Food Safety Failure Analysis Report
Report Date
Reported By
Location
Incident Details
Date of Incident
Time
Description of Failure
Detected By
Product(s) Involved
Quantity Affected
Risk Assessment
Potential Food Safety Risk
Likelihood of Recurrence
Rare
Unlikely
Possible
Likely
Almost Certain
Severity
Minor
Moderate
Major
Critical
Root Cause Analysis
Root Cause(s) Identified
Contributing Factors
Corrective & Preventive Actions
Immediate Actions Taken
Recommended Preventive Actions
Responsible Person(s)
Target Completion Date
Verification
Verification of Implementation and Effectiveness
Verified By
Verification Date