors, guests, customers, truck drivers)
Non-employees have restrictions on what they can bring in or take from the facility
Other:
Other:
1.
You can electronically verify the employment eligibility of your new hires at
http://www.dhs.gov/files/programs/gc_1185221678150.shtm . E-verify is an internet based system operated by the federal
government that is available for employers to use at no charge.
2.
You can access free food defense awareness training for your employees at
http://www.fda.gov/food/fooddefense/toolseducationalmaterials/default.htm
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Not all measures suggested are appropriate or necessary for every facility.
GOAL: To respond quickly to a product contamination threat or event using planned measures.
This establishment has in place at least one of the following measures for incident response security.
Have procedures to ensure that adulterated or potentially harmful products are held
Customer comments are investigated
Reporting unusual activities is encouraged
Employees have the ability to stop activities to minimize a potential food defense incident
Reported security breaches (for example, alarms, suspicion of tampering) are investigated
Other:
Other:
Other:
Page 5
ATTACHMENT A
This attachment provides a list of tools or additional security measures that an establishment may consider or may already
have in place. These are provided to assist establishments in tailoring the plan to meet their specific needs.
- Regularly conduct and document security inspections of storage facilities, including temporary storage vehicles.
- Restrict outdoor access to water wells/sources.
A-1
List of Tools or Possible Security Measures for Food Defense
Not all measures suggested are appropriate or necessary for every facility.
Storage Security
- Maintain an access log for product and ingredient storage areas.
- Regularly check the inventory of finished products for unexplained additions and withdrawals from existing stock.
- Restrict access to external storage facilities to designated employees only.
Information Security
- Track customer complaints/comments for trends.
- Keep details of food defense procedures confidential as necessary.
- Have up-to-date establishment layout/blueprints for local law enforcement, including the fire department if needed.
A-2
List of Tools or Possible Security Measures for Food Defense
Not all measures suggested are appropriate or necessary for every facility.
A-3
ATTACHMENT B - Food Defense Plan Review
Complete this form to document your annual review of this Food Defense Plan.
Not all measures are required or need to be reviewed each time this form is completed.
Date of Annual Review Person Who Conducted Was the Food Defense Plan
Annual Review tested?*
(Name and Title) (Yes / No)
Yes No
Yes No
Yes No
Yes No
*Testing can be done using simple measures, such as checking locked doors or making unannounced
perimeter checks.
B-1