Food Safety Notes

Food Managers Certificate Notes by Olivia Miller

Module 5: agents of foodborne illness part 3

  • Shigella

    • Low numbers cause infection

    • Found in feces

    • Spread by not washing hands after using toilet

    • 1-7 for symptoms

    • Bloody, mucous-laden diarrhea, vomiting, fever, nausea and cramping

    • Prevented by:

      • Don’t work when ill

      • Send ill workers home

      • Use barriers such as gloves when handling ready to eat foods

      • Wash hands after using the toilet

  • Critical violation: bare hand contact with ready-to-eat food

  • Clostridium botulinum

    • Often results in death

    • Found in i,properly canned foods, garlic and oil mixtures, baked potatoes, sauteed onions, smoked fish and honey

    • Symptoms occur 18-36 hours after ingestion and include blurred vision. Difficulty breathing/swallowing, poor reflexes

    • Prevented by: 

      • Store smoked fish and smoked fish products at or below 38 fahrenheit

      • Don’t use dented, swollen or rusty canned foods

      • Keep fresh garlic and oil mixtures out of the danger zone

      • Don't use reduced oxygen packaging or vacuum devices without approval 

    • Example: The owner of a local bar and grill, known for its comfort food, left cooked baked potatoes in a hot holding drawer that was not turned on, using the potatoes the next day, leading to a botulism outbreak. The outbreak was caused by the botulism in the baked potatoes that were served at the establishment on a particular day, resulting in an investigation by the Department of Health

    • It is a spore forming bacteria and in its spore(dormant) form it does not cause illness. In environments lacking oxygen and at improper temperature, bacteria become active and the botulism toxin is produced. 

  • Bacillus cereus

    • in/on vegetables and grains

    • Spore-forming

    • 2 toxins can be produced:

      • Heat stable (survives the cooking process)- symptoms ½-6 hours after and causes vomiting and nausea

      • Heat labile (destroyed by cooking)- symptoms 6-15 hours after, diarrhea and cramping 

    • Prevented by:

      • Not leaving cooked vegetables, grains and rice at room temperature

      • Rapidly cool cooked grains, vegetables, pasta and rice in shallow, uncovered pans in the fridge

      • Rapidly reheat to 165 fahrenheit

  • Vibrio

    • Found in food or water contaminated with human feces or in shellfish contaminated with human feces

    • Symptoms occur from a few hours to 5 days

    • Symptoms include diarrhea, vomiting and dehydration

    • Prevented by:

      • Use water from approved sources

      • Use foods and beverages from approved sources

      • Use shellfish that is properly tagged

      • Use fish from approved sources

      • Exclude ill workers from the establishment

      • Eliminate cross-contamination between raw shellfish and ready to eat foods

      • Thoroughly wash all produce that is eaten raw

  • Yersinia

    • Common in raw pork, oysters, fish, raw milk, ice cream and ground beef

    • More often in children

    • 3-7  days for symptoms

    • Diarrhea, fever and cramps, may mimic appendicitis

    • Prevented by:

      • Cooking all pork to 150 fahrenheit

      • Clean all equipment used

      • Avoid cross-contamination

      • Wash hands after handling raw pork and shellfish

      • Can grow under refrigeration temperatures

  • Listeria

    • Contaminates raw milk and unpasteurized cheese, soft cheese, vegetables, cold cuts and hot dogs

    • Tends to multiply in refrigerated foods that are contaminated

    • Symptoms occur 3-70 days after ingestion

    • Fever, intense headache, nausea, vomiting and miscarriage

    • Prevented by:

      • Consume or use ready to use foods asap

      • Wash hands properly

      • Wash, rinse and sanitize utensil and food contact surfaces that come in contact with raw animal products

      • Avoid unpasteurized milk and milk products

      • Keep uncooked meats separate from cooked foods, ready-to-eat foods and vegetables

      • Wash all produce that is to be consumed raw

      • Thoroughly cook raw food


Module 6: agents of foodborne illness viruses and parasites

  • Viruses

    • Most common cause of foodborne illness

    • Much smaller than bacteria

    • Don't grow/multiply in foods but survive for a long time

    • Cn survive freezing

    • Killed during most cooking processes

    • Very low numbers can cause illness

      • Norovirus:

        • Can cause stomach flu

        • Most common cause of foodborne illness

        • Found in stool of infected people up to 2 days before symptoms, during the infection and up to 3 weeks after

        • Spread by the hands of those infected who do not properly wash their hands

        • Symptoms 24-48 hours after ingesting

        • Nausea, vomiting, diarrhea, stomach cramping, low grade fever, chills, headaches, muscle aches, and fatigue

      • Hepatitis A virus:

        • Easily spread from infected food workers to food

        • Spread by the hands of infected people who do not properly wash hands

        • Shed in the stool for a 2 week period before symptoms appear and up to one week after jaundice 

        • Chillsw, fever, nausea, vomiting, diarrhea, liver damage, jaundice and possible death

        • Frequent, thorough hand washing and the use of a barrier system are the most effective ways of preventing illness

        • Can also be spread by the consumption of raw shellfish  harvested from waters contaminated by sewage

    • Preventing viral outbreaks at restaurants

      • Exclude ill workers from coming to work

      • All employees suffering from undiagnosed gastroenteritis should be excluded from handling food, utensils, and food equipment, and should not return to work for 24 hours after symptoms end

      • Allowing ill workers to work is a critical violation and an imminent health hazard

      • Handwashing and glove use should be used to minimize spread

  • Parasites and foodborne illness

    • Parasites

      • Small or microscopic aliens that need to be on or in a living host to survive

      • Can get into food and cause illness

      • Trichinosis

        • Eating meat containing the microscopic roundworm causes the infection 

        • Wild animal meat like bear or wild boar and undercooked pork products are potential sources

        • When meat eating scavenger animals eat garbage containing infected meat scraps, they pick up the parasite

        • Fever, swelling of the tissues around eyes, muscle stiffness in severe infections and death

        • Less than 1% of government inspected meat is infected

        • Cook all pork and other at-risk meats to 150 F to kill the parasite

      • Intestinal parasites

        • Fish and fish products often contain tapeworms and roundworms

        • Ingestion may cause illness

        • Coughing may occur if worm attach to throat

        • Vomiting and abdominal pain if worms attach to stomach or intestines

        • To prevent, cook fish to at least 145F

        • Fish intended to be served raw or undercooked must be frozen and stored at -4F or below for no less than 7 days


Module 7: agents of foodborne illness in toxicants and chemical agents 

  • Scombroid Fish Poisoning

    • A histamine poisoning

    • A histamine is produced by a microorganism that naturally occurs in the following fish: tuna, bluefish, mackerel, mahi-mahi, false albacore, bonito, striped bass, swordfish, “jack” fishes, salmon and escolar

    • The scombroid toxin is produced when the fish is held at improper temperatures

    • Fishermen, wholesalers and restaurants must all store these fish at 41F or less to prevent scombroid fish poisoning

    • Normal cooking will not remove the toxin (heat stable)

    • Symptoms within 5 mins-2 hours 

    • Headache, burning mouth, nausea, diarrhea,  dizziness, heart palpitations, facial swelling, and rash

    • Prevented by:

      • Proper handling process

      • Control of bacterial growth

      • Refrigeration or icing down the fish immediately and keeping cold until ready for use

    • To reduce risk:

      • Only deal with reputable, licensed and commercial suppliers of fish

      • Check fish for freshness and reject fish for signs of decay

      • Make sure all fish is delivered cold

      • Maintain fish at 41F at all times

  • Ciguatera Fish Poisoning

    • Caused by the ingestion of a wide variety or reef fish (grouper, skipjack, red snapper, mackerel, barracuda and related species) that contain ciguatoxin

    • The toxin is found in algae that live near collar reefs in subtropical waters and tropical waters

    • When small fish eat this algae, it stores in the flesh and organs of these fish

    • The toxin accumulates in larger fish species

    • Toxin does not affect the fish

    • Not caused by improper handling

    • Caused by consuming fish that are harvested from areas that have toxin containing algae 

    • Normal cooking will not remove the toxin (heat stable)

    • 1 hour-2 days after eating the fish

    • Numbness and tingling, nausea, vomiting, diarrhea, headache, temperature reversal (ice cream tastes hot, hot coffee seems cold) and pain and weakness in lower extremities

    • Reduced by:

      • Only deal with reputable, licensed and commercial suppliers of fish

      • Only buying fish that are not more than 2 pounds in weight

  • Paralytic Shellfish Poisoning

    • Certain algae produce toxins that cause shellfish poisoning

    • The toxin accumulation in mussels, clams, scallops, and oysters as they filter feed

    • Often associated with red tides between may and october

    • Commercially harvested shellfish are not usually involved because health agencies monitor the level of toxins during high risk periods

    • The most common type of toxin related shellfish poisoning 

    • Symptoms occur minutes-hours after consumption 

    • Tingling of lips and tongue is an early warning sign

    • Tingling of fingers and toes, loss of control over arms and legs, difficulty breathing

    • May progress into the paralyzation of chest and abdominal muscles, sometimes causing death

    • To reduce:

      • Purchase shellfish only from approved sources

      • Only purchase shellfish from government certified waters

  • Chemical poisoning

    • Occur frequently in the food service industry

    • Although common, pretty avoidable

  • Accidental chemical contamination

    • Never store a toxic item over, next to or with foods, food containers, utensils, food equipment, sinks or drainboards

    • Never store toxic items in used food containers of store foods in containers that once contained toxic items 

    • Label all containers, spray bottles and dispensers with the chemicals that they contain

    • Failure of the above is a critical violation

  • Toxic metal poisoning

    • Only use approved food storage containers, utensils and equipment

    • Dont use copper or zinc coated (galvanized) equipment/containers/bowls for the storage of food

    • Protect soda dispensing systems from back-siphonage with an approved dual check valve with intermediate vent 

  • Chemical food additives

    • Do not use banned or prohibited food additives, such as sulfites 

    • Always measure approved chemical additives and use according to manufacturer instructions

    • Be aware that certain people have allergic reactions to certain chemical additives

  • Toxic plant poisonings

    • Never gather and prepare wild mushrooms for use in any food establishment 


Module 8: HACCP Hazard Analysis Critical Control Point Monitoring System

  • What causes foodborne outbreaks

    • When outbreaks occur, the Department is required to file a report with the NY Department of Health, which reports to the CDC

    • Department reports the details of outbreak investigations and the circumstances of why they occur 

  • Why is it important to track information about outbreaks?

    • Info obtained is used to guide work as environmental health professionals 

    • Info collected from past events is used to prevent potential future foodborne illness outbreaks

  • HACCP

    • Hazard Analysis Critical Control Point

    • A HACCP-based inspection focuses on food prep, instead of the cleanliness of the environment  

    • It was created by NASA to ensure food safety on flights

    • Implemented after an extensive review of foodborne illness statistics

    • Determines risk points in food prep 

    • Then, control measures are implemented

    • Helps establishment identify weak points

  • What happens during a HACCP based inspection?

    • Inspector looks for procedures, actions and foods that can potentially cause foodborne illnesses

    • Inspector identifies problem areas with each establishment and aids to provide a counter approach

  • Food Establishment Risk Categories 

    • High risk- full-service restaurants, delis, catering halls and complex food prep

    • Medium risk- fast food restaurants with minimal food prep, snack bars with limited menus

    • Low risk- ice cream stores, taverns, coffee and tea houses

  • Implementing HACCP Principles to prevent foodborne illness

    • Approved source

      • All food served must be from an approved source

      • The use of home prepared food is prohibited

      • Shellfish must be properly sources and tagged

        • All fresh and frozen shellfish must be tagged or labeled

        • Tags must be kept for at least 90 days after fish is sold or used to properly backtrack any shellfish-related illness

        • Tags must include all important information:

          • Dealers name, address and certification #

          • Original shippers certification #

          • Date of harvest

          • Harvest location

          • Type and quality of fish 

          • “Keep refrigerated”

          • “RETAILERS, INFORM YOUR CUSTOMERS: Consuming raw or undercooked meats, poultry, seafood, shellfish or eggs may increase your risk of foodborne illness, especially if you have certain medical conditions.”

          • “THIS TAG IS REQUIRED TO BE ATTACHED UNTIL CONTAINER IS EMPTY OR IS RETAGGED AND THEREAFTER KEPT ON FILE FOR 90 DAYS.”

        • Mollusk and crustacean shells may not be used more than once as serving containers

        • Shellfish can be removed from shells, mixed with other ingredients and re-added to shells

        • Shells are difficult to clean, hence why they are not allowed to be reused 

        • Live shellfish intended for human consumption cannot be “wet-stored” 

        • Wild striped bass must have a NYS Department of Environmental Conservation tag attached through the gills and mouth until consumed

        •  Fines for untagged fish in a restaurant can start at $1000 for EACH fish

    • Cooking

    • Hot and cold holding

    • Rapid cooling

    • Cross contamination

    • Hand washing

    • Employee health


Module 9: HACCP Cooking

  • Cooking

    • Safely cooked when it reaches proper internal temp that prevents against bacteria that causes foodborne illness

    • Use food thermometer 

  • Cooking temperatures 

    • 130- rare beef

    • 140-safe hot holding of TSC foods

    • 145- fresh shell eggs and all other TSC not listed, & fish

    • 150- pork

    • 155- commercially raised game 

    • 158- ground meats

    • 165- poultry, stuffing, reheats, wild game

    • 212- boiling point of water

    • 256- kills spores (only can be achieved in the commercial canning industry)

  • Food thermometer

    • Most common are stem or bayonet thermometer

      • Dial type or digital thermometer

    • Thermocouple also good and recommended for burgers

    • Scale from 0-220

    • Don’t confuse with oven thermometer

    • Dial bayonet should be in all kitchens

    • Digital food thermometers are important

  • Roasted chicken

    • Cook chicken to 165

    • Create a sound operating procedure (SOP) to properly prepare foods

    • The CCP( final cooking temp) is 165

    • Monitored by taking the final cook temp with a thermometer

    • If CCP not reached, corrective action required

      • Heere, that would be to cook it more

  • Reheating

    • When reheating, must be rapidly reheated to 165

    • After which, foods can be safely held at 140

  • Reduced oxygen packaging

    • Some of which include:

      • Vacuum packing

      • Sous vide cooking

      • Cook-chill process

      • controlled/ modified atmosphere packaging

    • ROP modifies the temp that must be met

    • ROP requires approval from the Department before using

      • Violation could lead to embargo or discard

  • Non-continuous cooking

    • Partially cooking meats, then cooling and completing later

      • Called par-cooking or grill-marking

    • Can allow bacteria to survive if final cooking temp not reached

    • Non-continuous cooking only allowed with department before using

      • Initial heating must be 60 mins or less

      • Rapid cooling, held at 41 or lower

      • Reheated to 165

      • Marking or identification, separation from rest of food

  • Sanitizing a food thermometer

    • Clean

    • Sanitize 

    • Air dry

  • Calibrating a thermometer

    • Two methods, one with ice water and one with boiling, both must be followed

    • Calibrating a dial thermometer

      • Calibration adjusting nut behind display

      • Calibrate to show temp of boiling and freezing water

        • Ice water:

          • Fill cup with crushed ice and if there is a temp error of more than 2, adjust til thermometer reads 32 

        • Boiling water

          • Boil water and enter the thermometer.  if there is a temp error of more than 2, adjust til thermometer reads 212

        • Calibration log should be kept at restaurant

        • Should be calibrated at least once a week

        • Is suffers fall or impact, must be tested before use


Module 10: HACCP Temperature Control, Cooling and Cross Contamination

  • Preventing bacterial growth

    • TCS foods must be held at hot or cold temperatures and rapidly cooled

    • Not holding food at proper temperatures is a critical violation

    • Don't hold foods in the danger zone 

  • Keep foods cold

    • 41 or below to slow bacterial growth

    • Check if fridge works properly and install thermometer in the warmest area

    • Pre-chill ingredients for cold-served food

    • Thaw TCS foods in the fridge, in cold running water (70) or quick thaw as a part of cooking

  • Date Marking

    • Over time, even refrigerated food can grow bacteria 

    • Using a date marking procedure provides Active

    • Managerial Control of time and temperature for REFRIGERATED, PREPARED, READY-TO-EAT, TCS foods

    • It applies to commercially processed, refrigerated, ready to eat foods that have been opened or similar foods prepared by a food establishment if being held for longer than 24 hours

    • Can be held for max 7 days

    • Marked w the first day of prep/opening and/or the last day that the food may be used 

  • Which foods must be date marked?

    • Bulk cream cheese

    • Cooked shrimp for cocktail

    • Bulk meats for sliced-to-order cold cuts

    • Smoked salmon

    • Sliced tomatoes

    • Tuna salad

    • ALL foods that are being held in a fridge for 24+ hours

  • Smoked fish

    • Must be held at 38 due to botulism

  • Time As A Public Health Control (TPHC)

    • TCS foods may be stored outside temp control for short periods

      • Ex for display or a working supply of ingredients

    • Each food container must be marked for a discard time that is 4 hours after being removed from temp control

      • MUST be discarded and cannot return to temp control

    • A written procedure must be followed to use THPC

      • Names of TCS foods

      • Temp of foods when removed from temp control

      • when & how foods are marked for disposal in 4h

      • How foods are discarded

      • Holding TCS foods without a written procedure or not following a written procedure subjects the food to discard

  • Approved Thawing Methods

    • In a fridge

    • Under 70F cold running water

    • As a part of an uninterrupted cooking process for a single portion of food

      • Ex: burger or chicken breast

    • Frozen foods larger than 3 lbs must be completely thawed prior to cooking 

  • Keep foods hot

    • Once a TCS food is cooked to the proper temperature it can be safely held hot at 140

    • Reheat to 165 before being hot held again

  • Rapid cooling

    • from 140°F to 70°F in 2 hours or less and

    • from 70°F to 41°F in an additional 4 hours or less

    • TCS foods must be cooled in shallow pans or contained in such quantities as will insure rapid cooling

      • Shallow pans w food 4 inches or thinner

      • For dense foods such as bisques, refried beans, casseroles and stuffing mixtures, the food depth should not exceed 2 inches

    • roasts must be reduced into smaller pieces of 6lbs or less

    • Alternate methods are onl6 allowed w written procedure and department approval

    • Once cooled, leave in shallow pan

    • Transferring food to deep container is a critical violation

    • Basic rules:

      • Keep uncovered until cooling complete

      • Leave space around food containers

      • Cooling only n fridges

    • Cooling large roasts

      • Large roasts must be reduced into smaller pieces of 6lbs or less

      • Place cut pieces face down on a frozen sheet pan to reduce loss of juices

  • Cross contamination

    • Occurs when bacteria or viruses transfer surfaces

      • When raw food drips onto prepared food

      • When ready to eat produce is cut on a meat cutting board

      • When handler’s hands touch meat and veg

    • Preventing it

      • Do not store raw foods over or next to ready to eat foods

      • Use separate workspaces

      • Wash hands and change gloves


Module 11: Handwashing and Employee Health

  • Handwashing is the biggest prevention against illness

    • Washed before working and before putting on gloves

    • After using bathroom

    • After eating, drinking or smoking

    • After coughing into hands

    • After touching raw foods

    • After touching your body

    • After cleaning

  • How do you wash your hands?

    • Use warm water and a penny's size of soap

    • Scrub and rinse 

    • Should take no less than 20 seconds

    • Hand sanitizers do not replace hand washing

  • Handwashing sinks

    • Conveniently located and no more than 15 feet from food prep areas

    • Sinks must be supplied with soap, hot & cold water and paper towels or a hand dryer

    • Self-closing faucets must run for at least 15 seconds

    • Hand washing sinks should not be used for anything other than hand washing

    • Do not store anything in sinks

    • A violation of this is a critical violation 

  • Toilet facilities

    • Sinks nearby

    • Handwashing signs posted

    • Working vents

    • Self closing doors

    • Patron bathrooms if on-site consumption

  • Barrier System 

    • Prevention of bare-hand contact with ready to eat foods is a barrier system

    • Gloves, utensils and deli paper are all types of barriers

  • Single service gloves

    • Wash hands before use

    • Use before handling ready to eat food

    • Use gloves that fit

    • Change gloves once per hour

    • Change when doing something other than food service

  • Gloves and money

    • No need to change gloves between handling money and food

  • Employee health

    • Sick people who can spread it cannot work

    • Person in charge must prohibit ill personnel from handling food

  • Employee appearance

    • Employees should wear outer garments and footwear

    • Hair should be restrained

    • Wear a hat, cap hair net or bandana

    • Shoulder length hair and longer should be tied back 

    • Fingernails should be clean and trimmed

    • No excessive jewelry should be worn

  • Employee food consumption 

    • Employees should eat in designated areas

    • Employees may drink from a closed container

    • Employees should not be eating while working

    • Employees must wash hands after eating


Module 12: Food Safety- eggs, consumer advisory, buffets, catering and delivery

  • Eggs

    • Delivered in refrigerated vehicles

    • Place under refrigeration after received

    • Refrigerate until use

    • Never have at room temp except for prep and serving

  • How to reduce risk of foodborne illness from eggs

    • Replace eggs in recipes

    • Use commercially pasteurized eggs

    • Do not pool eggs for use in foods to be derived to more than one customer 

    • Clean equipment and tools after each use

    • Cook eggs to required temp of 145

    • When raw or undercooked eggs are served, the customer must be notified in writing the risks

  • Customer advisory

    • Required on menu boards, buffets, menus, and literature to advise of raw or undercooked animal products

    • Eggs over-easy, raw clams, sushi, rare hamburgers and caesar salad are all examples

    • Raw or undercooked foods cannot be served on kids menus 

    • An asterisk (*) or other symbol must connect the menu item to the printed consumer advisory

    • An advisory includes 2 parts

      • Disclosure: informs a patron that it may be raw or undercooked

      • Reminder: is the statement that reminds the customer of the increased risk

  • Pasteurization

    • A heat process that kills all vegetative pathogenic bacteria

    • Ony pasteurized milk can be served

    • Pasteurized eggs are recommended 

  • Self service food protection rules

    • When foods are to be self serve, there must be protections in place 

      • Sneeze guards

      • Cover food

      • Proper utensils

      • Individually wrapped when possible 

      • Unprotected food is a critical violation

  • Buffets and salad bars

    • Sneeze guards in place

    • Never mix old and new products

    • Utensils should be adequate

    • Limit cross contamination between plates and utensils 

    • Clean plates should be available

    • Label or identify all foods

  • Off-premises catering

    • Must receive approval

  • Off premises delivery

    • Only for drop offs with no set-up or food-service

    • Approval is required

    • Food must be transported properly 

    • Delivery log must be kept with the food, date and details


Module 13: Equipment and Utensils

  • Dispensing ice

    • Bare hand contact with drink ice must be prevented

    • Use a scoop or tongs

    • Store the scoop in a way that the handle doesn't touch ice

    • Don’t use glassware to scoop ice

  • Frozen dessert scoops

    • Should be stored in a running water dipper or cleaned

    • Don’t store in standing water

  • In use utensil storage

    • Should be stored:

      • With handles above top of container

      • On a clean are of tables or equipment

      • In a container of water that is 140 or more

      • Equipment that handles eggs must be cleaned every hour

  • Tableware and busing

    • Wash hands after handling soiled utensils and before handling new, clean tableware

    • Failure to wash hands is a critical violation 

  • Food contact surfaces of tableware

    • Prevent contamination

    • Pre-set tableware that is not used must be removed when patrons are seated

    • Only touch the handles of non-food contact surfaces

    • Eating utensils and patron self-serve areas should be stored face down

  • Straws

    • Individually wrapped

    • Use stirrers when drink is prepared

  • 3 compartment sink

    • Must be present

    • Sink must fit largest equipment 

    • One drainboard for clean, one for dirty

    • Hot water is at minimum 140

  • Sanitizing

agent

chlorine

iodophor

quaternary ammonium

hot water

temp

75

75

75

170

conc

50 ppm

12.5 ppm

200 ppm

time

7 sec

30 sec

30 sec

30 sec

  • Glass washing

    • Can be done in 2 or 3 compartment sink

      • 3 compartment

        • Wash , rinse and sanitize

        • Mechanical glass washer at first station

      • 2 compartment

        • In first, wash and sanitize with an approved low sud soap

        • In second, rinse glasses

  • Mechanical dishwashers

    • Must be provided if multi-use tableware is used

    • Requires approval 

    • Can sanitize with hot water of chemicals

    • Hot water sanitizing dishwashers to sanitize

    • Chemical sanitizing dishwasher with chlorine or iodophor

  • Wiping cloths

    • All wiping cloths used on food surfaces must be stored in approved chemical sanitizer between uses 

    • Chlorine at concentration of 50 ppm

    • Quaternary ammonium at 200 ppm

    • Concentrations must be measured 

    • Drying cloths that are used to handle hot pans must be a different color than those as wiping cloths

    • Wet wiping cloths must be laundered daily 

  • Test strips required

    • For chemical dishwashers

    • For wiping cloth solutions

    • For sanitizing basin of sink


Module 14: Plumbing

  • Indirect drains

    • Prevent backups

    • Must be present in equipment

    • Air gap should be 2x the diameter of the supply pipe, but never less than one inch

    •  The receiving pipe should be 2x the diameter of the supply line

    • A plumbers bowl must be provided to collect water

    • The following require an indirect drain

      • Food prep sink

      • Ice machine

      • Ice cream scoop dig well

      • Walk in fridge

      • Steam table

      • Wok line

      • Dishwasher

      • Stock kettle

      • 3 compartment sink

    • They are required to prevent cross connections and backflows

      • Not having an indirect drain is a critical violation

  • Open ended hose

    • For a backflow prevention on open ended hose, no nozzle or value can be at the end

  • Hoses under pressure

    • There should be a nozzle at the end of one of these

  • Preventing cross connections

    • Having air gaps

    • Having indirect drains

    • Having backflow device


Module 15: Safe Food Storage and Food Security

  • Safe storage of food

    • Food should be stores at least 6 inches off the ground on clean surfaces

      • Allows you to clean under shelving

      • Allows for rodent and insect activity to be monitored

      • Prevents food from splash and dirt

    • Stored in a manner to avoid splash and contamination

  • Milk crates and wood pallets

    • Not smooth or easily cleanable

    • Have many nooks and crannies

    • Do not provide the proper 6 inch gap

    • They should not be used as food storage

  • Safe storage ina walk in fridge

    • Nothing stored in contact with shelves

    • No food on the floor

    • Foods should be covered once cooled

    • Do not overcrowd units

    • Stored do that air can circulate on all sides

    • Do not store raw animal products above or next to ready to eat foods

  • Ice

    • Must be made of potable water

    • Handled ina sanitary manner

    • Continuously draining container

    • Protected from contamination

  • Waste line

    • No food or drink should be stored under an exposed waste line

    • Food must be a minimum of 18 inches away from any waste line, otherwise it is a critical violation

  • Restaurant food security

    • Purchase only from reputable suppliers

    • Maintain purchase records

    • Inspect deliveries carefully

    • Contact suppliers with any issues

    • Secure all deliveries rapidly

    • Restrict access to unload locations

    • Keep exterior storage areas locked

    • Require complete applications ad check references for all job applicants

    • Restrict personal items from food prep and storage areas

    • Make sure that all water sources meet water standards 

    • Thoroughly rinse all produce prior to use

  • Food security in salad bars and buffets

    • Should be considered high risk

    • Such areas should be constantly supervised

    • Minimize quantity of food ion display

    • Do not mix new foods with food already on display

  • Responding to an incident

    • Be prepared to assist local officials 

    • Post 24 hour contact info

    • Identify management to be alert

  • Food security

    • Tampering food is a crime

    • Do not handle or disturb products known or suspected to have been tampered with 

    • Instead, clear people from the area and contact authorities 


Module 16: Insect and Rodent Control

  • Flies

    • Most abundant and non-biting

    • Can lay 2700 eggs in 30 days

    • Within 1 day, maggots hatch

    • Maggots become adults in 7-10 days

    • Eggs are laid on dead or decaying animal and vegetables, manure, sewage and on food 

    • Flies live for about 2-4 weeks

    • The warmer the temp, the faster a fly develops 

    • Flies can carry disease-causing bacteria

    • Can also transport fecal matter

    • Have been found carrying salmonella, intestinal worms and organisms that cause dysentery

  • Fly control

    • Sanitation- general cleanliness, garbage stored in covered durable containers, proper waste disposal

    • Screens- for open doors and windows

    • Traps– restaurant operators can hang fly paper and electric fly traps as long as these are not located over food areas

    • Extermination- must use a NYS certified pest control

  • Cockroaches

    • Eggs laid in capsules, one capsule laid every 20-25 days, each capsule contains 18-48 eggs

    • Adults can live up to 1 year

    • Found close to food

    • Hide in cracks and crevices to avoid light

    • Often nocturnal

    • Are scavengers

    • Carry many bacteria and viruses

    • Can enter through shipments or from adjacent locations

  • Cockroach control

    • Sanitation- general cleanliness, garbage stored in covered durable containers, proper waste disposal

    • Structural- eliminate cracks and crevices and repair all plumbing leaks

    • Deliveries- examine all deliveries for cockroaches

    • Extermination- must use a NYS certified pest control

    • Monitoring- use glue boards to monitor bug activity 

  • Flour and grain pests

    • Feed on rice, corn, flour, wheat, beans, sugar, meal and cereal

    • Are a nuisance but do not cause disease

    • Control through cleanliness, first in -first out (FIFO) procedures, food stored in covered containers and keeping dry food storage areas cool

  • Rodents

    • Require 3 things to survive:

      • Food

      • A place to live

      • Water to drink

  • Rodent control

    • Store garbage in exterior containers that are durable, leak-proof and stored on a smooth concrete surface

    • Remove accumulated debris

    • Pick up spilled garbage, cardboard and litter

    • Control weed and ground cover

  • Rodent proofing

    • Screen doors and windows

    • Eliminate openings under and around doors

    • Eliminate exterior openings to the building and holes in any interior walls

    • Seal holes around gas, electric, plumbing and waste piping

    • Screen or cap ventilation openings

  • Rodent trapping and extermination

    • Restaurants can use snap traps and glue boards

    • New York State Licensed Pest Control Applicators must be used to fumigate or apply poison


Module 17: Postings and Notifications

  • Required postings and notifications

    • Food manager’s certification

    • Permit to operate a food service establishment

    • Employee handwashing signs

    • Alcohol consumption warning

    • Smoking prohibited signs

    • Notice to patrons -that most recent inspection report is available upon request

    • First aid for choking poster

    • CPR equipment available notification

    • Nutrition labeling information

    • Posting calorie content -only in chain restaurants

  • Artificial trans-fat ban

    • The use of trans fats are banned

    • No food containing them can be stored, used or sold

    • Cannot be used for cooking

    • It is a manufactured ingredient that is unsafe to consume 

    • Does not apply to food served in original packaging 

  • Latex ban

    • All latex gloves and materials are banned

    • Use gloves made of vinyl or nitrile

  • Straws law

    • Only provided upon request

    • Must be biodegradable and or compostable

  • Food allergens

    • Mainly caused by 9 main groups

      • Milk

      • Eggs

      • Wheat

      • Peanuts

      • Tree nuts

      • Fish

      • Soy

      • Shellfish

      • Sesame

    • Symptoms of an allergic reaction include

      • Swelling of lips and tongue

      • Tinglish sensation in the mouth

      • difficulty breathing, hives, vomiting, abdominal cramps, diarrhea and even death

      • Severe allergic reactions result in anaphylaxis, a rapidly occurring, life-threatening response involving the whole body

    • Preventing and handling food allergies in food service

      • Work with customers 

      • Be aware of allergens in establishments food

      • Contact management when a customer inquiries about allergies 


Module 18: Critical Violations, Embargo and Legal Action

  • Critical Violations

    • If any critical violation or imminent health hazard is identified during inspection, it must be corrected at the time of inspection 

    • Require immediate corrective action

    • If need be, the restaurant will be asked to discard food, if they dont the inspector will need to embargo the food

  • Embargo

    • A tag is placed on food

    • Embargoed foods cannot be

      • Served

      • Removed from premises

      • Taken home

      • Eaten or served to staff

    • A food establishment has the opportunity to a hearing within 15 days to handle the issue

    • Is they choose to discard the food, this must be witnessed by a department employee 

  • Legal action

    • When education and inspection fail to obtain compliance, the department can take legal action 

    • Bare-hand food contact and openly displayed food in a public access area are both examples of such 

    • Imminent health hazards such as operating without running water can also result in legal action 

    • A fine of up to 2000 per day per violation can incur

  • Obstruction, resisting and gratuities

    • The following are CRITICAL VIOLATIONS that are

    • not tolerated and result in immediate legal action:

      • Obstructing, molesting or resisting a Department representative during inspection

      • Denying access for the purpose of inspection

      • Offering compensation or gratuities of any kind or value to a Department representative

  • Constriction and structural info

    • Any new construction or significant renovation requires approval prior to start

    • Proper planning and the timely submission of plans is important

    • The plan review process may involve a review of the sanitary system and/or the installation of a new sanitary system

  • Plan review

    • Ensures requirements are met

    • Proper locations are planned

    • Helps to avoid future problems

  • Construction and structural info

    • All surfaces need to be smooth and easily cleanable

    • A mop sink is required

    • Laundry is only for that from the food establishment

    • Laundry must be separate from food storage and prep areas

    • Adequate storage must be provided for employee’s belongings

    • Light bulbs must be shatter resistant

    • Equipment that produces grease, condensation or odors must be vented to the outdoors

  • Seating

    • Toilets and handwashing facilities must be available

    • Establishments approved for on-site consumption of food are issued a permit with the max number of seats

    • Seating cannot exceed limit

    • This is done to protect safety of establishments

  • Service animals

    • Animals are prohibited unless they are a service animal or a patrol dog accompanying police

    • An animal must perform a specific task to be a service animal


Module 19: Temporary Events

  • Temporary events

    • The suffolk county department of health has full jurisdiction over food and beverages served at these

    • A temporary event is defined as an event where food is prepared or handled and served to the public,, with or without charge, and which operates at a fixed location in conjunction with a single event

      • Less than 14 days

    • Organizer and individual operators all require permits 

    • Operating without a permit at a temporary event is subject to immediate legal action

    • The annual food service permit does not cover temporary events

  • Responsibilities of the owner

    • Event organizer applications need to be submitted 21 days or more prior to the opening day

    • All late apps are subject to a late fee

    • A properly completed organizer application must include: permit fee (check, money order, or Visa/MC), a complete list of vendors, an original signature, a site plan detailing the layout of the event, proof of water supply and proof of tax status

    • It is the responsibility of the event organizer to provide an approved potable water source and adequate toilet facilities for food service workers for each event 

  • Sample site plan

    • Toilet facilities with warm water must be provided within 300 feet of food service

    • Petting zoos need to be a distance away and require a special permit 

  • Responsibilities of the vendor

    • Vendor apps need to be within 14 days

    • Late apps are subject to late fees, or can be denied

    • A properly completed organizer application must include: permit fee (check, money order, or Visa/MC), a complete menu, an original signature, a food source certification, and proof of workman's comp/disability

  • Food service

    • Basic food safety is necessary

    • A person with a valid suffolk county food managers certification must be at each booth during operation 

    • An adequate amount of gloves and utensils are required

  • Hand washing

    • No more than 15 feet from food preparation area

    • Bare hand contact is never allowed

    • Food handlers must wash hands whenever necessary 

  • Food service set up

    • Adequate perimeter barriers and adequate overhead protection is required

    • Sneeze guards for display food

    • Smooth, easily cleanable floors

    • Adequate amount if sanitizing chemicals

    • An adequate sized 3 compartment sink with dry boards

  • Food storage

    • Food must be delivered under refrigeration or in transport containers that are approved

    • Adequate refrigeration is required on-site

    • All cold TCS foods must be stored under 41

    •  hot holding equipment required if hot food served

    • All hot TCS foods must be stored at 140 or greater

  • Temporary events

    • Home prepared food are banned

    • All food must be prepared at a facility permitted or licensed by a regulatory agency 

  • Water supply

    • Water samples may be required

    • Backflow prevention is required

    • Food grade hoses required

Module 20: Self Inspection 

  • What are the goals of food service workers?

    • To produce safe, quality food for customers

  • Risk factors for foodborne illness:

    • Improper holding temperatures

    • Inadequate cooking 

    • Contaminated equipment

    • Food from unsafe sources

    • Poor personal hygiene

  • Prevention starts with controlling these risk factors

  • Active managerial control

    • Preventative measures taken in an effort to control foodborne illness risk factors

    • It is a set of mini self inspections performed daily to monitor critical control points and guarantee safety

  • Critical control points (CCP)

    • Points where loss of control could cause a foodborne illness

    • A control must be established at each CCP

  • Critical limits

    • A parameter that must be met at each CCP to ensure that the food safety hazard is controlled

    • Some examples of which are:

      • Cooking temperatures

      • Size and depth of product cooling

      • Use of disposable gloves

  • Monitoring

    • Act of observing and making measurements to determine if all limits are being met and maintained

    • Can be done on a continuous or intermittent basis

    • Should be done frequently enough to ensure that the critical limit is being met

  • Corrective actions

    • Measures that can be taken whenever a critical limit is not being met

      • Ex: discarding food if need be or further cooking it to adequate conditions

  • Verification

    • Activities, other than monitoring, that determine if procedure is being followed 

      • Ex: reviewing records, ensuring that corrective action is being done

  • Record keeping

    • Maintaining records of active managerial control is important to maintain safety