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When is a foodborne illness considered an outbreak? (3 criteria)
Two or more people have the same symptoms after eating the same food
An investigation is conducted by state and local regulatory authorities
Outbreak is confirmed by laboratory analysis
3 Types of Contamination
Biological, physical, chemical
Examples of biological contamination
Bacteria, viruses, parasites, fungi
Examples of chemical contaminants
Cleaners, sanitizers, polishes
Examples of physical contaminants
Metal shavings, staples, bandages, glass, dirt, fingernails, natural objects (fish bones, pits), hair
5 risk factors for foodborne illness
Purchasing food from unsafe sources
Failing to cook food correctly
Holding food at incorrect temperatures
Using contaminated equipment
Practicing poor personal hygiene
What is time-temperature abuse?
When food has stayed too long at temperatures good for pathogen growth
2 types of food most likely to become unsafe
TCS food and Ready-to-eat food
What is TCS food?
Food requiring time and temperature control to limit pathogen growth—time and temperature control for safety
TCS foods (More obvious)
Milk and dairy products, shell eggs, meat, poultry, fish, shellfish and crustaceans
TCS foods (less obvious)
Baked potatoes, heat-treated plant foods, tofu/soy proteins, sprouts/sprout seeds, sliced melons+tomatoes+leafy greens, untreated garlic and oil mixtures
Populations at higher risk for foodborne illnesses
Preschool age children, elderly, people with compromised immune system
What is a microorganism?
Small, living organism that can be seen only with a microscope
What is a Pathogen?
Harmful microorganism, makes people sick when eaten or produces toxins that cause illness
What is a toxin?
Poison
Four types of pathogens that can contaminate food and cause foodborne illness
Bacteria, viruses, parasites, and fungi
Food handlers can contaminate food when:
They don’t wash hands properly, in contact with someone sick, sneeze or vomit onto food-contact surfaces, touch dirty food-contact surfaces and equipment and then touch food
Common foodborne illness symptoms
Diarrhea, vomiting, fever, nausea, abdominal cramps, jaundice
What are the onset times of a foodborne illness?
Depends on illness, ranges from 30 mins to 6 weeks
What does bacteria need to grow?
Food, acidity, temperature, time, oxygen, moisture (FATTOM)
Food for bacteria
Most bacteria need nutrients to survive, TCS food supports bacteria growth more than other foods
Acidity for bacteria
Bacteria grows best in food that contains little to no acid, pH of 7.5-4.6 is ideal
Temperature for bacteria growth
Bacteria grow rapidly between 41˚F to 135˚F (temperature danger zone), they grow even more rapidly from 70˚F to 125˚F
Time for bacteria
The more time bacteria spends in the temperature danger zone, the more opportunity they have to grow to unsafe levels
Oxygen for bacteria
Some bacteria need oxygen to grow, others grow when oxygen isn’t there
Moisture for bacteria
Bacteria grow well in food with high levels of moisture (food with water activity of 0.85 or higher is ideal for bacteria growth
What are spores?
Bacteria can change into spores, they’re often found in dirt, can survive cooking temperature, and the can change back into a form that grows
Deliberate contamination of food
Assure (make sure received are from safe sources) Look (monitor the security of products in the facility) Employees (know who is in your facility) Reports (Keep information related to food defense accessible) Threat (develop a plan for responding to suspicious activity or a threat to the operation)
What is a food allergen
A protein in a food or ingredient to which some people are sensitive
The “Big Eight” food allergens
Milk, soy, eggs, wheat, fish, shellfish, peanuts, tree nuts
How to avoid cross-contact
check recipes and ingredient labels
Wash, rinse, and sanitize cookware, utensils, and equipment
Make sure the allergen doesn’t touch anything for costumers with food allergies
Wash your hands and change gloves before prepping food
Use separate fryers and cooking oils for guests with food allergies
Label food packaged on-site for retail use
Where can you wash hands
Wash hands in a sink designated for handwashing
Where can you not wash hands
Never wash hands in sinks designated for food prep or dishwashing or sinks used for discarding waste water
5 Steps to wash hands
Wet hands and arms
Apply soap
Scrub hands and arms vigorously for 10-15 seconds
Rinse hands and arms thoroughly
Dry hands and arms
How long should it take to wash your hands
At least 20 seconds
How long should you scrub your hands for?
At least 10-15 seconds
Food handlers must wash hands before:
Preparing food
Working with clean equipment and utensils
Putting on single-use gloves
Anytime you switch tasks
Food handlers must wash their hands after:
Using the restroom
Touching the body or clothing
Coughing, sneezing, blowing nose, or using a tissue
Eating, drinking, smoking, or chewing gum or tobacco
Handling soiled items
Handling raw meat, seafood, or poultry
Taking out garbage
Food handlers must wash their hands after (pt 2):
Handling service or aquatic animals
Handling chemicals that might affect food safety
Changing tasks
Leaving and returning to the kitchen/prep area
Handling money
Using electronic devices
Touching anything that may contaminate hands
Hand care requirements for food handlers:
Keep fingernails short and clean, no false nails, no nail polish
When can you not handle ready-to-eat food with bare hands?
