FORM FGIS 952-2 (01/24) Expires 03-25

SANITATION INSPECTION REPORT

 (OVERPACKER) 

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 hour 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)

GENERAL TYPES OF ITEMS INSPECTED

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

I. PACKING MATERIALS

A. Not free from adulteration.

CRITICAL

B. Shows evidence of insanitary conditions or deterioration. 5

C. Not stored under sanitary conditions. 5

II. LIGHTING

A. Insufficient lighting in areas where inspection and 

examination are performed (50-foot candles).

4

III. DISPOSAL OF WASTES

A. Floor drains not functional not properly trapped.

3

B. Dry wastes not collected in suitable containers conveniently 

located throughout the plant. 3

C. All waste not collected and disposed of at frequent intervals 

nor in a sanitary condition. 4

IV. TOILET, HAND-WASHING, AND DRESSING

ROOM FACILITIES

A. Toilet room opens directly into packing or storage areas. 5

B. Doors not self closing and tight fitting. 3

C. Absence of sign directing employees to wash hands. 3

D. Absence of hot or cold water, soap, or hand-drying facilities. 5

E. Toilet rooms not properly vented to the outside. 5

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

V. CONTROL OF INSECTS AND ANIMALS

A. Rodent harborages or insect-breeding places places present. 4

B. Insects, birds, or animals present in plant. 5

C. Insecticides or rodenticides are handled so as to contaminate 

the product. CRITICAL

VI. STORAGE FACILITIES

A. Storing methods do not minimize deterioration nor 

contamination.

5

B. Storage facilities not clean, sanitary nor in good repair. 3

C. Shelves, cabinets, or dunnage not used where necessary to 

prevent contamination or deterioration. 5

XIV. PERSONNEL

A. Not free of communicable nor infectious disease. CRITICAL

B. Not free of infected cuts, open sores or other lesions on 

exposed parts of the body. CRITICAL

TOTAL

Plant operations are considered to be insanitary if one or more

critical defects are found or if the plant receives a score of 

21or higher.

REMARKS

Use reverse side of this form for additional remarks.

Name of Inspector Date
FORM FGIS 952-2 (01/24) Expires 03-25

SANITATION INSPECTION REPORT

 (OVERPACKER) 

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 hour 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)

GENERAL TYPES OF ITEMS INSPECTED

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

I. PACKING MATERIALS

A. Not free from adulteration.

CRITICAL

B. Shows evidence of insanitary conditions or deterioration. 5

C. Not stored under sanitary conditions. 5

II. LIGHTING

A. Insufficient lighting in areas where inspection and 

examination are performed (50-foot candles).

4

III. DISPOSAL OF WASTES

A. Floor drains not functional not properly trapped.

3

B. Dry wastes not collected in suitable containers conveniently 

located throughout the plant. 3

C. All waste not collected and disposed of at frequent intervals 

nor in a sanitary condition. 4

IV. TOILET, HAND-WASHING, AND DRESSING

ROOM FACILITIES

A. Toilet room opens directly into packing or storage areas. 5

B. Doors not self closing and tight fitting. 3

C. Absence of sign directing employees to wash hands. 3

D. Absence of hot or cold water, soap, or hand-drying facilities. 5

E. Toilet rooms not properly vented to the outside. 5

SANITARY DEFECTS

Assigned

Defect

Points

Inspector

Defect

Points

V. CONTROL OF INSECTS AND ANIMALS

A. Rodent harborages or insect-breeding places places present. 4

B. Insects, birds, or animals present in plant. 5

C. Insecticides or rodenticides are handled so as to contaminate 

the product. CRITICAL

VI. STORAGE FACILITIES

A. Storing methods do not minimize deterioration nor 

contamination.

5

B. Storage facilities not clean, sanitary nor in good repair. 3

C. Shelves, cabinets, or dunnage not used where necessary to 

prevent contamination or deterioration. 5

XIV. PERSONNEL

A. Not free of communicable nor infectious disease. CRITICAL

B. Not free of infected cuts, open sores or other lesions on 

exposed parts of the body. CRITICAL

TOTAL

Plant operations are considered to be insanitary if one or more

critical defects are found or if the plant receives a score of 

21or higher.

REMARKS

Use reverse side of this form for additional remarks.

Name of Inspector Date

1

2

3

4

5

6

7 8

9

10

11 12
Instructions for Completing FGIS-952-2

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

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

3. Type of items inspected.

4. Name of the inspector performing the inspection.

5. Date of inspection.

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

inspection.

7. 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.”

8. 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.

9. Total the Inspector’s Defect Points. If the SIR score meets or exceeds 21, 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.

10.Explain critical defects in the “Remarks” section to clearly describe the conditions observed.

11. Name of person that performed the inspection. .

12. Date SIR completed and signed..

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

Policy,Procedures, and Market Analysis Branch

FGISPoliciesProceduresMarketAnalysisBranch@usda.gov