Get Canada Calgary Health Sample Customer Foodborne Illness Complaint Report Form

Filing a foodborne illness complaint is an important step in addressing health concerns related to food safety. This guide will help you navigate the Canada Calgary Health Sample Customer Foodborne Illness Complaint Report Form online, ensuring you provide all necessary information clearly and accurately.

Follow the steps to complete your complaint report effectively.

1. Press the ‘Get Form’ button to access the report form and open it in your preferred online editor.
2. In the 'Incident Log' section, fill in the name of the person taking the report, the facility name, the date of the complaint, and your work and cell phone numbers. This ensures that the report has accurate contact information.
3. Provide the customer's name, address, postal code, and home phone number. This information is essential for any follow-up that may be necessary.
4. Indicate if other people were involved in the incident by specifying how many. This information helps identify the potential extent of the issue.
5. Record the date and time of the meal or food items involved in the complaint. Accuracy here is crucial for tracking the source of the illness.
6. List the food items involved in the complaint to assist in identifying the potential cause of the foodborne illness.
7. Note the date and time the symptoms began. This timeframe is helpful in correlating the symptoms with the food consumed.
8. Detail any symptoms reported by the customer. This can include nausea, vomiting, diarrhea, etc. Providing specific symptoms aids in assessing the severity of the illness.
9. Indicate whether a food sample is available for analysis by selecting 'Yes' or 'No.' If 'Yes,' please specify where the sample is located.
10. Identify any physical hazards found during the investigation, which can help pinpoint the cause of the illness.
11. Specify whether the customer saw a doctor, was hospitalized, or not. This information is important for health authorities in understanding the impact of the incident.
12. Record if the case was referred to the environmental/public health department, which may be necessary depending on the severity of the complaint.
13. Provide details on follow-up actions taken by the food facility, such as who contacted the customer and how (e.g., phone call, letter).
14. Fill in any corrective actions taken by the Public Health Inspector, ensuring compliance with safety regulations.
15. Finally, make sure to save all entered data. You can choose to download, print, or share the form as needed, ensuring that you have securely recorded the incident.

Take action and complete your complaint report online to help improve food safety in your community.