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CCP Deviations Records

During the Month of ______________________, _______________ :

(Check appropriate box below)

 No Deviation or changes occurred

 Please see the attached form(s) which documents the _____________ deviation(s) that occurred during this month.

 Please see the attached form(s) which document the ____________ change(s) to the HACCP / Safety Plan.

__________________________________ ___________________________________
Insert name and title Date Insert name and title Date

___________________________________ ___________________________________
Insert name and title Date Insert name and title Date

__________________________________ ___________________________________
Insert name and title Date Insert name and title Date

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