• Texas On-Farm Consultation Service Request Form

  • Farm Information

  • Mailing/ Business Address Information

  •  -

  • Mark the Following as Appropriate

  • Priority for On Farm Consultation services will be based on:

    · Coverage

    · Attendance to PSA grower training

    · Farm information entered into Texas’ Farm Inventory Survey

  • NOTE: If you are unsure if you are covered by the Produce Safety Rule. You can use the FSMA Produce Safety Rule Exemption Guide to help determine whether you are exempt from the rule or not.

  • NOTE: You MUST complete the Produce Safety Alliance Growers Training course in order to fulfill the requirements by FSMA. Click here for a schedule of upcoming courses

  • Click here to see a schedule of Sprouts Safety Alliance grower training sessions

  • NOTE: Click here to fill out the Texas Farm Inventory Survey.

  • Type of Visits

  • Full Service Visit:

    Includes PSR mandated records review and a comprehensive on farm walk around to observe on farm activities of covered produce.

    Limited Visit:

    Includes PSR mandated records review and at least two of the following subparts of the produce safety rule:

    Subpart C: Personnel Qualifications & Training

    Subpart D: Health and Hygiene

    Subpart E: Agricultural Water*

    Subpart F: Biological Soil Amendment of Animal Origin

    Subpart I: Domestic and Wild Animals

    Subpart K: Growing, Harvesting, Packing, and Holding Activities

    Subpart L: Equipment, Tools, Building, and Sanitation

    Subpart M: Sprouts (as appropriate)

    Subpart O: Records

    * Subpart is currently under review with FDA and not subject to inspection

  • Additional Information and Signature

  • Please Note:

    • No On Farm Consultation visit shall be conducted without a written request.
    • On Farm Consultation visits are voluntary.
    • On Farm consultation visits will generally not incur enforcement activities, so long as the grower agrees to correct conditions identified as needing improvement (NI).
    • Should the grower fail to address any or non-compliant issues or conditions, information from the visit may be forwarded to the Program Director for possible enforcement actions.
  • Clear
  •  -  -
    Pick a Date

  • PLEASE READ:
    Submission of this form acknowledges that all areas or conditions identified during the consultation visit as "Needing Improvement" (NI) must be corrected; failure to do so may result in possible enforcement actions.

  • Should be Empty: