ALLERGEN RISK ASSESSMENT FORM :

1. Area/location: 2. Date of assessment/review: 19/10/15

3. Assessment carried out by:
4. Task/activity: Allergen – on site activities
5. Review Applicable – new document
6. Specific Hazard Contamination of other raw materials, packaging or finished products due to
allergen production.
7.Step Hazards 8. Initial Risk 9. Controls – existing & further required, including 10.Remaining
Evaluation addressing any special risk groups Risk
Evaluation

Likelihood

Likelihood
Severity

Severity
Risk

Raw material Cross contamination of non-
receipt allergenic raw materials with
allergenic raw materials or
products during delivery to
site due to damaged
packaging
Cross contamination of
allergenic raw materials with
other allergenic raw
materials or products during
delivery to site
Split bags
Spillages
Risk
L M A Approved Suppliers only L L L
Raw Materials Control Sheet checks on intake
Warehouse Operators Trained/ QA team trained
L M A L L L
L M A Approved Suppliers only L L L
Raw Materials Control sheet on intake and Checks.
Warehouse Operators/QA team trained.
L M A L L L
M M M Dedicated utensils L M A
Warehouse Operators Trained
M M A L M A

Raw material Contamination of product
Storage from allergenic material due
to damage to packaging
during storage
L M A Allergenic Raw materials where possible are segregated and L M A
signage used.
Soya/Mustard segregated at Radford Road, Gluten/ SO2 Gluten
onsite but segregated were applicable.
L M A L L L
Warehouse Operators Trained.
 ALLERGEN RISK ASSESSMENT FORM :

Ingredient Dust generated from H M I Separate equipment used for allergenic products L M A
Weighing and powder dispensing
tipping Operators Trained in Allergen procedures

Ingredient Ingredient will come into H M I Separate equipment used for allergenic products L M A
Handling direct contact with utensils Operators Trained in Allergen procedures
used for other products. H M I L M A

Production Ingredient and finished H M I Separate equipment used for allergenic products L M A
product will come into direct Operators Trained in Allergen procedures
contact with equipment
used for production of non
allergenic products
Dust generated from H M I Full allergen cleandown carried out following production run. L M A
production
Product was sampled during a production run. Validation work
carried out levels were below traceable limits
 ALLERGEN RISK ASSESSMENT FORM :

Packaging Packing Allergen into Non H M A Packing sheet procedure in place for controlling packaging before L M A
Allergen packaging and during an allergen run, controlled by Management.
Packing product containing L L L Packing sheet procedure in place for controlling packaging before L L L
allergen into incorrect and during an allergen run, controlled by Management.
packaging
Finished Contamination of product L M A Allergenic Finished product bagged and boxed so secondary L L L
Products from allergenic material due security packaging is acceptable.
Storage to damage to packaging Warehouse Operators Trained
during storage
Cleaning Contamination of product M M M Designated cleaning utensils. L L A
from brushes/tools M M M Full Allergen cleandown carried out following allergen production L L A
containing allergenic run
material .
Operators Anaphylactic reaction M M A Site induction procedures and allergen awareness training. L M A
and Engineers M M A Ascertained if any operators and engineers are allergic to any L M A
allergenic material
Cross contamination of L M A Food safety and allergen awareness training. L L L
products from Allergens L M A Wash hands before entering production facility. L L L
used in Canteen area
Contractors Anaphylactic reaction M M A Site induction includes allergen awareness. L M A
and Agency M M A L M A
Staff Cross contamination of L M A Site induction includes allergen awareness and food safety. L L L
products from Allergens L M A Wash hands before entering production facility. L L L
used in Canteen area
Cleaners Anaphylactic reaction M M A Site induction procedures and allergen awareness training. L M A
M M A L M A
Cross contamination of L M A Food safety and allergen awareness training. L L L
products from Allergens L M A Wash hands before entering production facility L L L
used in Canteen area
Management Anaphylactic reaction M M A Site induction procedures and allergen awareness training. L M A
M M A Ascertained if any managers are allergic to any allergenic L M A
material
 ALLERGEN RISK ASSESSMENT FORM :

Cross contamination of L M A Food safety and allergen awareness training. L L L

products from Allergens L M A Wash hands before entering production facility. L L L
used in Canteen area
Visitors Anaphylactic reaction M M A Site induction includes allergen awareness. L M A
M M A L M A
Cross contamination of L M A Visitors are accompanied by *****your company**** employee if L L L
products from allergens L M A not a regular visitor. L L L
used in canteen area Site induction includes allergen awareness.
Wash hands before entering production facility, included in Site
induction
 ALLERGEN RISK ASSESSMENT FORM :

Likelihood Definitions: Severity Definitions: Risk Definitions:

Extremely Unlikely (LOW) Slightly Harmful (LOW) Low Severity:
Very remote chance of Calculated from RSSL No additional controls Slightly Harmful Extremely
occurrence, say once every required. Likelihood:
Harmful (LOW) (MED) Harmful (HIGH)
few years or every few
thousand events Extremely Acceptable Acceptable
Low
Unlikely (MED) Harmful (MED) Acceptable [Medium] Unlikely (LOW) [Medium] [Medium]
Chance of occurrence in the Could lead to contamination of Subject to following the
order of up to once per other products and or contact defined precautions and Acceptable Intolerable Intolerable
Unlikely (MED)
production run with operatives controls. [Medium] [High] [High]
Likely (HIGH) Extremely Harmful (HIGH) Intolerable [High]
Chance of occurrence more Would lead to contamination Work should not be started Likely (HIGH) Intolerable Intolerable Intolerable
frequent than once every and or contact with operative or halted until risk is [High] [High] [High]
production run reduced to Acceptable
[Medium] or Low