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Reset Form PLAN REVIEW QUESTIONNAIRE State Form 50004 (R3/605) Indiana State Department of Health Food Protection Program Instructions: 1. Please answer the following questions and return this form.

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How to fill out the 50004 online

The State Form 50004 is an essential component of the plan review process for food establishments in Indiana. This guide provides clear and comprehensive instructions on how to complete the form online, ensuring that you understand each section and its requirements.

Follow the steps to complete the 50004 form online

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Begin filling in the name and location of the facility in the designated fields at the top of the form.
  3. Provide the contact name and phone number for the person responsible for the application.
  4. Indicate the dimensions of the submitted plans, ensuring they do not exceed 11x14 inches including the layout.
  5. List the dates when plans or applications were submitted to the appropriate authorities for zoning, plumbing, septic, planning, electric, fire, and building.
  6. Complete the fields for the number of seats, total square feet of the facility, and the number of operational floors.
  7. Estimate the maximum number of meals served for breakfast, lunch, and dinner, including mobile vendor and catering services.
  8. Identify the certified food handler by title and explain how employees will be trained in food safety.
  9. Address the food-related inquiries such as the procedure for receiving food shipments and if pasteurized products are required.
  10. Complete the food preparation questions regarding handling, washing, and cooling of food items.
  11. Discuss the sanitization processes in place, including the responsibility for sanitizer usage and equipment cleaning.
  12. Fill out questions related to plumbing, waste disposal, and the requirements for handwashing and toilet facilities.
  13. Conclude by making sure all sections are completed accurately, then save your changes, download, print, or share the form as needed.

Complete the 50004 form online today for a streamlined application process.

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ISO 50001 does not fix targets for improving energy performance, which is left up to the user organization or regulatory authorities. This means that any organization, regardless of its current level of energy performance, can implement ISO 50001 to establish a baseline and improve on it at its own rate.

ISO 50001 helps businesses improve their energy management and consumption whilst boosting their company image and advancing the environmental future. Based on the 'continual improvement' business model seen in ISO 9001 and ISO 14001, ISO 50001 is one of the building blocks to an all-round ecological business.

ISO 14001 looks at resource use, waste management and pollution, whereas ISO 50001 is interested in energy performance indicators and a business's energy baseline. So, while energy use would fall under ISO 14001, it would only be covered insofar as it affects environmental performance.

ISO 50001 (International Organization for Standardization 50001) is a voluntary standard for designing, implementing and maintaining an energy management system. ISO 50001 was developed by an ISO technical committee and originally published in 2011.

ISO 50004:2014 provides practical guidance and examples for establishing, implementing, maintaining and improving an energy management system (EnMS) in ance with the systematic approach of ISO 50001.

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