Miselup · 2026-10-06 · Codex CXC 1-1969 (2020)
Complete for the business: confirm local requirements, justify limits, validate controls and approve the plan before use. This form does not establish that controls were performed.
| Business and address | |
|---|---|
| Country and applicable requirements | |
| Product / family | |
| Edition and date | |
| Prepared / reviewed / approved by | |
| Prerequisites and references | |
| Next review and record retention |
Names, roles, competence, lead and deputy; site, activities and processes covered. Identify who writes, reviews and approves the plan.
Ingredients, allergens, relevant properties, processing, packaging, storage and justified shelf life. Group products only when their hazards and controls are comparable.
Serving and consumption, intended consumers and vulnerable groups. Include reasonably foreseeable misuse.
Every stage in sequence, inputs, waits, returns, storage and leftover disposal. Include outsourced stages within the scope.
Walk the process during actual work; record the person, date, shifts observed and corrections. Check that the diagram matches practice.
For each stage, list biological, chemical and physical hazards, including allergens; origin, likelihood, severity, significance, control and reasons for inclusion or exclusion.
Explain where control of a significant hazard is essential. Record the decision method and answers, including hazards managed through prerequisites.
Parameter, unit, limit, scope and source for each CCP; justification for each limit. Separate legal requirements, operator limits and working targets.
What, how, where, when and by whom; instrument, representative sampling and record. Monitoring must detect a deviation in time to act.
Actions for the process and the food, who decides disposition, how control is restored and recurrence prevented. Keep the incident and decision.
Record review, observation, instrument checks and results; assign people, frequencies and review triggers. Also document control-measure validation before implementation, with evidence kept separate from routine verification.
Version, approval, review date, procedures, forms, records and evidence; access, retention and change control. Blank forms do not demonstrate execution.
| Stage | Hazard / origin | Likelihood / severity | Significance and reason | Measure / responsible person | Prerequisite or CCP and rationale |
|---|---|---|---|---|---|
| Stage / CCP | Hazard | Measure | Limit / unit / source | Monitoring / person / frequency | Corrective action / disposition | Validation / verification | Record |
|---|---|---|---|---|---|---|---|
Reference template and example: https://miselup.pro/en/appcc/haccp-plan-template/