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Emergency Preparedness at Twin Cities Metro Food

Service Establishments: An Outreach and Benchmark

Survey

February 2008



Research Conducted for Twin Cities Metro Advanced Practice

Center (APC) for emergency preparedness and response



A partnership of Hennepin County, Ramsey County and the City

of Minneapolis









Confidential | VasheResearch.com

VASHÉ Research



Presentation Outline



 Background and Objectives

● Executive Summary

● Trends: Benchmark Against Baseline

● Methods

● Results

• Conclusions and Recommendations









| Confidential to 1

VASHÉ Research



Background and Objectives



 Survey commissioned to assess the state of

emergency preparedness and response at licensed

food facilities in the Metro area.

 Funded by the NACCHO Advanced Practice Centers

Grant

 Objectives:

• Assess food establishments’ emergency preparedness in the Metro

area.

• Compare performance and identify progress and deficiencies from the

baseline study (2005).

• Understand and evaluate respondents’ incorporation and

implementation of the Emergency Handbook for Food Managers and

other aids.

• Establish and evaluate effective means of emergency information

dissemination to food establishment managers.









| Confidential to 2

VASHÉ Research



Presentation Outline



● Background and Objectives

 Executive Summary

● Trends: Benchmark Against Baseline

● Methods

● Results

• Conclusions and Recommendations









| Confidential to 3

VASHÉ Research



Executive Summary

Emergency Preparedness And Reporting Processes

(Establishment  Government)

 Two-thirds of restaurants and grocery stores claim to have

an emergency plan in place.

 This is an increase of 16% from 2005.

 In case of an emergency such extensive flooding, managers are most

likely to contact local officials and their management/owner.

 In case of water contamination, over half of establishments

would notify a governmental official.

 Half of the establishments would shut down and get advice from the

local government.

 Practically all food establishments claim to have their lists

of suppliers readily available (99%)

 About 4 out of 5 establishments claim to have their

back/loading doors locked all or almost all the time.

 An 8% increase from 2005.

 Almost all establishments claim to inspect their food

deliveries for evidence of tampering.

 As in 2005, the primary focus for inspection is not security, but

inventory control…

 Less than two-thirds of establishments admit to have never

had a fire drill.

 Only 1 in 4 establishments had a fire drill within the last 12 months.

There is a slight increase (3%) from 2005.



| Confidential to 4

VASHÉ Research



Executive Summary

Emergency Alert Network

(Government  Establishment)



 Almost all managers (86%) are at least initially supportive

of a self-inspection initiative.



 Half of establishments indicate that they already perform a

self-inspection, generally as a function of inventory control.

These inspections are generally done at the multiple

location/franchise level.

 Small business lags in self-inspection, on average doing 10% less than

multiple location businesses.





 Nearly half of the managers spoken to say they have an

evacuation or shelter-in-place plan.



 Most respondents don’t receive a premium reduction on

their insurance for food security self-inspections. Those that

do are generally chain or multiple store businesses.





| Confidential to 5

VASHÉ Research



Executive Summary

Emergency Preparedness Training



 Three quarters of establishments provide emergency training to their new

hires. Up 3% from 2005.

 In half of all cases, this training lasts less than 30 minutes.

 Training is provided primarily on the job.

 In approximately two-thirds of the time, this training lasts less than 1 hour.

 Training is provided mostly on the job, by supervisor/co-worker.

 A majority of respondents indicate they’ve seen emergency preparedness

materials developed by Twin Cities organizations.

 About half say that material is the Emergency Handbook for Food managers.

 As with the study in 2005, almost all establishments want training materials

in English, 42% of respondents would also like to have such materials in

Spanish, as in 2005, other languages, such as Arabic, Chinese and Hmong

are still needed.

 There are a number of “second-tier” languages, Chinese, Arabic, Hmong and Somali, that

could be prioritized.

 Most (88%) respondents feel they have sufficient tools to report illness as

required in the food code.

 The most common tool used for reporting employee illness is an employee illness

log (63%).

 One in four indicate use of the Illness Log from the Emergency Handbook for

Food Managers.

 One in four indicate they don’t use anything.







| Confidential to 6

VASHÉ Research



Executive Summary

Differences By Segment

 By geography: Ramsey County / St. Paul / Hennepin County /

Minneapolis

• Similar response patterns across all geographies. While data displays some

statistically significant differences, there is not much basis for differentiating

managerial/decision-making approaches by geography.

• Displayed differences most likely due to the four geographies’ different food

establishment demographic profiles.

• Two-thirds of respondents say there is an emergency plan that describes how

their business will respond to emergencies.





 By risk level: High versus Medium

• High-risk businesses primarily train their employees on the job.

• While overall adoption rate of the Emergency Handbook utilization is low in

relation to other materials, it is used at a higher rate with high-risk businesses.









| Confidential to 7

VASHÉ Research



Executive Summary

Differences By Segment (continued)

 By establishment type: Restaurants versus Grocery Stores

• Twice as many restaurants would like training materials in Spanish and Chinese,

as compared to grocery stores; grocery stores have higher need for training

materials in Arabic and Somali.

• Grocery stores cause stronger food safety concerns, as they are much more

likely to have numerous suppliers, keep their kitchen/loading doors unlocked,

provide less than 30 min of emergency training for new hires, and ignore the

need for regular fire drills.

• Restaurants are more likely to use classroom settings for emergency training of

new employees, and show much more interest in onsite training by Health

Department.

 By business size/type (number of locations, privately owned/franchise/chain)

• Multiple-location, multi-store chains are twice as likely to need training materials

in Spanish than single-location, non-franchised businesses.

• Training materials in Chinese are most needed at single-location, non-franchised

food establishments.

• Single-location, non-franchised businesses (which account for 56% of all food

establishments in Metro area) present a stronger food safety concern, as they

are much more likely to provide no or less than 30 minutes of emergency

training for new hires, and ignore the need for regular fire drills.

• Large chains have increased since 2005.







| Confidential to 8

VASHÉ Research



Presentation Outline



● Background and Objectives

● Executive Summary

 Methods

● Trends: Benchmark Against Baseline

● Results

● Twin Cities Metro Area Total

● Results by quota groups/cross-tabs

● Geography view (by County/City)

● Risk Category view (High versus Medium risk)

● Establishment Type view (Restaurants versus Groceries)

● Ownership type/Number of locations (Chain/Non-chain, Single/Multiple

locations)

• Conclusions and Recommendations









| Confidential to 9

VASHÉ Research



Methods



 Phone survey conducted in May 2007

 Questionnaire developed by collaborative effort between

Metro Team and Vashé Research, using questions posed in

2005 and added questions in 2007.

 Survey’s population/universe defined as all food

establishments in the Metro area, based on record lists

provided by local governments.

 Responses collected for each of the following quota

groups:

• Four geographic areas: Ramsey County (other than City of St. Paul),

City of St. Paul, Hennepin County (other than City of Minneapolis), City

of Minneapolis

• Risk categorization: High versus Medium risk level

• Type of food establishment: Restaurants versus Grocery Stores









| Confidential to 10

VASHÉ Research



Methods



 All respondents qualified as in charge of food management

and knowledgeable about their establishment’s emergency

preparedness.



 To increase response rate and reduce non-response bias,

all surveyed managers were assured of confidentiality of

their individual responses.

 Results reported in aggregate only, no data linked to individual

respondents





 In addition to Metro-wide data, results shown in four

different “views,” according to quota groups (Geography

view, Risk Category view, Establishment Type view) and

Ownership type/Number of locations (Question 1).



 Assessment of Trends and Benchmark measures against

2005 baseline survey.





| Confidential to 11

VASHÉ Research



Presentation Outline



● Background and Objectives

● Executive Summary

● Methods

 Trends: Benchmark Against Baseline

● Results

● Twin Cities Metro Area Total

● Results by quota groups/cross-tabs

● Geography view (by County/City)

● Risk Category view (High versus Medium risk)

● Establishment Type view (Restaurants versus Groceries)

● Ownership type/Number of locations (Chain/Non-chain, Single/Multiple

locations)

• Conclusions and Recommendations









| Confidential to 12

VASHÉ Research



Trends: Benchmark Against Baseline

Q1. Which one of the following categories best describes your business?



2 or more food 2 or more food establishments AND

A single (one) food establishments but NOT franchise/large corporation

n=436 establishment franchise

2007 70% 10% 20% 

2005 72% 11% 17%



Q3. If training materials were supplied to you by your local health agency, what languages should they be in so that your employees can

understand the training?



n=436 English Spanish Arabic Chinese Hmong Somali Vietnamese Oromo Laotian

42% 7% 4% 5% 5% 3% 2% 1%

2007 99% 

2005 95% 42% 7% 5% 4% 4% 3% 1% 1%



Q3a. Have you seen any of the following food safety/preparedness materials developed by the Twin Cities’ local agencies?



