Get the free Foodborne Illness Reporting Form

Food and Drugs Authority Foodborne Illness Reporting Form (FDA/FSM/AMPBD/2012/01) Please Complete and send or fax to: Food and Drugs Authority P.O. Box CT 2783 Accra Ghana Fax:+233 302 229 794 Email:

How to fill out foodborne illness reporting form

How to fill out foodborne illness reporting form

1. Gather all necessary information about the foodborne illness incident, including the date and time of onset, symptoms experienced, and any relevant food or drink consumed.
2. Access the foodborne illness reporting form either online or in a physical copy. Make sure to have a copy of the form or access to it electronically.
3. Fill out the personal information section of the form, providing your name, contact details, and any other required information.
4. Provide details about the foodborne illness incident in the corresponding sections of the form. This can include information about the food or drink consumed, the symptoms experienced, and any other relevant details.
5. If available, attach any supporting documents or evidence to the form, such as medical reports or laboratory test results, that can help in the investigation of the foodborne illness.
6. Review the completed form to ensure all necessary information has been provided and that it is accurate. Make any necessary amendments or additions.
7. Submit the filled-out foodborne illness reporting form as instructed, either by mailing it to the relevant authority or submitting it electronically through the designated online platform.
8. Keep a copy of the form and any supporting documents for your records.
9. Follow up with the relevant authority if required, providing any additional information or clarification they may need.

Who needs foodborne illness reporting form?

1. Anyone who has experienced a foodborne illness and wants to report it to the proper authorities.
2. Food establishments, such as restaurants or food production facilities, may also need to fill out the foodborne illness reporting form if they become aware of an incident involving their products or services.
3. Healthcare professionals or laboratories may need to complete the form if they diagnose or confirm a case of foodborne illness.
4. Government agencies and food safety regulatory bodies utilize the foodborne illness reporting form to collect data and investigate potential outbreaks or hazards.

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What is foodborne illness reporting form?

The foodborne illness reporting form is a document used to report cases of foodborne illness to health authorities for monitoring and investigation.

Who is required to file foodborne illness reporting form?

Food establishments, healthcare providers, and laboratories are typically required to file a foodborne illness reporting form when they identify a case.

How to fill out foodborne illness reporting form?

To fill out the form, provide details such as the patient's information, symptoms, potential food sources, and any relevant laboratory test results.

What is the purpose of foodborne illness reporting form?

The purpose is to track and investigate outbreaks of foodborne illnesses, allowing health authorities to identify sources and prevent future cases.

What information must be reported on foodborne illness reporting form?

The form must include details like patient demographics, symptoms, suspected food sources, onset dates, and exposure histories.