Food Establishments Group Regulatory Form printable pdf download

Food Establishments Group Regulatory Form

EXAS

EPARTMENT OF

TATE

EALTH

ERVICES

DIVISION FOR REGULATORY SERVICES

ENVIRONMENTAL AND CONSUMER SAFETY SECTION

POLICY, STANDARDS, AND QUALITY ASSURANCE UNIT

FOOD ESTABLISHMENTS GROUP

FOOD ESTABLISHMENTS GROUP REGULATORY FORM

December 1, 2009

FEGRF - No. 1

Form: Conditional Employee and Food Employee Reporting Agreement

Applicable Texas Food Establishment Rules (TFER) Section: §229.163(d)

Conditional Employee and Food Employee Reporting Agreement

Preventing Transmission of Diseases through Food by Infected Food Employees or

Conditional Employees with Emphasis on illness due to Norovirus, or hepatitis A Virus, or

Salmonella Typhi, or Shigella species or E coli O157:H7 or other Shiga toxin-producing

Escherichia coli (STEC).

The use of this form meets the requirements of the Texas Health and Safety Code §437.005(e)

and the TFER §229.163(d).

This form was developed by the U.S. Food and Drug Administration and is part of the 2009 FDA

Food Code. It also meets the requirements and intent of the Texas Food Establishment Rules

(TFER). The form is intended to facilitate adoption of the TFER and the application of its

provisions as they relate to conditional employees' and food employees' health and to food

establishment inspections.

The purpose of this agreement is to inform conditional employees or food employees of their

responsibility to notify the person in charge when they experience any of the conditions listed so

that the person in charge can take appropriate steps to preclude the transmission of foodborne

illness.

Food Establishments Group ● PO Box 149347, Mail Code 1987 ● Austin, Texas 78714-9347

(512) 834-6753 ● Facsimile: (512) 834-6683 ●

Pub # - 23-13282

1/04/10

Food Establishments Group Regulatory Form