Emergency Handbook for Food Safety Self-Inspection Food Safety & Security

n=358 Other

Food Managers List Self-Audit Tool



2007 48% 22% 17% 3%



Q3D. Have you had an emergency situation, such as flooding, storm damage, power outage, fire or food tampering, etc. at your

establishment within the past 2 years?



n=436 Yes No



2007 32% 68%



Q3E. Which of the following guidance materials did you follow, to keep food safe and to recover safely from the emergency?



Emergency Handbook for Food Security Self- Food Safety & Security

n=436 Other None

Food Managers Inspection Checklist Self-Audit Tool



2007 19% 4% 2% 23% 52%



Q4a. If an emergency such as an illness outbreak occurred, would you be able to immediately provide a list of your food suppliers to local

officials?



n=436 Yes No



2007 99% 1%



2005 99% 1%



| Confidential to 13

VASHÉ Research



Trends: Benchmark Against Baseline

Q4b. How many food suppliers do you currently have?



n=433 1 to 5 6 to 10 More than 10



2007 70% 20%  10%



2005 74% 17% 9%



Q5A. If food tampering or other biological or chemical contamination of food occurs, often the best indicator of such an emergency is

when an employee feels ill. Do you feel you have sufficient tools for recording and reporting employee illness?



n=436 Yes No



2007 88% 12%



Q5B. Which tools are you using for making decisions on, recording and reporting employee illness?



MDH Employee

Emergency Illness Decision

n=384

Employee Illness Handbook for Call the City or Tree & Poster for

Log Food Mangers County or State Employees None



2007 63% 24% 16% 14% 24%



Q6. If you were notified that the drinking water supply (tap water) at your establishment was contaminated, what would you do?



Stop using/

Shut down Call the City or Use bottled Call management

n=436 serving water,

operations County or State water / boss / owner

ice, coffee



2007 57%  53%  31%  7% 4%



2005 49% 40% 22% 6% 6%



Q7. How often do you and your employees keep back doors into the kitchen area and loading dock doors locked when not in use?



n=436 Always Almost always Most of the time Some of the time Almost never Never





2007 75%  10%  9% 4% 2% —



2005 70% 7% 11% 5% 4% 2%







| Confidential to 14

VASHÉ Research



Trends: Benchmark Against Baseline

Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have been made? For example, checking

for opened or unexplained packages, liquid or powder residue on packaging, returning suspicious or opened packages to supplier, etc.?



n=436 Always Almost always Most of the time Some of the time Almost never Never



2007 89% 6% 2% 1% 1% —



2005 88% 8% 2% 0% 1% 1%



Q8A. Do you self-inspect to evaluate and improve food safety and food security (e.g., using a Food Safety and Food Security

Self-Inspection Checklist)?



n=436 Yes No



2007 54% 46%



Q8B. Do you receive a premium reduction from your property insurer for food security self inspection?



n=436 Yes No



2007 3% 97%



Q8C. How often do you self-inspect to evaluate and improve food safety and food security, for example, using a Food Safety and Food

Security Self-Inspection Checklist?



Only when the

n=436 Daily Weekly Monthly Almost Never Other

inspector comes



2007 1% 59% 30% 1% 6% 3%



Q8D. If the time commitment were reasonable, would you support and participate in a self-inspection initiative to reduce the total

number of people getting sick with foodborne illnesses?



Initially

n=436

Yes supportive Initially negative No



2007 49% 37% 7% 6%



Q9. When was the last time you had a fire drill?



Within the past 6 Within the past

n=436

months year More than a year Never



2007 28%  3% 9% 60%



2005 25% 3% 11% 61%







| Confidential to 15

VASHÉ Research



Trends: Benchmark Against Baseline

Q9A. Do you have an evacuation or shelter-in-place plan for workers and customers in the event of an emergency such as a tornado, fire

or chemical incident?



n=436 Yes No



2007 48% 52%



Q9B. Are you using the Emergency Readiness for Food Workers Photo Lessons included in the Emergency Handbook for Food Managers or

other emergency training lessons to train your staff on what to do in an emergency?



n=436 Yes No



2007 26% 74%



Q9C. What exactly are the materials that you are using?



Emergency Handbook for

n=113 Other

Food Managers



2007 85% 15%



Q10. Are newly hired employees trained on what to do in an emergency?



n=436 Yes No



2007 78% 22%



2005 75% 25%



Q10B. Please describe the type of training.



Classroom Emergency

n=340 On the job Video CD or DVD Web-based Other

training Handbook





2007 50%  24%  16%  10% 6% 1% 1%





2005 60% 18% 12% — 3% 0% 1%









| Confidential to 16

VASHÉ Research



Trends: Benchmark Against Baseline

Q10C. Now please describe the length of this training.



Less than 30 30 minutes to 1 More than 8

n=340

minutes hour 1 to 2 hours 2 to 4 hours 4 to 8 hours hours



2007 41% 20% 16% 11% 5% 6%



2005 49% 15% 12% 13% 6% 5%



Q11A. Do you have an emergency plan for your establishment that describes how your business will respond to various emergencies?



n=436 Yes No



36%

2007 64% 

2005 46% 54%









| Confidential to 17

VASHÉ Research



Presentation Outline



● Background and Objectives

● Executive Summary

● Methods

● Trends: Benchmark Against Baseline

 Results

 Twin Cities Metro Area Total

● Results by quota groups/cross-tabs

● Geography view (by County/City)

● Risk Category view (High versus Medium risk)

● Establishment Type view (Restaurants versus Groceries)

● Ownership type/Number of locations (Chain/Non-chain, Single/Multiple locations)



• Conclusions and Recommendations









| Confidential to 18

VASHÉ Research



Twin Cities Metro Area Total







 The majority of establishments

(65%) are high and medium

Overall Risk category

risk restaurants.





High risk:

Grocery Medium risk:

16% Restaurant

21%









Medium risk:

Grocery

19%







High risk:

Restaurant

44%









S2. Risk Category of establishment (this information is found with the establishment info.)



| Confidential to 19

VASHÉ Research



Twin Cities Metro Area Total







 70% of respondents are from

single food establishments,

neither part of a large

Business category corporation or food chain.

n=436

A single (one) food

establishment, and

NOT a franchise of 70%

a large corporation

or part of a chain

2 or more food

establishments but

10%

NOT a franchise of

a large corporation



2 or more food

establishments

20%

AND a franchise or

a large corporation









Q1. Which one of the following categories best describes your

business?

Base: Total respondents.

| Confidential to 20

VASHÉ Research



Language

Twin Cities Metro Area Total

 English language is requested as the language most often

needed for training materials.

 There has been no net change in the need for Spanish since

2005, is continues to be the second top-tier language at 42%.

% change from 2005

Language



English 99% 4%



Spanish 42% 0%



Arabic 7% 0%

Chinese 4% 1%

Hmong 5% 1%

Somali 5% 1%

Vietnamese 3%

0%

Oromo 2%

Oromo 1%

Laotian 1%

Laotian 0%

Other 1%

Other 0









Q3. If training materials were supplied to you by your local health

agency, what languages should they be in so that your employees

can understand the training?

Base: Total respondents.

| Confidential to 21

VASHÉ Research



County/City View (Food Safety Materials)

Twin Cities Metro Area Total

 A majority of respondents indicate they’ve seen food

safety/preparedness materials developed by Twin Cities

organizations.

 The most recognized food safety material is the Emergency

Handbook for Food Managers.

Seen Food Safety/Preparedness Materials Developed by TC Local Agencies

Total Ramsey County St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=216

Yes Yes Yes

82% Yes 83% Yes

85%

89% 89%









Has a Copy of in Establishment

n=358 n=50 n=82 n=53 n=192

Emergency Handbook for

Food Managers 48% 40% 50% 48% 50%



Food Security Self

Inspection Checklist

22% 25% 12% 23% 26%

Food Safety & Security

Self-Audit tool

Other 17% 25% 20% 15% 13%





Q3a. Have you seen any of the following food safety/preparedness

materials developed by the Twin Cities’ local agencies?

Q3b. Do you have a copy of [name the item] in your food

establishment?

Base: Total respondents.

| Confidential to 22

VASHÉ Research



County/City View (Food Safety Materials on hand)

Twin Cities Metro Area Total

 The majority of respondents indicate they have food

safety/preparedness documents of some kind in their food

establishments.

