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									Form #8: HACCP Matrix Plan Name:
Process Step   CCP Hazard     Hazard             Critical Limits       Monitoring                 Deviation Procedures        Verification Procedures         HACCP
               Number         Description                              Procedures                 and                                                         Records
Number as                                        Define the value(s)                              Corrective Actions          Identify the following:
Indicated on   Number         Identify whether   that are acceptable   Identify the following:                                • who is responsible for the    List records
Form #3.       sequentially   the hazard is      to maintain the       • who is responsible for   If monitoring indicates a      task;                        to be used
                              biological,        CCP under control.       the task;               deviation, describe:        • what procedure is to be
                              chemical or                              • what procedure is to     • who takes the                followed;
                              physical.                                   be followed;               corrective actions;      • what observation is to be
                              Describe hazard.                         • what observation is to   • what procedures are to       made or what
                                                                          be made or                 be followed;                measurement is to be
                                                                          what measurement        • where the actions are        taken;
                                                                           is to be taken;           to be recorded.          • how often the task is to be
                                                                       • how often the task is                                   performed;
                                                                          to be performed;                                    • where the observations
                                                                       • where the                                               are to be recorded.
                                                                          observations are to                                 If verification indicates a
                                                                          be recorded.                                        deviation describe:
                                                                                                                              • who takes the corrective
                                                                                                                              • what procedures are to
                                                                                                                                  be followed;
                                                                                                                              • Where the actions are to
                                                                                                                                  be recorded.

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