Food Safety Plan – Water Source & Use (WSU4-Log)
System Maintenance and Inspection Log (for all water sources)
Name(s) of Inspector:
Date(s) of Inspection:
Growing Area Location (refer to Growing Area map):
Type of Irrigation system(s):
Flood
Sprinkler
Drip irrigation
Other:
Water System Inspection and Maintenance Checklist with Corrective Actions
Answers
Questions
Yes
No
N/A
 There should be ~200 feet between untreated manure and wells.
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 The buffer distance decreases to ~100 feet if the contaminants are
downhill or if there is sandy soil.
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Comments and/or Corrective Actions
Is there adequate distance (i.e. buffer) between water sources and potential
contaminants?
All food safety policies and procedures should be developed using national, state and local guidelines. Information presented in these on-farm food safety materials was compiled from reputable sources, such as USDA-FSIS, FDA and the Food
Safety Modernization Act final rules. The information is provided for educational purposes only and should not be considered legal advice. Therefore, no responsibility is assumed or implied by CSU, Chico Research Foundation or CSU, Chico.
Revision Date: July 24, 2016
1
Food Safety Plan – Water Source & Use (WSU4-Log)
Answers
Questions
Yes
No
N/A
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 All inappropriate materials (green waste, trash, animal carcasses, etc.) with
potential contact with water sources should be removed.
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 Well heads should be free from cracks in the concrete
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 Closed wells should be sealed and protected against contamination
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 Maintain water filter sanitation as indicated by manufacturer
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 The buffer distance increases to ~300 feet if the contaminants are uphill or
if there is clay/loam soil.
Comments and/or Corrective Actions
Are water sources designed and maintained to prevent contamination?
Are backflow prevention systems (e.g. check valves or anti siphon devices)
being used?
 Devices should be used to minimize the risk of allowing any contaminants
(e.g. chemicals, trash, fertilizers) to flow back into the water source or onto
land used for excess water collection
Do animals have access to your water sources? If animals have access to your
water sources, record the following:
 Preventative measures (physical barriers and/or water treatment)
Do you use surface water (canals, lakes, rivers, ponds, run-off)? If storms or
flooding occurs, log the following:
All food safety policies and procedures should be developed using national, state and local guidelines. Information presented in these on-farm food safety materials was compiled from reputable sources, such as USDA-FSIS, FDA and the Food
Safety Modernization Act final rules. The information is provided for educational purposes only and should not be considered legal advice. Therefore, no responsibility is assumed or implied by CSU, Chico Research Foundation or CSU, Chico.
Revision Date: July 24, 2016
2
Food Safety Plan – Water Source & Use (WSU4-Log)
Answers
Questions
 Preventative measures (physical barriers, water testing and/or treatment)
Yes
No
N/A
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Comments and/or Corrective Actions
All food safety policies and procedures should be developed using national, state and local guidelines. Information presented in these on-farm food safety materials was compiled from reputable sources, such as USDA-FSIS, FDA and the Food
Safety Modernization Act final rules. The information is provided for educational purposes only and should not be considered legal advice. Therefore, no responsibility is assumed or implied by CSU, Chico Research Foundation or CSU, Chico.
Revision Date: July 24, 2016
3