Total

n=436

No

19%









Yes

81%







Ramsey County St. Paul Hennepin Minneapolis

n=57 n=101 n=62 n=216





Yes Yes Yes

Yes

81% 78% 83%

84%









Q3b. Do you have a copy of [name the item] in your food establishment?

Base: Total respondents.



| Confidential to 23

VASHÉ Research



County/City View (Safety Document Language(s))

Twin Cities Metro Area Total

 Most of these safety/preparedness documents are in

English, with another 23% in Spanish.







Language of Safety Documents



English 95%



Spanish 23%



Chinese 1%



Hmong 1%



Arabic 1%



Somali 1%



Vietnamese 1%



Oromo 1%









Q3C. In what language(s) is/are the (and safety document)?



| Confidential to 24

VASHÉ Research









 34% have indicated that they have experienced an

emergency situation in the past two years.



Experienced Emergency Situation

In The Last Two Years





Yes

34%









No

66%









Ramsey County St. Paul Hennepin Minneapolis

n=57 n=101 n=62 n=216





Yes Yes

26% 41% Yes Yes

27% 36%

No

59%









Q3D. Have you had an emergency situation, such as flooding, storm damage,

power outage, fire or food tampering, etc. at your establishment within the

past 2 years?

Base: Total respondents.

| Confidential to 25

VASHÉ Research









 Over half of the respondents indicate that they did not use

any guidance materials during their emergency, and

additional 23% cited other (phone book, contact info for

refrigeration, etc.) guidance materials used.





Guidance Materials Used

During Emergency

Emergency

Handbook for

Other, 23% Food

Managers,

19%

Food Security

Self Inspection

Checklist, 4%

Food Safety &

None, 52%

Security Self-

Audit Tool, 2%









Q3E. Which of the following guidance materials did you follow, to keep food safe and to recover safely from the emergency?



| Confidential to 26

VASHÉ Research



Number of Food Suppliers

Twin Cities Metro Area Total

 Less than 1% of respondents indicated they couldn’t

readily supply a list of food suppliers (same in 2005).

 Just under three quarters of food establishments

have between 1 and 5 suppliers only.



Ability to provide list of

food suppliers

n=436

No

1% (∆)

Number of food suppliers

% change

n=433 from 2005



70% -4%

1 to 5





6 to 10 20% 3%





More than 10 10% 1%







Yes

99%

Q4a. If an emergency such as an illness outbreak occurred, would

you be able to immediately provide a list of your food suppliers to

local officials?

Q4b. How many food suppliers do you currently have?

Base: Total respondents.

| Confidential to 27

VASHÉ Research









 89% feel they have enough tools to record and report

employee illness.





Confident That S/He Has Enough Tools

To Record and Report Illness

n=436

No, 11%









Yes, 89%









Q5A. If food tampering or other biological or chemical

contamination of food occurs, often the best indicator of such an

emergency is when an employee feels ill. Do you feel you have

sufficient tools for recording and reporting employee illness?

Base: Total respondents.

| Confidential to 28

VASHÉ Research









 The most common tool cited for reporting employee illness

is an employee illness log / Employee Illness Log in

Emergency Handbook for Food Managers (87%).





Tools Used To Record and

Report Employee Illness

n=384



Employee Illness Log 63%





Employee Illness Log in Emergency 24%

Handbook for Food Managers







Call the City or County or State 16%

Health Department





MN Dept of Health (MDH) 14%

Employee Illness Decision Tree &

Poster for employees





None 24%







Q5B. Which tools are you using for making decisions on, recording and reporting employee illness?



| Confidential to 29

VASHÉ Research



Reaction to Water Contamination

Twin Cities Metro Area Total

 In the event of water

supply contamination,

over half of the

establishments would

What respondent would do if

shut down operations, notified that water was

up 8% from 2005. contaminated

 Additionally 53%, up 13% n=436

from 2005, would also contact

Shut down operations

government authorities. 57%





Call the City/County/State 53%



 Over half of food Use bottled water for

managers would also customer drinking water

31%



notify City, County or Call Corporate /

7%

senior management

State officials, up 13%

Stop using/ serving

from 2005. water, ice, coffee

4%





Post signs 1%



Other 1%









Q6. If you were notified that the drinking water supply (tap

water) at your establishment was contaminated, what would you

do?

Base: Total respondents.

| Confidential to 30

VASHÉ Research



Security—Establishment



 The majority of the time (94%) respondents back

door/kitchen area doors are locked when not in use: An

increase of 8% from 2005.

 Inspection of deliveries is common, 9 out of 10 times, to

check for tampering, up 1% from 2005.

 However, it is not clear that there is differentiation between inventory control

and a safety inspection.







8%





Kitchen area and loading

dock doors locked when not 9% 10% 75%

in use

Almost never From 2005

Some of the time

Most of the time

Almost always

Frequency of inspection

Always

food deliveries to ensure no 6% 89%

tampering or unexplained

additions have been made







0% 20% 40% 60% 80% 100%

Q7. How often do you and your employees keep back doors into the kitchen area and loading dock doors locked when not in use?

Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have been made? For example, checking for opened or

unexplained packages, liquid or powder residue on packaging, returning suspicious or opened packages to supplier, etc.?

| Confidential to 31

VASHÉ Research



County/City View (Security—Insurance)

Twin Cities Metro Area Total—Frequency of Self-Inspection

 The majority of respondents don’t receive a premium

reduction on their insurance for food security

self-inspections.

 Those who do are large, multi-state, multi-chain stores.

Premium reduction on insurance?







3%

Yes

No

97%





Ramsey County St. Paul Hennepin Minneapolis

n=57 n=101 n=62 n=216





No

Yes Yes 97% Yes Yes

2% 3% 3% 2%









Q8B. Do you receive a premium reduction from your property insurer for food

security self inspection?

Base: Total respondents.

| Confidential to 32

VASHÉ Research



County/City View (Security—Self Inspection)

Twin Cities Metro Area Total—Self-Inspection

 On average, half of the respondents indicate they conduct

a food safety and security self-inspection.





Self-Inspection done in business









Ramsey County St. Paul Hennepin Minneapolis

n=57 n=101 n=62 n=216





No Yes

Yes Yes 42% Yes

40% 66%

58% 53%









Q8A. Do you self-inspect to evaluate and improve food safety and food

security (e.g., using a Food Safety and Food Security Self-Inspection

Checklist)?

Base: Total respondents. | Confidential to 33

VASHÉ Research



Total (Security—Self Inspection)

Twin Cities Metro Area Total—Self-Inspection



 59% report they self-inspect weekly. Nine out of ten

inspect at least monthly.

 Notably there is a fair percentage who only inspect when the inspector comes.









Frequency of Self-Inspection



Daily 1%





Weekly 59%





Monthly 30%







Almost Never 1%





Only when

inspector comes

6%





Other 3%





Q8C. How often do you self-inspect to evaluate and improve food safety and food security, for example, using a Food Safety and Food

Security Self-Inspection Checklist?

| Confidential to 34

VASHÉ Research



Total (Security—Self Inspection)

Twin Cities Metro Area Total—Self-Inspection



 86% say they would be willing to participate, or are

supportive of, a self-inspection initiative.





Willingness to Participate

In A Self-Inspection





49%

Yes







Initially supportive, but

need more information 37%







Initially negative, but

7%

need more information









No 6%





Q8D. If the time commitment were reasonable, would you

support and participate in a self-inspection initiative to reduce the

total number of people getting sick with foodborne illnesses?

Base: Total respondents.

| Confidential to 35

VASHÉ Research



Emergency Plan

Twin Cities Metro Area Total



 Nearly two-thirds of respondents say there is an emergency

plan that describes how their business will respond to

emergencies.

Establishment Has Emergency Plan









18%

Yes No

 64% 36%

From 2005









Ramsey County St. Paul Hennepin Minneapolis

n=57 n=101 n=62 n=216





Yes

Yes Yes No Yes

39% 58%

67% 61% 69%









Q11A. Do you have an emergency plan for

your establishment that describes how your

business will respond to various emergencies?



| Confidential to 36

VASHÉ Research



Fire Drill Frequency

Twin Cities Metro Area Total



 Most establishments report

never having a fire drill in

their establishment.

Frequency of Fire

Drills

 Over one-fourth of

establishments do have fire

drills. 28% Within the past 6 months





 There is a slight increase from

2005 in the segment of 9%

Within the past year



respondents that indicate they

have conducted a fire drill More than a year

in the past year.

4%



 60% Never



From 2005







n=436









Q9. When was the last time you had a fire drill?

Base: Total respondents.



| Confidential to 37

VASHÉ Research



Twin Cities Metro Area Total (Shelter-In-Place)

 48% of the respondents indicate they have an evacuation or

shelter-in-place plan.







Establishment has an evacuation

or shelter-in-place plan



Yes, 48%









No, 52%









n=436









Q9A. Do you have an evacuation or shelter-in-

place plan for workers and customers in the

event of an emergency such as a tornado, fire

or chemical incident?

| Confidential to 38

VASHÉ Research



Emergency Readiness for Food Workers Photo Lessons

Total

 About a quarter indicate they are using the Emergency

Readiness for Food Workers Photo Lessons to train their

staff (26%).





Using the Emergency Readiness

for Food Workers Photo Lessons









n=436









Q9B. Are you using the Emergency Readiness for Food Workers

Photo Lessons included in the Emergency Handbook for Food

Managers or other emergency training lessons to train your staff

on what to do in an emergency?

| Confidential to 39

VASHÉ Research



Utilization of Emergency Handbook for Food Managers

Total

 15% who say they have the Emergency Handbook for Food

Managers say they use it for training their staff.

 Respondents say they use materials like ServSafe and internal

company procedures, as well as on-the-job training for their new hires.







Materials Being Used







Emergency

Handbook for Food

Managers, 15%









Other, 85%









n=113



Q9C. What exactly are the materials that you are using?



| Confidential to 40

VASHÉ Research



Overall (Emergency Training)

Twin Cities Metro Area Total Training type

n=340

 Three quarters of

50%

establishments provide On the job



emergency training to their new Classroom training 24%



hires. 16%

Video

 In half of all cases, this training 10%

lasts less than 30 minutes, Emergency Handbook

down 8% from 2005. CD or DVD

6%



 Training is provided primarily 1%

Web-based

on the job. 1%

Other

New hires trained?

Training length

n=436 n=340

Yes

78% Less than 30 minutes 41%



30 minutes to 1 hour 20%

3%





1 to 2 hours 16%





2 to 4 hours 11%

From 2005

4 to 8 hours 5%





More than 8 hours 6%



No

22% Q10. Are newly hired employees trained on what to do in an

emergency?

Q10B. Please describe the type of this training.

Q10C. Now please describe the length of this training.

Base: Total respondents.

| Confidential to 41

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Presentation Outline



● Background and Objectives

● Executive Summary

● Methods

● Trends: Benchmark Against Baseline

 Results

● Twin Cities Metro Area Total

 Results by quota groups/cross-tabs

● Geography view (by County/City)

● Risk Category view (High versus Medium risk)

● Establishment Type view (Restaurants versus Groceries)

● Ownership type/Number of locations (Chain/Non-chain, Single/Multiple locations)



• Conclusions and Recommendations









| Confidential to 42

VASHÉ Research



Food Business Demographics

Twin Cities Metro Area Total

 As in 2005, Hennepin County Restaurant Grocery

has a higher share of High

restaurants and high-risk food Risk 66% 44%

establishments (correlated

attributes). Medium

Risk 34% 56%



High risk

Total Ramsey St. Paul Hennepin Minneapolis

Medium Risk n=436 n=57 n=101 n=62 N=216





37%

49% 39%

Medium /

40%

High Risk 69%

31%

60%

51% 61%

63%



22%

Grocery/ 71%

Restaurant 35% 69% 69%

65% 31% 31%

29%

78%

Restaurant

Grocery





| Confidential to 43

VASHÉ Research



County/City View (Business Type Ownership)

Twin Cities Metro Area Total

 Minneapolis and St. Paul have a higher share of single food

establishments, while the counties have a higher share of

franchises and establishment that are owned by large corporations.









Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=216



A single (one) food establishment,

and NOT a franchise of a large 70% 42% 81% 45% 77%

corporation or part of a chain





2 or more food establishments but

NOT a franchise of a large 10% 11% 8% 11% 9%

corporation





2 or more food establishments 47% 11% 44% 14%

AND a franchise of a large 20%

corporation





Q1. Which one of the following categories best describes your

business?

Base: Total respondents.

| Confidential to 44

VASHÉ Research



Risk/Establishment View (Business Type Ownership)

Twin Cities Metro Area Total



 Single food establishments have the highest share in both

risk categories. Privately owned restaurants are the most

common establishment type.

 Franchises and food establishments of large corporations

are most commonly grocery stores.







Risk Establishment type

High Medium Restaurant Grocery

n=260 n=176 n=285 n=151



A single (one) food establishment,

and NOT a franchise of a large

corporation or part of a chain 74% 71% 77% 65%





2 or more food establishments but

NOT a franchise of a large

corporation 10% 12% 13% 14%







2 or more food establishments

AND a franchise of a large 16% 17% 10% 21%

corporation





Q1. Which one of the following categories best describes your

business?

Base: Total respondents.

| Confidential to 45

VASHÉ Research



County/City View (Language)

Twin Cities Metro Area Total

 Spanish continues to be the second language of choice

metro-wide. As found in the previous wave, Arabic, Chinese and

Hmong are languages needed in different areas of the metro.

 Arabic is more common in Minneapolis and St. Paul than in the counties.

 Chinese is predominant in Minneapolis and Hennepin County.

 Hmong is predominant in St. Paul and Ramsey County.

 Somali is predominant in Minneapolis





Languages

Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=216

English 99% 98% 98% 97% 99%

Spanish 42% 40% 43% 28% 45%



Arabic 7% 3% 8% 1% 9%



Chinese 4% 1% 4% 10% 6%



Hmong 5% 8% 9% 8% 0%



Somali 5% 2% 2% 2% 7%



Vietnamese 3% 6% 5% 2% 3%



Oromo o

Or o m 2% Or o mo 2% Or o mo 3% Or o mo 1% Or o m o 2%



Laotiana n 1%

La ot i Lao t ian 0% Lao t ian 1% Lao t ian 1% La ot i a n 1%



Othere r 1%

Ot h Ot her 1% Ot her 0% Ot her 0% Ot h e r 0%



Q3. If training materials were supplied to you by your local health

agency, what languages should they be in so that your employees

can understand the training?

Base: Total respondents.

| Confidential to 46

VASHÉ Research



Risk/Establishment View (Language)

Twin Cities Metro Area Total

 Spanish language continues to be the second language choice

across all segments, with a slightly increased need in restaurants

(from 2005) and high risk establishments.

 Chinese and Hmong rank high as second tier languages in the high

risk and restaurant categories.





Languages



Risk Establishment type



High Medium Restaurant Grocery

n=174 n=205 n=196 n=183

English 94% 98% 96% 92%

Spanish 54% 33% 49% 29%

Arabic 7% 8% 5% 12%

Chinese 11% 2% 11% 3%

Hmong 7% 3% 6% 4%

Somali 2% 4% 3% 7%

Vietnamese 3% 5% 4% 2%

Oromom o 1%

Or o Or o mo 1% Or o mo 2% Or o m o 2%

Laotiani a n 0%

La ot Lao t ian 1% Lao t ian 0% La ot i a n 0%

Otherh e r

Ot 0% Ot her 0% Ot her 0% Ot h e r 0%

Q3. If training materials were supplied to you by your local health

agency, what languages should they be in so that your employees

can understand the training?

Base: Total respondents.

| Confidential to 47

VASHÉ Research



Ownership View (Language)

Twin Cities Metro Area Total

 Again, second language choice is Spanish, with a need that is even

across all channels.

 Arabic, Chinese, Hmong and Somali are second-tier languages that

are needed by single food establishments and chains with more than

two locations. Chinese ranks highest in single food establishments.





Languages

Single food More than 2 More than 2

establishment locations, not a chain locations, chain

n=244 n=49 n=143

English 96% 100% 100%

Spanish 41% 47% 44%

Chinese 7% 3% 4%

Arabic 7% 5% 3%



Hmong 5% 0% 6%

Somali 5% 4% 3%



Vietnamese 3% 2% 6%



Oromo o 0%

Or o m Or o mo 2% Or o mo 3%



Laotiana n

La ot i 2% Lao t ian 0% Lao t ian 0%



Othere r 0%

Ot h Ot her 0% Ot her 0%

Q3. If training materials were supplied to you by your local health

agency, what languages should they be in so that your employees

can understand the training?

Base: Total respondents.

| Confidential to 48

VASHÉ Research



County/City View (Number of Food Suppliers)

Twin Cities Metro Area Total

 While the overall distribution is similar across all

geographic areas, food establishments in Hennepin County

are more likely to have a higher number of suppliers.

 Likely because an increased number of grocery stores.



Ability to provide list of food suppliers

Ramsey County St. Paul Hennepin Minneapolis

n=57 n=101 n=62 n=216





Yes Yes No Yes Yes

No

100% 100% 0% 99% 100%

1%









Number of food suppliers

n=57 n=101 n=62 n=216





1 to 5 65% 66% 65% 71%







6 to 10 21% 18% 29% 18%





More than 10 14% 16% 6% 8%





Q4a. If an emergency such as an illness outbreak occurred, would

you be able to immediately provide a list of your food suppliers to

local officials?

Q4b. How many food suppliers do you currently have?

Base: Total respondents.

| Confidential to 49

VASHÉ Research



Risk/Establishment View (Number of Food Suppliers)

Twin Cities Metro Area Total



 Grocery stores tend to have more food suppliers.





Ability to provide list of food suppliers

Risk Establishment type



High Medium Restaurant Grocery

n=260 n=176 n=285 n=151





Yes Yes No Yes Yes No

No No

99% 100% 0% 99% 100% 0%

1% 1%









Number of food suppliers

n=260 n=176 n=285 n=151





1 to 5 70% 70% 76% 54%





6 to 10 19% 21% 17% 23%





More than 10 11% 9% 7% 23%





Q4a. If an emergency such as an illness outbreak occurred, would

you be able to immediately provide a list of your food suppliers to

local officials?

Q4b. How many food suppliers do you currently have?

Base: Total respondents.

| Confidential to 50

VASHÉ Research



Ownership View (Number of Food Suppliers)

Twin Cities Metro Area Total

 Companies that are single food establishments or more than 2

locations, non-chain, are more likely to have a very limited number

of suppliers; a lot of them report having only one or two.





Ability to provide list of food suppliers

Single food More than 2 More than 2

establishment locations not a chain locations, chain

n=244 n=49 n=143





Yes Yes No Yes No

No

99% 100% 0% 100% 0%

1%









Number of food suppliers

n=244 n=49 n=143





1 to 5 73% 71% 59%





6 to 10 18% 10% 24%





More than 10 9% 18% 17%





Q4a. If an emergency such as an illness outbreak occurred, would

you be able to immediately provide a list of your food suppliers to

local officials?

Q4b. How many food suppliers do you currently have?

Base: Total respondents.

| Confidential to 51

VASHÉ Research



County/City View (Tools for Illness Reporting)

Twin Cities Metro Area Total

 The most commonly used tool for reporting illness is the

Employee Illness Log.

 In each geographic category except St. Paul “None” is

cited a quarter of the time.

Has Tools for Illness Reporting

Ramsey County St. Paul Hennepin Minneapolis

n=57 n=101 n=62 n=216

Yes Yes

86% Yes Yes

86%

94% 91%

No

14%





Tools used

n=57 n=101 n=62 n=216



MDH Employee Illness

21% 13% 16% 11%

Tree and poster

Employee Illness Log 61% 67% 58% 63%

Illness Log in Emergency

28% 21% 15% 27%

Handbook for Food Managers

Call City/County/State HD 5% 15% 19% 18%



None 28% 16% 26% 26%



Q5A. If food tampering or other biological or chemical

contamination of food occurs, often the best indicator of such an

emergency is when an employee feels ill. Do you feel you have

sufficient tools for recording and reporting employee illness?

Base: Total respondents.

| Confidential to 52

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Risk/Establishment View (Tools for Illness Reporting)

Twin Cities Metro Area Total



 Again, the Employee Illness Log is the primary tool used to

report illness. One in four use the Emergency Handbook,

while another quarter indicate they have “None.”



Tools for Illness Reporting

Risk Establishment type



High Medium Restaurant Grocery

n=260 n=176 n=285 n=151

Yes

Yes

Yes Yes 85%

88%

92% 92%

No No

No 8% 8% No

12%

15%





Tools used

n=229 n=162 n=262 n=128



MDH Employee Illness

13% 14% 12% 17%

Tree and poster

Employee Illness Log 62% 65% 61% 66%

Emergency Handbook

24% 24% 24% 25%

for Food Managers

Call City/County/State HD 16% 15% 17% 14%



None 26% 20% 25% 23%



Q5A. If food tampering or other biological or chemical

contamination of food occurs, often the best indicator of such an

emergency is when an employee feels ill. Do you feel you have

sufficient tools for recording and reporting employee illness?

Base: Total respondents.

| Confidential to 53

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Ownership View (Tools for Illness Reporting)

Twin Cities Metro Area Total

 Employee Illness log is the most commonly used. The

Emergency Handbook for Food Managers is used 25% of the

time.

Tools for Illness Reporting



Single food More than 2 More than 2

establishment locations not a chain locations, chain

n=244 n=49 n=143





No Yes Yes

Yes No No

9% 92% 87%

91% 8% 13%









Tools used

n=229 n=162 n=262



MDH Employee Illness

13% 10% 15%

Tree and poster

Employee Illness Log 58% 63% 58%

Emergency Handbook

25% 22% 24%

for Food Managers

Call City/County/State HD 15% 12% 18%



None 24% 20% 25%



Q5A. If food tampering or other biological or chemical

contamination of food occurs, often the best indicator of such an

emergency is when an employee feels ill. Do you feel you have

sufficient tools for recording and reporting employee illness?

Base: Total respondents.

| Confidential to 54

VASHÉ Research



County/City View (Water Contamination)

Twin Cities Metro Area Total

 Over half of establishments would shut down and call the City,

County or State in the event of water contamination.









Preferred way to respond to water contamination alert

Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=216





Shut down operations 57% 54% 53% 55% 59%



Call the City/ 53% 46% 46% 56%

58%

County/State



Use bottled water 31% 32% 40% 34% 25%



Call Corporate /

5% 7% 4% 8% 5%

senior management



Boil water 4% 2% 6% 2% 3%



Stop using/ serving

water, ice, coffee 3% 7% 1% 8% 3%





Q6. If you were notified that the drinking water supply (tap

water) at your establishment was contaminated, what would you

do?

Base: Total respondents.

| Confidential to 55

VASHÉ Research



Risk/Establishment View (Water Contamination)

Twin Cities Metro Area Total



 Over half of establishments would shut down and call the

City, County or State in the event of water contamination.







Action taken if notified that water was contaminated

Risk Establishment type



High Medium Restaurant Grocery

n=260 n=176 n=285 n=151



Shut down operations 59% 53% 58% 54%





Call the City or County 55% 48%

53% 53%

or State



Use bottled water for 32% 28% 29% 33%

customer drinking water



Call Corporate / 8% 11% 12%

6%

senior management



Stop using/ serving 1% 2% 2% 1%

water, ice, coffee



2% 2%

Other 2% 1%





Q6. If you were notified that the drinking water supply (tap

water) at your establishment was contaminated, what would you

do?

Base: Total respondents.

| Confidential to 56

VASHÉ Research



Ownership View (Water Contamination)

Twin Cities Metro Area Total

 Over half of establishments would shut down and call the

City, County or State in the event of water contamination.





Action taken if notified that water was contaminated



Single food More than 2 More than 2

establishment locations not a chain locations, chain

High Medium Restaurant

n=244 n=49 n=143



Shut down operations 58% 51% 57%



Call the City or County

53% 49% 53%

or State



Use bottled water for 31% 35% 29%

customer drinking water



Call Corporate / 7% 11%

7%

senior management



Stop using/ serving 2% 2% 2%

water, ice, coffee



Other 2% 1% 2%





Q6. If you were notified that the drinking water supply (tap

water) at your establishment was contaminated, what would you

do?

Base: Total respondents.

| Confidential to 57

VASHÉ Research



County/City View (Security—Establishment)

Twin Cities Metro Area Total

 3 out of 4 respondents keep back doors locked when not in use.

Over 95% of the time the response is at a minimum “Most of the

time.”









Frequency of back doors/loading doors locked

Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=91





Always 75% 74% 73% 77% 74%







Almost always 11% 9% 13% 10% 9%







Most of the time 9% 9% 9% 8% 11%







Some of the time 4% Or o mo 7% Or o mo 3% O ro m o 2% Or o m o 4%







Almost never 2% Lao t ian 2% Lao t ian 2% La o t ia n 3% La ot i a n 2%







Q7. How often do you and your employees keep back doors into

the kitchen area and loading dock doors locked when not in use?

Base: Total respondents.

| Confidential to 58

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Risk/Establishment View (Security—Establishment)

Twin Cities Metro Area Total



 3 out of 4 respondents keep back doors locked when not in

use. Over 95% of the time the response is at a minimum

“Most of the time.”





Action taken if notified that water was contaminated

Risk Establishment type



High Medium Restaurant Grocery

n=260 n=176 n=285 n=151





76% 72%

Always 74% 76%





Almost always 12% 7% 11% 9%







8% 11%

Most of the time 10% 8%





4% 5%

Some of the time 3% 6%







Almost never 2% 3% 2% 3%







Q7. How often do you and your employees keep back doors into

the kitchen area and loading dock doors locked when not in use?

Base: Total respondents.

| Confidential to 59

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Ownership View (Security—Establishment)

Twin Cities Metro Area Total

 3 out of 4 respondents keep back doors locked when not in use.

Over 95% of the time the response is at a minimum “Most of the

time.”







Frequency of Checking Deliveries

Single food More than 2 More than 2

establishment locations not a chain locations, chain

n=244 n=49 n=143





Always 79% 78% 66%







Almost always 6% 6% 19%







Most of the time 10% 10% 7%







Some of the time 3% 4% 5%







Almost never 2% 2% 3%









Q7. How often do you and your employees keep back doors into

the kitchen area and loading dock doors locked when not in use?

Base: Total respondents.

| Confidential to 60

VASHÉ Research



County/City View (Security—Inspection)

Twin Cities Metro Area Total

 A high rate of establishments check their deliveries: Nearly 9 out

of 10.

 Although “tampering” is stated directly to the respondent, my opinion is that the priority in

checking deliveries is primarily a function of inventory control, not emergency preparedness.









Frequency of Checking Deliveries

Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=91





Always 89% 90% 86% 95% 90%







Almost always 6% 10% 5% 2% 6%







Most of the time 2% 0% 5% 0% 2%







Some of the time 1% Or o mo 0% Or o mo 2% Or o mo 2% Or o m o 1%







Almost never 1% Lao t ian 0% Lao t ian 2% Lao t ian 2% La ot i a n 1%







Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have

been made? For example, checking for opened or unexplained packages, liquid or powder residue on

packaging, returning suspicious or opened packages to supplier, etc.?

Base: Total respondents. | Confidential to 61

VASHÉ Research



Risk/Establishment View (Security—Inspection)

Twin Cities Metro Area Total



 A high rate of establishments check their deliveries:

Greater than 9 out of 10. Large corporations and groceries

often have a specific position responsible for receiving

shipments.

Frequency of Checking Deliveries

Risk Establishment type



High Medium Restaurant Grocery

n=260 n=176 n=285 n=151





Always 91% 88% 90% 89%





Almost always 5% 7% 5% 7%







Most of the time 3% 2% 2% 2%







Some of the time 1% 2% 2% 1%





Almost never 1% 1% 1% 1%







Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have

been made? For example, checking for opened or unexplained packages, liquid or powder residue on

packaging, returning suspicious or opened packages to supplier, etc.?

Base: Total respondents. | Confidential to 62

VASHÉ Research



Ownership View (Security—Inspection)

Twin Cities Metro Area Total

 A high rate of establishments check their deliveries: Nearly 9 out

of 10.

 Although “tampering” is stated directly to the respondent, my opinion is that the priority in

checking deliveries is primarily a function of inventory control, not emergency preparedness.







Frequency of Checking Deliveries

Single food More than 2 More than 2

establishment Locations, not a chain locations, chain

n=244 n=49 n=143





Always 90% 90% 90%







Almost always 5% 6% 8%







Most of the time 3% 0% 2%







Some of the time 2% 0% 1%







Almost never 0% 4% 0%









Q8. How often do you inspect food deliveries to ensure no tampering or unexplained additions have

been made? For example, checking for opened or unexplained packages, liquid or powder residue on

packaging, returning suspicious or opened packages to supplier, etc.?

Base: Total respondents. | Confidential to 63

VASHÉ Research



County/City View (Security—Self Inspection)

Twin Cities Metro Area Total—Frequency of Self-Inspection

 Over half of respondents self-inspect on a weekly basis.

 Daily inspections using food safety material is rarely done. The low numbers in this category

perhaps indicate that the people who are receiving shipments are not evaluating how to

improve the food safety and security aspect of the delivery.









Frequency of Self-Inspection

Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=91





Daily 1% 2% 0% 0% 2%





Weekly 59% 68% 53% 52% 62%





Monthly 30% 25% 37% 31% 29%





Almost never 1% O r o mo

0% Or o mo 2% O ro m o 0% Or o m o 1%



Only when 6% Laot i an 5% Lao t ian 3% La o t ia n 15% La ot i a n 5%

inspector comes



Other 3% 0% 0 2% 1%







Q8C. How often do you self-inspect to evaluate and improve food

safety and food security, for example, using a Food Safety and

Food Security Self-Inspection Checklist?

Base: Total respondents.

| Confidential to 64

VASHÉ Research



Risk/Establishment View (Security—Self Inspection)

Frequency of Self-inspection



 Again, self-inspections are more commonly done on a

weekly or monthly basis.

 Daily inspections using food safety material is rarely done. The low numbers in this category

perhaps indicate that the people who are receiving shipments are not evaluating how to

improve the food safety and security aspect of the delivery.



Frequency of Self-Inspection

Risk Establishment type



High Medium Restaurant Grocery

n=260 n=176 n=285 n=151



Daily 1% 1% 1% 1%





Weekly 58% 60%

62% 55%



Monthly 30% 31% 29% 32%





Almost never 2% 0% 2%

0%



Only when inspector comes 5% 6% 7% 4%





4% 0%

Other 2% 4%







Q8C. How often do you self-inspect to evaluate and improve food

safety and food security, for example, using a Food Safety and

Food Security Self-Inspection Checklist?

Base: Total respondents.

| Confidential to 65

VASHÉ Research



Ownership View (Security—Self Inspection)

Twin Cities Metro Area Total

 The majority of establishments inspect on a weekly and

monthly basis.

 Daily inspections using food safety material is rarely done. The low numbers in this category

perhaps indicate that the people who are receiving shipments are not evaluating how to improve

the food safety and security aspect of the delivery.





Frequency of Self-Inspection

Single food More than 2 More than 2

establishment locations not a chain locations, chain

n=244 n=49 n=143





Daily 0% 0% 1%





Weekly 41% 69% 55%





Monthly 31% 22% 32%





Almost never 1% 0% 1%



Only when

5% 7% 7%

inspector comes



3% 3% 1%

Other





Q8C. How often do you self-inspect to evaluate and improve food

safety and food security, for example, using a Food Safety and

Food Security Self-Inspection Checklist?

Base: Total respondents.

| Confidential to 66

VASHÉ Research



County/City View (Self-Inspection Initiative)

Twin Cities Metro Area Total

 A majority, 8 in 10, in all geographies, are open to a

self-inspection initiative.









Supports a Self-Inspection Initiative

Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=91





Yes 50% 60% 36% 50% 54%







Initially supportive, but

37% 33% 49% 36% 34%

need more information





Initially negative, but

6% 4% 9% 11% 6%

need more information





Some of the time Or o m o 4% 7% O ro m o 3% Or o m o 7%

7% Or o mo









Q8D. If the time commitment were reasonable, would you

support and participate in a self-inspection initiative to reduce the

total number of people getting sick with foodborne illnesses?

Base: Total respondents.

| Confidential to 67

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Risk/Establishment View (Self-Inspection Initiative)

Twin Cities Metro Area Total

 Most are open to a self-inspection initiative.









Supports a Self-Inspection Initiative

Risk Establishment type



High Medium Restaurant Grocery

n=260 n=176 n=285 n=151





Yes 51% 47% 47% 56%







Initially supportive, but 39% 34%

37% 38%

need more information





Initially negative, but 11% 5%

7% 7%

need more information







Some of the time 5% 8% 8% 5%









Q8D. If the time commitment were reasonable, would you

support and participate in a self-inspection initiative to reduce the

total number of people getting sick with foodborne illnesses?

Base: Total respondents.

| Confidential to 68

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Ownership View (Self-Inspection Initiative)

Twin Cities Metro Area Total

 The majority of establishments are open to a self-inspection

initiative.









Supports a Self-Inspection Initiative

Single food More than 2 More than 2

establishment locations not a chain locations, chain

n=244 n=49 n=143



Yes 48% 53% 51%







Initially supportive, but

38% 35% 38%

need more information





Initially negative, but

8% 6% 5%

need more information







6% 6%

Some of the time 6%









Q8D. If the time commitment were reasonable, would you

support and participate in a self-inspection initiative to reduce the

total number of people getting sick with foodborne illnesses?

Base: Total respondents.

| Confidential to 69

VASHÉ Research



County/City View (Emergency Plan / Contacts)

Twin Cities Metro Area Total

 In the event of extensive flooding, all geographies report they

would first contact their boss followed by contacting their local

health department.









Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=216



Has emergency plan 67% 67% 69% 68%

63%





Called first:







Corporate/Senior Mgmt./Boss 44% 51% 44% 34% 44%



Local health dept. 33% 35% 31% 36% 33%



Utility company 7% 4% 10% 3% 8%



State duty officer 7% 4% 5% 15% 6%



911 4% 4% 7% 3% 3%



Other 5% 4% 4% 10% 6%

Q11a. Do you have an emergency plan for your establishment that

describes how your business will respond to various emergencies?

Q11b. If you had an emergency at your food establishment today, such as

extensive flooding, who would you call first for help?

Base: Total respondents.

| Confidential to 70

VASHÉ Research



Ownership Type View (Emergency Plan / Contacts)

Twin Cities Metro Area Total



 Single food establishments are least likely to have an

emergency plan in their establishment.

 In the event of extensive flooding, primarily the local health

department, followed by their boss or management, would

be contacted first.



Single food More than 2 More than 2

establishment locations not a chain locations, chain

n=244 n=49 n=143

Has emergency plan

54% 82% 82%





Called first:







Corporate/Senior Mgmt./Boss 45% 33% 46%



Local health dept. 34% 33% 32%



Utility company 5% 18% 8%



State duty officer 6% 6% 8%



911 5% 4% 2%



Other 6% 6% 5%

Q11a. Do you have an emergency plan for your establishment that

describes how your business will respond to various emergencies?

Q11b. If you had an emergency at your food establishment today, such as

extensive flooding, who would you call first for help?

Base: Total respondents.

| Confidential to 71

VASHÉ Research



County/City View (Fire Drills)

Twin Cities Metro Area Total

 Ramsey County has the largest share of respondents that have fire

drills (35%). As with the 2005 study, one possible explanation may

be because it contains a larger number of day care centers.









Frequency of Fire Drills





25% 18%

28% 27%

35% Within the past 6 months



9% 11% Within the past year

9% More than a year



Never

67% 72%

60% 58%

51%









Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=216





Q9. When was the last time you had a fire drill?

Base: Total respondents.

| Confidential to 72

VASHÉ Research



Risk/Establishment View (Fire Drills) 2007

Twin Cities Metro Area Total

 There is generally an even distribution in regard to the

number of respondents that have had fire drills in respect to

risk and establishment type.









Frequency of Fire Drills





27% 28% 28% 26%



Within the past 6 months

10% 9% 9%

Within the past year



More than a year



60% 59% 60% 60% Never









High Medium Restaurant Grocery

n=260 n=176 n=285 n=151





Q9. When was the last time you had a fire drill?

Base: Total respondents.

| Confidential to 73

VASHÉ Research



Ownership View (Fire Drills) 2007

Twin Cities Metro Area Total

 Again, even distribution in the ownership view.









Frequency of Fire Drills





26% 27% 30%

Within the past 6 months

10% 8%

Within the past year



More than a year

60% 61% 59% Never









Single food More than 2 More than 2

establishment locations non-chain locations, chain

n=244 n=49 n=143



Q9. When was the last time you had a fire drill?

Base: Total respondents.

| Confidential to 74

VASHÉ Research



Overall View (Shelter-In-Place Plan)

Twin Cities Metro Area Total

 In most cases,

about half of the

respondents Has evacuation or shelter-in-place plan

indicate they have St. Paul Hennepin

Ramsey County Minneapolis

a shelter-in-place n=57 n=101 n=62 n=216

plan for workers

and customers. Yes

Yes

No Yes

47% 45%

Yes

49% No 47%



 This is less likely 53% 55%





in single food

Restaurant Grocery

establishments High

n=260

Medium

n=176 n=285 n=151

and more likely in

grocery stores. No

Yes

43%

No No

Yes Yes 47% Yes

48% No 38%

52% 53% 62%

57%







Single food More than 2 More than 2

establishment locations not a chain locations, chain

n=244 n=49 n=143





No Yes No

Yes No Yes

60% 65% 42%

40% 35% 58%









Q9A. Do you have an evacuation or shelter-in-place plan for

workers and customers in the event of an emergency such as a

tornado, fire or chemical incident?

Base: Total respondents.

| Confidential to 75

VASHÉ Research



Emergency Readiness for Food Workers Photo Lessons

All Geographies, Risk and Ownership

 More restaurants

and high risk

Uses Emergency Readiness for Food Workers

establishments Photo Lessons

report using the

Ramsey County St. Paul Hennepin Minneapolis

ER for Food n=57 n=101 n=62 n=216

Workers in the

EH for Food Yes Yes

No Yes

No Yes

Managers than

81% 31%

23% 19% 69% 29%





other categories.

 Hennepin County High Medium Restaurant Grocery

n=151

n=260 n=176 n=285

and Minneapolis

are more likely Yes Yes Yes No

to use the

No No No Yes

32% 16% 31% 81%

68% 84% 69% 19%



handbook for

emergencies. Single food More than 2 More than 2

establishment locations not a chain locations, chain

n=244 n=49 n=143







Yes No Yes No

No Yes

22% 78% 33% 70%

67% 30%









Q9B. Are you using the Emergency Readiness for Food Workers

Photo Lessons included in the Emergency Handbook for Food

Managers or other emergency training lessons to train your staff

on what to do in an emergency?

Base: Total respondents.

| Confidential to 76

VASHÉ Research



Materials Used

All Geographies, Risk and Ownership

 High-risk, restaurant

and more than 2

locations, non chain,

Utilization of Emergency Handbook for Food Managers

along with

Minneapolis are the Ramsey County St. Paul Hennepin Minneapolis

highest users of the n=57 n=101 n=62 n=216

Emergency Handbook

for Food Managers. Yes Yes No

Yes

No

9% 87% Yes

Overall adoption rate

11% 89%

 13% 20%



of the Emergency

Handbook is low High Medium Restaurant Grocery

compared to other n=260 n=176 n=285 n=151

materials. Many cite

materials such as Yes Yes

No

No

Yes

No



internal resources or

19% No 10% Yes 80% 93%

81% 90% 20% 7%



ServSafe for training.

 Lowest adoption rate Single food More than 2 More than 2

occurs with Grocery establishment Locations, not a chain locations, chain

n=244 n=49 n=143

stores and Ramsey

County.

Yes Yes Yes

No No

14% 20% No 16%

86% 84%

80%









Q9C. What exactly are the materials that you are using?

Base: Total respondents.

| Confidential to 77

VASHÉ Research



County/City View (Emergency Training)

Twin Cities Metro Area Total

 New hires are trained around the same rate: Slightly higher than 3

of 4 times. Hennepin County shows the highest rate while

Minneapolis shows the lowest.

 On the job training is the most common method of training.

 Classroom training occurs frequently



Total Ramsey St. Paul Hennepin Minneapolis

n=436 n=57 n=101 n=62 n=91

New hires trained 78% 77% 80% 83% 75%



Training type n=340 n=44 n=81 n=52 n=71



On the job 50% 56% 35% 34% 64%

Emergency Handbook 10% 4% 9% 5% 6%

Classroom training 24% 24% 17% 24% 22%

Video 16% 16% 4% 7% 16%

CD or DVD 6% 5% 0% 2% 7%

Web based 1% 0% 0% 3% 1%

Other 1% 0%

1% 1% 0%

Training length:

Less than 30 minutes 41% 41% 37% 35% 44%

30 minutes to 1 hour 20% 30% 23% 19% 16%

1 to 2 hours 16% 18% 19% 17% 19%

2 to 4 hours 11% 0% 10% 15% 12%

4 to 8 hours 5% 7% 5% 6% 4%

More than 8 hours 6% 5% 6% 10% 4%

Q10. Are newly hired employees trained on what to do in an emergency?

Q10B. Please describe the type of this training.

Q10C. Now please describe the length of this training

Base: Total respondents.

| Confidential to 78

VASHÉ Research



Ownership View (Emergency Training)

Twin Cities Metro Area Total

 New hires are trained the most with chain and franchised

businesses

 On the job and classroom training occurs most frequent across all

ownership types.





Single food More than 2 More than 2

establishment locations non-chain locations, chain

n=244 n=49 n=143

New hires trained 77% 69% 81%

Training type, n=305 n=188 n=34 n=68

On the job 35%

49% 50%

Emergency Handbook 8% 8% 3%

Classroom training 14% 16% 32%

Video 9% 10% 32%

CD or DVD 4% 7% 6%

Web based 0% 1% 1%

Other 1% 2% 0%

Training length:



Less than 30 minutes 60% 25%

35%

30 minutes to 1 hour 15% 19% 19%

1 to 2 hours 13% 18% 18%

2 to 4 hours 7% 17% 11%

4 to 8 hours 3% 19% 12%

More than 8 hours 2% 2% 5%

Q10. Are newly hired employees trained on what to do in an emergency?

Q10B. Please describe the type of this training.

Q10C. Now please describe the length of this training

Base: Total respondents.

| Confidential to 79

VASHÉ Research



Presentation Outline



● Background and Objectives

● Executive Summary

● Methods

● Trends: Benchmark Against Baseline

● Results

● Conclusions and Recommendations









| Confidential to 80

VASHÉ Research



Conclusions and Recommendations



 Promote training and resources via local health inspectors

with an emphasis placed on high-risk restaurants.



 Encourage utilization of the Emergency Handbook for Food

Managers for training and emergencies. Place emphasis on

the different components that make up the Emergency

Handbook for Food Managers.



 The majority of establishments see the value in the internal

evaluation of food safety systems. Work in the area with

establishments via local health inspectors.



 Consider conducting a qualitative study (focus groups or

in-depth interviews) with owners and managers of

multi-cultural food establishments, to gain a deeper

understanding of their needs and preferences for services in

languages other than English such as notification,

information, training, etc.

| Confidential to 81

VASHÉ Research



Conclusions and Recommendations



 Prioritize development of language materials: 1) English; 2)

Spanish; 3) Arabic and Chinese.

• Secure collaboration with multiple-location food companies in developing

training seminars and other materials in Spanish.





 Food security topics should be delivered through existing food

safety channels, delivered by printed materials, onsite

evaluations and training.

• Emphasis should be on topics such as self-inspection.









| Confidential to 82

VASHÉ Research



Weighting Scheme

Twin Cities Metro Area Total









Geography Risk Establishment



St. Paul Ramsey High risk Restaurants

Minneapolis Hennepin Medium Risk Grocery



25%

54%

48%

26%

Unweighted

24%

52%

46%

25%









15%

50% 47%

77%

Weighted

23%

53%

22%



13%









| Confidential to 83

VASHÉ Research









CONTACTS







Hennepin County, Susan Palchik

612-543-5205, susan.palchick@co.hennepin.mn.us



Ramsey County, Zack Hansen

651-266-1177, zack.hansen@co.ramsey.mn.us



City of Minneapolis, Curt Fernandez

612-673-2175, Curt.Fernandez@ci.minneapolis.mn.us









Confidential | VasheResearch.com

| Confidential to 84

VASHÉ Research



Preparedness at Food Service

Conclusions and Recommendations



 Promote training and resources via local health inspectors

with an emphasis placed on high-risk restaurants.



 Encourage utilization of the Emergency Handbook for Food

Managers for training and emergencies. Place emphasis on

the different components that make up the Emergency

Handbook for Food Managers.



 The majority of establishments see the value in the internal

evaluation of food safety systems. Work in the area with

establishments via local health inspectors.



 Consider conducting a qualitative study (focus groups or

in-depth interviews) with owners and managers of

multi-cultural food establishments, to gain a deeper

understanding of their needs and preferences for services in

languages other than English such as notification,

information, training, etc.

| Confidential to 85

VASHÉ Research



Preparedness at Food Service

Conclusions and Recommendations



 Prioritize development of language materials: 1) English; 2)

Spanish; 3) Arabic and Chinese.

• Secure collaboration with multiple-location food companies in developing

training seminars and other materials in Spanish.





 Food security topics should be delivered through existing food

safety channels, delivered by printed materials, onsite

evaluations and training.

• Emphasis should be on topics such as self-inspection.









| Confidential to 86

VASHÉ Research



Preparedness at Food Service

(Vashé Research, 2007 vs. 2005)



 34% of Twin Cities Metro FMs said they’d had an

emergency situation within past 2 years (e.g. flooding,

storm damage, power outage, fire or food tampering).



 64% said they have an emergency plan, up from 46%.



 48% said they have an exit plan.



 31% said they’d had a fire drill in past year, up from 28%;

60% never have had a drill.









| Confidential to 87

VASHÉ Research



Preparedness—Continued





 53% claimed they would call local or state PH in an

emergency, up from 40%.



 99% said they are able to immediately provide a list of

their food suppliers in event of an illness outbreak, as in

2005.



 78% said they are training new hires on what to do in an

emergency, up 3% from 2005.



 50% training on the job is down from 60% in 2005.

Classroom & other forms of training are on the rise



 41% of training lasts a half hour or less, vs. 49% in 2005.









| Confidential to 88

VASHÉ Research



Preparedness Tools

(Vashé, 2007)



 Metro FMs said they had seen the following resources:

‒ 48% Emergency Handbook for Food Managers (pub Fall 2005)

‒ 22% Food Security Self Inspection Checklist (pub Fall 2005)

‒ 17% Food Safety & Security Self Audit Checklist (out Nov 2006)



 Of the 34% who had experienced an emergency in past 2

years, use of APC guidance was:

‒ 19% Emergency Handbook

‒ 6% Food Safety & Security Checklists

‒ 52% no guidance used





 22% said they use the Emergency Handbook Photo Lessons

to train staff, and 4% more use other training lessons

‒ Corporate, ServSafe…









| Confidential to 89

VASHÉ Research



Food Security

(Vashé, 2007 v 2005)



 54% said they self inspect for food safety and food

security, and 89% of these self-inspect either weekly or

monthly.



 85% said they lock back doors and loading docks always or

almost always, up 8% from 2005.



 89% said they inspect food deliveries to ensure no

tampering, however the surveyor suspects that as in 2005

most inspect for inventory control and theft rather than for

tampering.



 88% feel they have sufficient tools for reporting employee

illnesses as an early warning of tampering.









| Confidential to 90

VASHÉ Research



Food Security—Continued





 99% said they could provide their supplier list immediately

if an illness outbreak as in 2005, even with the number of

food suppliers on the increase.



 A small percent claim to receive a premium reduction from

their property insurer for food security self-inspection.



‒ Surveyor notes that actual percent is soft because many respondents

were not in charge of insurances.









| Confidential to 91

VASHÉ Research



Self Inspection

(Vashé, 2007)



 54% said they self inspect for food safety and food security.



 89% of those who do, self inspect either weekly or monthly.



 86% support or initially support a self-inspection initiative.









| Confidential to 92

VASHÉ Research



Twin Cities Metro Food Service Demographics

(Vashé, 2007)



 70% are single facility, small businesses, comparable to

2005 although chains are increasing.



 The top 5 translation language needs for training staff

remain the same as in 2005:

‒ Spanish at 42%, higher in Minneapolis & St. Paul.

‒ Arabic 7%, higher in Minneapolis & St. Paul.

‒ Hmong 5%, highest outside of Minneapolis.

‒ Somali 5%, higher in Minneapolis.

‒ Chinese 4%.

 Emerging: Vietnamese, Oromo and Lao









| Confidential to 93

VASHÉ Research



References





 Emergency Preparedness at Twin Cities Metro Retail Food

Establishments: An Outreach and Baseline Survey.

‒ Vashé Research for Twin Cities Metro APC, April 2005, a phone survey of

food managers, n=379, universe=4,181.





 Emergency Preparedness at Twin Cities Metro Food Service

Establishments: An Outreach and Benchmark Survey.

‒ Vashé Research for Twin Cities Metro APC, Oct. 2007, a phone survey of

food managers, n=436, universe=4,568.









| Confidential to 94

VASHÉ Research



Twin Cities Metro APC



The Twin Cities Metro Advanced Practice Center (APC) is a Minnesota partnership of

Hennepin County, St. Paul-Ramsey County and the City of Minneapolis. It is one of eight

centers nationally funded by the National Association of County and City Health Officials

(NACCHO) in collaboration with CDC to strengthen public health emergency preparedness.

Since 2004, this center has developed environmental health emergency preparedness

resources for workforce training & response, government and regulated businesses, and a

multicultural general public. All products are available at www.NACCHO.org/Publications.





HENNEPIN COUNTY ST. PAUL-RAMSEY COUNTY

Susan Palchick, EH Manager Zach Hansen, EH Director

Susan.Palchick@co.hennepin.mn.us Zack.Hansen@co.ramsey.mn.us



Brian Golob, Sr. Environmentalist Cheryl Armstrong, Program Analyst

Brian.Golob@co.hennepin.mn.us Cheryl.Armstrong@co.ramsey.mn.us





CITY OF MINNEAPOLIS

Curt Fernandez, Food Safety Manager

Curt.Fernandez@ci.minnapolis.mn.us

Tim Jenkins, Food Safety Supervisor

Tim.Jenkins@ci.minneapolis.mn.us



Susan Kulstad, Contractor

Susan.Kulstad@ci.minnapolis.mn.us









| Confidential to 95



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