Food Allergen Risk Assessment Form
Product Name:
Assessment Date:
Assessor Name:
Check All Allergens Present in the Product:
Cereals containing gluten
Crustaceans
Eggs
Fish
Peanuts
Soybeans
Milk
Nuts
Celery
Mustard
Sesame seeds
Sulphur dioxide and sulphites
Lupin
Molluscs
Is there a risk of cross-contact with allergens?
Yes
No
Unknown
Controls or measures to prevent allergen contamination:
Additional Comments: