FORM FGIS 952-1 (01/24) Expires 03-25

SANITATION INSPECTION REPORT

(BEANS, PEAS, AND LENTILS) 

FORM APPROVED OMB NO. 0581-0309: According to the Paperwork Reduction Act of 1995, no 

agency may conduct or sponsor, and a person is not required to respond to a collection of information unless it 

displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0309. 

The time required is estimated to average 1.5 hours per response and 1 minute of record keeping, including the 

time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and 

completing and reviewing the collection of information. 

SANITATION INSPECTION OF (Name and Address of Plant) INSPECTOR

DATE INSPECTED

PLANT OWNED BY (Company or Individual) INSPECTOR ACCOMPANIED BY (Name and Title)

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

I. PREMISES

A. Outside premises not well drained. 3

B. Outside premises not free of weeds, clutter, unused 

equipment or other materials. 3

C. Waste not properly stored or contained. 3

D. Outside premises not free of harborage or breeding places 

for insects, rodents, birds, or other animals. 4

II. RAW MATERIALS

A. Beans, peas, and lentils not handled in a sanitary manner 

that would prevent adulteration.

CRITICAL

III. CONSTRUCTION OF BUILDING

A. Plant construction does not exclude probable entrance of 

insects, rodents, birds or other animals. 3

B. Walls, partitions, ceilings, and exposed structural supports 

in poor repair. 3

C. Floors not smooth and readily cleanable, or impervious

under normal usage. 3

D. Floors that frequently get wet not constructed to prevent 

pooling or are not kept dry. 3

E. Exposed, unprotected overhead sewer lines present in 

product lines. CRITICAL

F. Walls not sealed at juncture with floor. 3

G. Walls and ceilings not free of flaked paint, nor in good 

repair. 3

H. Windows not intact. 3

I. Entrances to production rooms not equipped with selfclosing doors nor provided with other effective means to 

prevent entrance of vermin.

3

J. Screen doors, where present, not self closing. 3

IV. LIGHTING

A. Production rooms not adequately lighted (20-foot candles).

3

B. Places where detailed inspection of the product or 

ingredients is required not adequately lighted (50-foot candles). 4

C. Places where detailed inspection of the processes or 

operations is required not adequately lighted (50-foot candles). 4

D. Storage areas not adequately lighted (20-foot candles) 3

E. Toilets and dressing rooms not adequately lighted (20-foot 

candles). 3

F. Protective shields for lights not present in areas where 

essential to protect the product during protection. 5

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

V. VENTILATION

A. Plant not reasonably free of undesirable odors, hot air 3

B. Evidence or presence of excessive condensate on walls, 

ceilings, equipment, or pipelines. 4

C. Windows opening to the outside not screened with 14-mesh 

or finer screen (during presence of flies 3

D. Exhaust fans not screened or equipped with self-closing 

louvers. 3

VI. WATER SUPPLY

A. Lack of satisfactory evidence that the water supply is 

potable.

CRITICAL

B. Presence of a cross-connection between water lines and 

sewage system (not allowed). CRITICAL

VII. DISPOSAL OF WASTES

A. Garbage, trash, and dry waste materials, inside or outside 

the building, not satisfactorily contained.

4

B. Waste is not disposed of frequently enough to prevent 

unsightliness or undesirable odors. 4

VIII. TOILET, HAND-WASHING, AND DRESSING

ROOM FACILITIES

A. Toilet facilities not provided for each sex.

3

B. Toilets and urinals not water-flushed. 3

C. Toilet room(s) not equipped with self-closing doors. 3

D. Toilet room(s) open directly into a processing or food 

storage room where food is exposed. CRITICAL

E. Cold and hot, water or tepid water not provided at wash 

basins. 3

F. Hand cleaner and towels not provided at or near each basin. 3

G. Adequate hand-washing signs not posted. 3

H. Adequate dry waste receptacles not provided. 3

I. Toilet facilities not working. 5

J. Toilet and locker room not satisfactorily ventilated. 4

K. Toilet and dressing rooms not kept in a clean orderly 

condition. 5

IX. CONSTRUCTION AND REPAIR OF EQUIPMENT

A. Adequate space not allowed around equipment for cleaning 

and inspection purposes.

4

B. Equipment not designed to protect the product zone 

against contamination or extraneous material. 5

C. Equipment not free of parts or areas inaccessible for 

cleaning and inspection purposes. 4

X. CLEANING AND SANITIZING TREATMENT

A. Equipment not cleaned at frequencies to prevent 

contamination of the product.

CRITICAL
SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

XI. CONTROL OF INSECTS AND ANIMALS

A. Presence of evidence of any rodents in plant. 5

B. Presence of any birds or any other animals including 

domestic types in the plant. 5

C. Presence of live insects in processing or product storage 

areas(two or more). CRITICAL

D. Presence of dead insects in processing equipment (two or 

more). CRITICAL

E. Presence of live or dead insects in more than minimal 

number in other areas (three or more). 5

F. Rodenticides, insecticides, and other control or eradication 

material including applicatory equipment not used in a safe 

acceptable manner. CRITICAL

G. Evidence that effective pest control not exercised where 

needed. 3

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

XIV. PERSONNEL

A. Employees not wearing garments suitable for work being 

performed. 4

B. Personnel in contact with unwrapped product ingredients not 

using proper headwear 4

C. Gloves, if worn, not kept in a sanitary condition. 3

D. Storage of employees personal effects in production rooms. 3

E. Employees not washing hands after contamination. CRITICAL

F. Failure of employees to be hygienically clean: fingernails not 

kept clean and trimmed. 4

G. Employees affected with or a carrier of a communicable or 

infectious disease not excluded from product area. CRITICAL

H. Plant employees having an infectious wound, sore, or 

lesion on hands, arms, or other exposed parts of the body not 

excluded from contacting ingredients, products, or product zone. 

5

I. Plant personnel not instructed in acceptable hygienic practices 

and proper sanitary rules of food handling. 5

J. Personnel not prohibited from expectorating, eating, or 

smoking in product areas. 5

TOTAL

Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a 

score of 46 or higher.

REMARKS

Name of Inspector Date

FORM FGIS 952-1 (1/24) Reverse 
SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

I. PREMISES

A. Outside premises not well drained. 3

B. Outside premises not free of weeds, clutter, unused 

equipment or other materials. 3

C. Waste not properly stored or contained. 3

D. Outside premises not free of harborage or breeding places 

for insects, rodents, birds, or other animals. 4

II. RAW MATERIALS

A. Beans, peas, and lentils not handled in a sanitary manner 

that would prevent adulteration.

CRITICAL

III. CONSTRUCTION OF BUILDING

A. Plant construction does not exclude probable entrance of 

insects, rodents, birds or other animals. 3

B. Walls, partitions, ceilings, and exposed structural supports 

in poor repair. 3

C. Floors not smooth and readily cleanable, or impervious

under normal usage. 3

D. Floors that frequently get wet not constructed to prevent 

pooling or are not kept dry. 3

E. Exposed, unprotected overhead sewer lines present in 

product lines. CRITICAL

F. Walls not sealed at juncture with floor. 3

G. Walls and ceilings not free of flaked paint, nor in good 

repair. 3

H. Windows not intact. 3

I. Entrances to production rooms not equipped with selfclosing doors nor provided with other effective means to 

prevent entrance of vermin.

3

J. Screen doors, where present, not self closing. 3

IV. LIGHTING

A. Production rooms not adequately lighted (20-foot candles).

3

B. Places where detailed inspection of the product or 

ingredients is required not adequately lighted (50-foot candles). 4

C. Places where detailed inspection of the processes or 

operations is required not adequately lighted (50-foot candles). 4

D. Storage areas not adequately lighted (20-foot candles) 3

E. Toilets and dressing rooms not adequately lighted (20-foot 

candles). 3

F. Protective shields for lights not present in areas where 

essential to protect the product during protection. 5

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

V. VENTILATION

A. Plant not reasonably free of undesirable odors, hot air 3

B. Evidence or presence of excessive condensate on walls, 

ceilings, equipment, or pipelines. 4

C. Windows opening to the outside not screened with 14-mesh 

or finer screen (during presence of flies 3

D. Exhaust fans not screened or equipped with self-closing 

louvers. 3

VI. WATER SUPPLY

A. Lack of satisfactory evidence that the water supply is 

potable.

CRITICAL

B. Presence of a cross-connection between water lines and 

sewage system (not allowed). CRITICAL

VII. DISPOSAL OF WASTES

A. Garbage, trash, and dry waste materials, inside or outside 

the building, not satisfactorily contained.

4

B. Waste is not disposed of frequently enough to prevent 

unsightliness or undesirable odors. 4

VIII. TOILET, HAND-WASHING, AND DRESSING

ROOM FACILITIES

A. Toilet facilities not provided for each sex.

3

B. Toilets and urinals not water-flushed. 3

C. Toilet room(s) not equipped with self-closing doors. 3

D. Toilet room(s) open directly into a processing or food 

storage room where food is exposed. CRITICAL

E. Cold and hot, water or tepid water not provided at wash 

basins. 3

F. Hand cleaner and towels not provided at or near each basin. 3

G. Adequate hand-washing signs not posted. 3

H. Adequate dry waste receptacles not provided. 3

I. Toilet facilities not working. 5

J. Toilet and locker room not satisfactorily ventilated. 4

K. Toilet and dressing rooms not kept in a clean orderly 

condition. 5

IX. CONSTRUCTION AND REPAIR OF EQUIPMENT

A. Adequate space not allowed around equipment for cleaning 

and inspection purposes.

4

B. Equipment not designed to protect the product zone 

against contamination or extraneous material. 5

C. Equipment not free of parts or areas inaccessible for 

cleaning and inspection purposes. 4

X. CLEANING AND SANITIZING TREATMENT

A. Equipment not cleaned at frequencies to prevent 

contamination of the product.

CRITICAL

FORM FGIS 952-1 (01/24) Expires 03-25

SANITATION INSPECTION REPORT

(BEANS, PEAS, AND LENTILS) 

FORM APPROVED OMB NO. 0581-0309: According to the Paperwork Reduction Act of 1995, no 

agency may conduct or sponsor, and a person is not required to respond to a collection of information unless it 

displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0309. 

The time required is estimated to average 1.5 hours per response and 1 minute of record keeping, including the 

time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and 

completing and reviewing the collection of information. 

SANITATION INSPECTION OF (Name and Address of Plant) INSPECTOR

DATE INSPECTED

PLANT OWNED BY (Company or Individual) INSPECTOR ACCOMPANIED BY (Name and Title)

1

2

3

4

5

6 7
SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

XI. CONTROL OF INSECTS AND ANIMALS

A. Presence of evidence of any rodents in plant. 5

B. Presence of any birds or any other animals including 

domestic types in the plant. 5

C. Presence of live insects in processing or product storage 

areas(two or more). CRITICAL

D. Presence of dead insects in processing equipment (two or 

more). CRITICAL

E. Presence of live or dead insects in more than minimal 

number in other areas (three or more). 5

F. Rodenticides, insecticides, and other control or eradication 

material including applicatory equipment not used in a safe 

acceptable manner. CRITICAL

G. Evidence that effective pest control not exercised where 

needed. 3

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

XIV. PERSONNEL

A. Employees not wearing garments suitable for work being 

performed. 4

B. Personnel in contact with unwrapped product ingredients not 

using proper headwear 4

C. Gloves, if worn, not kept in a sanitary condition. 3

D. Storage of employees personal effects in production rooms. 3

E. Employees not washing hands after contamination. CRITICAL

F. Failure of employees to be hygienically clean: fingernails not 

kept clean and trimmed. 4

G. Employees affected with or a carrier of a communicable or 

infectious disease not excluded from product area. CRITICAL

H. Plant employees having an infectious wound, sore, or 

lesion on hands, arms, or other exposed parts of the body not 

excluded from contacting ingredients, products, or product zone. 

5

I. Plant personnel not instructed in acceptable hygienic practices 

and proper sanitary rules of food handling. 5

J. Personnel not prohibited from expectorating, eating, or 

smoking in product areas. 5

TOTAL

Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a 

score of 46 or higher.

REMARKS

Name of Inspector Date

FORM FGIS 952-1 (1/24) Reverse 

8

9

10 11
Instructions for Completing FGIS-952-1

1. Name of plant and physical address of the sanitation inspection.

2. Name of the company or individual that owns the plant.

3. Name of the inspector performing the inspection.

4. Date of inspection.

5. Name and title of plant personnel that accompanied the inspector during the

inspection.

6. Assigned Defect Points. This column contains pre-assigned individual defect

points. The range of points assigned is based on the importance of the defect item to the

maintenance of good sanitation in the plant. For example, the defect item “Presence or evidence

of rodents in plant,” is assigned a point range of 0 to 5; whereas, “Waste not properly stored or

contained,” is assigned a point range of 0 to 3. The most serious defects do not have assigned

defect points but are listed as “critical.”

7. Inspector’s Defect Points. In this column rate the individual defect item based on

your opinion as to the relative potential for product contamination. If the item is clean and

presents no sanitation problem, assign 0 defect points to the item. If the item is relatively clean

but not perfect, assign 1 or 2 defect points to the item. If the item is insanitary or presents a

clear hazard to sanitary operations, assign the maximum defect points possible for that item.

Score critical Items as either “pass” or “fail.” For example, the item “Presence of live insects in

processing or product storage areas (two or more)” is a critical item. When any type of insect is

present in the number indicated, it is a critical defect. Use the back of the form for remarks and

explain critical defects to clearly describe the conditions observed.

8. Total the Inspector’s Defect Points. If the SIR score meets or exceeds 46, consider

plant operations insanitary. A plant may not have any critical items but their overall sanitary

condition is so poor that they should discontinue processing and have a general cleanup or initiate

a maintenance program. Evaluate plants in this condition based on their total SIR score.

9. Remarks.

10. Name of inspector who completed report.

11. Date of inspection.

Immediately after completing the SIR, give a copy to the plant representative. This copy is the plant’s 

written notification of the conditions found. 

Contact Information

Policies, Procedures, and Market Analysis Branch

FGISPoliciesProceduresMarketAnalysisBranch@usda.gov