When serving primarily high risk populations
Avoid bare-hand contact with ready-to-eat food unless:
The food is an ingredient in a dish that does not contain raw meat, seafood, or poultry and
dish will be cooked to at least 145˚F
The food is an ingredient in a dish containing raw meat, seafood, or poultry and
dish will be cooked to the required minimum internal temperature of the raw items
When should you use single-use gloves
Should be used when handling ready-to-eat food
When should you not use single-use gloves
NEVER to be used in place of handwashing
When washing produce
When handling ready-to-eat ingredients for a dish that will be cooked to the correct internal temperature
Which gloves should you buy?
Approved gloves
Disposable gloves
Multiple sizes
Latex alternatives
When should you change you gloves?
As soon as they become dirty or torn
Before beginning a different task
After an interruption (ex. taking a phone call)
After handling raw meat, seafood, or poultry and before handling ready-to-eat food
After four hours of continuous use
Proper work attire regarding hair restraints
Wear clean hat/other hair restraint when in a food-prep area, and beard restraint to cover facial hair
What work attire regarding hair is not allowed
No hair accessories that could become physical contaminants, no false eyelashes
Jewelry requirements for food handlers
Remove all jewelry from hands and arms
Exceptions: plain ring band
Where are food handlers allowed to eat, drink, smoke, or chew gum or tobacco?
Food handlers are only allowed to eat, drink, smoke, or chew gum or tobacco in designated areas
Employees may drink from correctly covered container
Food may be tasted during prep using approved utensil only once
When are food handlers not allowed to eat, drink, smoke, or chew gum or tobacco?
Prepping or serving food
Working in prep areas
Working in areas used to clean utensils and equipment
Staff must report illnesses:
Before they come to work
If they get sick while working
If they—or someone they live with—have been diagnosed with an illness from one of the big 6 pathogens
norovirus, hepatitis A, shigella spp., shiga-toxin producing E. coli, salmonella typhi, nontyphoidal salmonella
When food handlers are sick, you may need to:
Restrict them from working with exposed food, utensils, and equipment
Exclude them from coming into the operation, especially if they have these symptoms:
vomiting, diarrhea, jaundice, sore throat w/ fever, infected wound or boil that’s open or draining (unless properly covered)
IF food handler has infected wound or boil that’s not properly covered;
THEN restrict the food handler from working with exposed food, utensils, and equipment
IF food handler has a sore throat with a fever
THEN restrict food handler from working with exposed food, utensils, and equipment
Exclude them from operation if you serve a high-risk population
A written release from a medical practitioner required before returning to work
IF food handler has persistent sneezing, coughing, or runny nose, with discharges from eyes, nose, or mouth
THEN restrict food handler from working with exposed food, utensils, and equipment
IF food handler has any symptoms from an infectious condition (vomiting, diarrhea, jaundice)
THEN exclude food handler from operation
Vomiting and Diarrhea: before returning from work either; no symptoms for at least 24 hours OR written release from a medical practitioner
Jaundice: report food handlers to regulatory authority, exclude food handlers who’ve had jaundice for 7 days or less
before returning must have written release from medical practitioner AND approval from regulatory authority
IF food handler is vomiting or has diarrhea and has been diagnosed with illness caused by one of these pathogens (norovirus, shigella spp., nontyphoidal salmonella, shiga toxin-producing E. coli) Or food handler has been diagnosed with illness caused by one of these pathogens (hepatitis A, salmonella typhi)
THEN exclude them from operation, report situation to regulatory authority, work with medical practitioner and local regulatory authority
How to prevent cross-contamination
Separate equipment: use separate equipment for raw and ready-to-eat food
Clean and sanitize: clean and sanitize all work surfaces, equipment, and utensils before and after each task
How to prevent cross-contamination (pt 2)
Prep raw and ready-to-eat food at different times if using same equipment, when possible prep ready-to-eat food before raw food
But prepared food: buy food items that don’t require much prepping or handling
What is the temperature danger zone?
Food held in the range of 41˚F and 135˚F is in the temperature danger zone, and has been time-temperature abused.
When has food been temperature abused?
Cooked to the wrong internal temperature
Held at the wrong temperature
Cooked or reheated incorrectly
Bimetallic stemmed thermometer
Best for large/thick food because of sensing area from tip to dimple, can check temperatures from 0˚F to 220˚F
Thermocouples and thermistors
Good for thick and thin foods, immersion probes for liquids, surface probes for flat cooking equipment, penetration probe for internal temperature, air probes for temperature inside coolers and ovens
Infrared (laser) thermometers
Surface temperature for food and equipment, no touching, less risk of cross-contamination
Maximum registering thermometer
Indicates highest temperature reached during use, used where temperature readings can’t be continuously observed (ex. final rinse temperature of dishwasher)
Time-temperature indicators (TTI)
Monitors time and temperature, attached to packages by supplier, color change when time-temperature abuse has occurred
Ice-point method
For calibrating thermometers; fill large container with ice and water, submerge sensing area and wait 30 seconds, adjust thermometer to 32ºF
When using thermometers:
Wash, rinse, sanitize, and air-dry thermometers before and after using them
When should you calibrate thermometers?
After they’ve been bumped or dropped
After they’ve been exposed to extreme temperature changes
Before deliveries arrive
Before each shift
Purchasing food from approved, reputable supplies:
Make sure they have been inspected and meet all applicable local, state, and federal laws
What to do in case of a recall:
Identify recalled food items
Remove item from inventory
Store item separately
Label item to prevent it from being placed back in inventory
Inform staff not to use product
Refer to vendor’s notification or recall notice for what to do with item
Checking temperature of reduced-oxygen packaging (ROP) food
Insert thermometer stem/probe between two packages or fold packaging around stem/probe
Cold TCS food temperature criteria for deliveries
Receive at 41ºF or lower, unless otherwise specified
Temperature criteria for deliveries of live shellfish
Receive at air temperature of 45ºF and internal temperature no greater than 50ºF (once received, must be cooled to 41ºF or lower in 4 hours)
Temperature criteria for deliveries of shucked shellfish
Receive at 45˚F or lower (cool to 41˚F or lower in 4 hours)
Temperature criteria for deliveries for milk
Receive at 45˚F or lower (cool to 41˚F or lower in 4 hours)
Temperature criteria for deliveries for shell eggs
Receive at air temperature of 45˚F or lower
Temperature criteria for deliveries for hot TCS food
Receive at 135˚F or higher
Temperature criteria for deliveries for frozen foods
Receive frozen solid, reject if there’s evidence of thawing and refreezing (fluids or water stains incase bottoms or on packaging, ice crystals or frozen liquids on the food or packaging)
Reject packaged items with:
Tears, holes, punctures, broken cartons or seals
Reject cans with:
Severe dents in seam or body, missing labels, swollen or bulging ends, holes, leaks, rust
Reject ROP food with:
Bloating or leaking
Reject when packaging has:
Dirty/discolored packaging
Leaks, dampness or water stains
Signs of pests or pest damage
Signs of tampering
Missing or incorrect labels
Expired use-by dates
Required documents for shellfish
Shellfish must be received with shellstock identification tags which indicate when and where shellfish were harvested, must store in original container
How long must you keep shellstock tags?
Keep shellstock tag on file for 90 days after the last shellfish was used
Required documents for fish
Fish that will be eaten raw or partially cooked: documentation must show fish was correctly frozen before being received, keep documents for 90 days from sale of fish
Farm raised fish: must have documentation stating the fish was raised to FDA standards, keep documents for 90 days from the sale of the fish
Assessing food quality: appearance
Reject food that is moldy or has an abnormal color
Assessing food quality: texture
Reject meat, fish, or poultry if it’s slimy, sticky, or dry, or has soft flesh that leaves an imprint when touched
Assessing food quality: odor
Reject food with an abnormal or unpleasant odor
How do you know if shellfish is alive upon arrival?
If shellfish is fresh, must be received alive; if they are dead, open shells won’t close when tapped
Date marking for commercially processed food
If a commercially processed food has a use-by date that is less than 7 days from the date the container was opened then the container should be marked with this use-by date as long as the date is based on food safety
How to date mark dishes with multiple use-by dates
When combining food with different use-by dates in a dish, base the discard date of the dish on the earliest use-by date of ingredients
How far off the ground do supplies need to be stored
Store all items at least 6 inches off the floor
When using food color additives:
Only use additives approved by local regulatory authority
Never use more additives than allowed by law
Never use additives to alter the appearance of food
Do not sell produce treated with sulfites before it was received in the operation
Do not add sulfites to produce that will be eaten raw
Which things cannot be used to misrepresent the appearance of food?
Food additives, color additives, colored overwraps, lights
What does it mean to present food honestly?
Food must be presented in the way it was described (cannot substitute one item for another)
What happens when food is not presented honestly?
Food not presented honestly must be thrown out.
In what situations would food need to be thrown out?
When it is handled by staff who have been restricted or excluded from the operation due to illness
When it is contaminated by hands or bodily fluids from nose or mouth
When it has exceeded the time and temperature requirements designed to keep food safe
How can you thaw TCS foods in coolers?
Thaw in a cooler, keeping its temperature at 41˚F or lower