USDA FSIS 5200-15 2012 free printable template

SIGNATURE OF APPLICANT 6. PRINTED NAME 7. PRINT NAME OF DISTRICT/ IID - HEADQUARTER MANAGER FSIS FORM 5200-15 1/19/2012 8. According to the Paperwork Reduction Act of 1995 an agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0583-0153. The time required to complete this information collection is estimated to average 20 minutes...

How to fill out USDA FSIS 5200-15

How to fill out USDA FSIS 5200-15

1. Obtain the USDA FSIS Form 5200-15 from the USDA website or your local FSIS office.
2. Fill in the applicant's name and contact information at the top of the form.
3. Provide the establishment number for the facility for which the application is being submitted.
4. Specify the type of inspection services needed by checking the appropriate boxes.
5. Indicate the type of product(s) to be produced and provide details regarding production methods.
6. Complete the sections related to the facility's operation, including hours of operation and number of shifts.
7. Attach any required documentation that supports the information provided in the application.
8. Review the form for accuracy and completeness before submission.
9. Sign and date the form at the designated area.
10. Submit the completed form to your local FSIS district office.

Who needs USDA FSIS 5200-15?

1. USDA FSIS 5200-15 is required by establishments seeking federal inspection services for meat, poultry, or egg products.
2. It is needed by businesses that are planning to operate in compliance with federal regulations for food safety.
3. New establishments applying for Federal inspection must complete this form as part of their application process.

People Also Ask about

Which of the following is required in all USDA FSIS inspected establishments?

Inspected establishments must maintain and follow written Sanitation Standard Operating Procedures (SSOP) and Hazard Analysis and Critical Control Point (HACCP) plans. In addition to inspecting the meat products, inspection personnel inspect the facilities and equipment to ensure sanitary conditions are maintained.

What is an FSIS Form 9295 1?

NOTE: FSIS Form 9295-1 is a bilingual, watermarked, legal size document that is signed by the PHV (same PHV that approves the export task and signs the 9060-5 and any supplemental documents) and is to accompany all meat and poultry exports to China.

What is the FSIS directive on adulterated product?

FSIS regulation 9 CFR 418.2 requires establishments to notify the local FSIS DO within 24 hours of learning or determining that they have received or have shipped adulterated or misbranded products that have entered commerce.

What is a USDA FSIS mark of inspection?

An inspection mark on the label lets you know the meat or poultry product has been inspected and that it is safe, wholesome, and correctly labeled. See FSIS' Inspection Programs.

What does FSIS import require?

A: FSIS requires the original certificate to be presented at the official import inspection establishment. Customs and Border Protection Agricultural Inspectors, who represent the Animal and Plant Health Inspection Service, require only a copy of the certificate, because they understand that FSIS requires the original.

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What is USDA FSIS 5200-15?

USDA FSIS 5200-15 is a form used by the Food Safety and Inspection Service (FSIS) of the United States Department of Agriculture (USDA) for reporting food safety issues related to the inspection and compliance of meat, poultry, and egg products.

Who is required to file USDA FSIS 5200-15?

Any establishments engaged in the processing of meat, poultry, and egg products that are subject to USDA inspection are required to file USDA FSIS 5200-15.

How to fill out USDA FSIS 5200-15?

To fill out USDA FSIS 5200-15, entities must provide detailed information about the food safety issue, including the product description, establishment number, date of occurrence, and any corrective actions taken. Accurate and complete information must be provided to ensure compliance.

What is the purpose of USDA FSIS 5200-15?

The purpose of USDA FSIS 5200-15 is to facilitate the reporting of food safety incidents and ensure that necessary actions are taken to protect public health by addressing any compliance issues with meat, poultry, and egg products.

What information must be reported on USDA FSIS 5200-15?

The information reported on USDA FSIS 5200-15 must include the establishment name and number, product details, description of the food safety issue, date and time of occurrence, corrective measures taken, and any other relevant information that helps in assessing the incident.