Mushroom Good Agricultural Practices Plan
For
Name of Farm
The information in this document is a true representation of the food safety conditions and practices followed at this location.
Owner or manager responsible for food safety / Signature / Date

Grower Information

Site Information

Name and location of farm: / Farm mailing address

Site configuration

Total building(s) footprint size (sq ft)

/

Actual total growing area (sq ft)

/

Grower food safety team members (at least 2 required)

Name and Title / Contact Information

Work Home

1 (Coordinator) / ·  Tele:
·  Fax:
·  Email: / ·  Tele:
·  Fax:
·  Email:
2 / ·  Tele:
·  Fax:
·  Email: / ·  Tele:
·  Fax:
·  Email:
3 / ·  Tele:
·  Fax:
·  Email: / ·  Tele:
·  Fax:
·  Email:
4 / ·  Tele:
·  Fax:
·  Email: / ·  Tele:
·  Fax:
·  Email:
/

Substrate Preparation and Storage at This Location

Phase I / Phase I substrate conducted on-site / Phase I received from off-site supplier / Ingredients and/or finished Phase I substrate stored on-site
Phase II / Phase II substrate preparation conducted on-site / Phase II received from off-site supplier / Ingredients and/or finished Phase II substrate stored on-site
Phase III (bulk spawn run) / Bulk spawn run received from off-site supplier / Bulk spawn run stored on site

Water Use and Source (check all that apply)

Use\Source / Municipal / Private Well
Drinking / /
Hand Washing / /
Cleaning food contact surfaces / /
Irrigation / /
Toilet Facilities (check all that apply)
Indoor facilities / Portable units / None on site
Cleaning and Maintenance of Toilets
Performed by grower / Contracted service
Availability of Toilet Facilities
Maximum number of employees on site at any one time / Number of toilet facilities within ¼ mile walk / Ratio of employees to toilet facilities (min 20:1 required)
Number : / Number : / Ratio:
Sewage Treatment (check all that apply)
Municipal / Septic System / Portable containment system
Reviewed by: / Date:

Farm Map

A map is required for each physical address

Production and staging areas; Phase I and II substrate preparation, receiving, and/or storage sites;

septic systems; toilet and handwashing units; active wells

Reviewed by: / Date: