Food Recall Response Checklist Form
Use this checklist to document and track all actions taken in response to a food recall notice.
Recall Notice Reference Number
*
Date Recall Notice Received
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Affected Product Name
*
Batch or Lot Number(s)
*
Quantity of Product on Hand
*
Distribution Status (Where was the product sent or sold?)
*
Inventory Check Completed
*
Yes
No
Actions Taken (Select all that apply)
*
Product removed from shelves
Product isolated in storage
Supplier notified
Staff informed
Other
Customer Notification Status
*
All customers notified
Notification in progress
Not started
Disposal or Return of Recalled Product
*
Disposed
Returned to supplier
Pending
Incident Notes and Follow-Up Responsibility
Submit Checklist
Should be Empty: