Disaster Response Questionnaire

(Procedures for Re-Opening Food Establishments) 

1.    How long was the power out at your facility?

2.    What is the food temperature in the refrigerator? freezer?

3.    Was there flooding?

4.    Was the ice machine turned off?

5.    Name and location of facility?

6.    Phone number

7.    Name of caller?

Date_______     Time______

Note: Keep a list of food items that have been discarded.

(See power outage or flooding flow chart)


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