Food Safety Scope Assessment Form
Share details about your facility, food handling, and assessment priorities.
Facility or business name
*
Respondent name and role
*
Facility location (city/region and country)
*
Facility type
*
Restaurant or food service
Food manufacturing or processing
Retail grocery
Catering
Warehouse or distribution
Other
Food activities performed
*
Preparation
Cooking
Cooling or reheating
Packaging
Processing
Storage
Transportation
Service or sale
Food and product categories handled
*
Processes and handling conditions relevant to safety (for example, temperature-controlled handling, ready-to-eat foods, or raw products)
*
Current food safety controls or programs
Food safety scope rating
*
Rows
Not applicable
Low
Moderate
High
Biological hazards
1
2
3
4
Chemical hazards
5
6
7
8
Physical hazards
9
10
11
12
Complexity of operations
13
14
15
16
Key questions, concerns, or areas to include in the assessment
Submit assessment
Should be Empty: