Food Facility Spill Response Report
Date
Time
Location of Spill
Area/Department
Spill Information
Material Spilled
Approximate Quantity
Cause of Spill
Individuals Involved
Spill Response Actions
Immediate Actions Taken
Spill Contained?
Yes
No
Cleanup Procedures Used
PPE Worn
Outcome & Follow-Up
Was the Area Decontaminated?
Yes
No
Equipment Involved
Persons Notified (Managers, Safety, etc.)
Additional Comments/Actions Needed
Report Completed By
Date