Produce Checking Form

AKC Mashgiach

Produce Checking Form
Name of Mashgiach*
Establishment*
Date of checking*

MonthDay Year
Date
What produce did you check?*

Frozen BroccoliCabbageFrozen CauliflowerHerbsLettuceScallionsStrawberriesKaleOther
What brand was it? (optional - for us to keep track of current trends)
What method did you use to check the Lettuce/Cabbage?*

Thrip cloth (Water checking)Leaf by Leaf
How many times did it take until the thrip cloth (water) was clean?*
The produce was....*

Heavily Infested (Multiple bugs on every leaf)Mildly Infested (A bug on almost every leaf)Lightly Infested ( A few bugs on the head)Completely Clean
I also checked....

Frozen BroccoliCabbageFrozen CauliflowerHerbsLettuceScallionsStrawberriesKaleOther
What brand was it? (optional - for us to keep track of current trends)
What method did you use to check the Lettuce/Cabbage?*

Thrip cloth (water method)Leaf by Leaf
How many times did it take until the thrip cloth (water) was clean?*
The produce was....*

Heavily Infested (Multiple bugs on every leaf)Mildly Infested (A bug on almost every leaf)Lightly Infested ( A few bugs on the head)Completely Clean
Feel free to add additional comments/questions or to attach a photo.
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AKC Mashgiach