Medical Screening & Staff Health

Aligned with FSSC 22000 Requirements

Requirement Overview

FSSC 22000 requires organizations to implement and maintain effective procedures for medical screening and managing staff health, particularly for those who may pose a risk to food safety due to transmissible diseases or conditions.

Ensuring that only medically fit personnel have access to food handling or production areas is essential for preventing contamination and protecting consumer safety.

Aligned with BRCGS for Storage & Distribution Issue 4 – Clause 4.3.1 & 4.3.3

Requirement Overview

BRCGS for Storage & Distribution requires that products moved via cross-docking are traceable and controlled at all times, even when they are not held in storage for extended periods.

Clause 4.3.1: “The company shall ensure that traceability is maintained at all stages, including during cross-docking operations.”
Clause 4.3.3: “Procedures shall be in place to ensure that all products handled, including those not stored on-site, remain under control and are not subject to contamination or substitution.”

Cross-docking operations must not compromise product traceability, safety, or integrity. Even with minimal handling and temporary presence, each product must be accurately identified, documented, and protected.

Key Compliance Objectives

  • Identify and manage health conditions that could compromise food safety

    Implement pre-employment and return-to-work health screening

    Ensure staff disclose symptoms of illness in line with company policies and applicable laws

    Maintain confidential, accurate, and retrievable health records

Step-by-Step Compliance Implementation

1. Establish Medical Screening Procedures

  • Screening Measures May Include:

    • Pre-employment health questionnaires

      Fitness-for-duty declarations

      Return-to-work medical checks after illness or injury

      Compliance with local regulatory requirements regarding privacy and employment law

    Evidence to Maintain:

    • Medical screening SOP

      Completed health declarations

      Signed confidentiality agreements

2. Define Illness Reporting Protocols

  • Reporting Procedures Should Cover:

    • Symptoms to report (e.g., diarrhea, vomiting, skin infections)

      Conditions requiring exclusion from food handling

      Confidential methods for notifying supervisors or HR

    Evidence to Maintain:

    • Staff health policy

      Illness reporting forms or digital logs

      Illness management records

3. Train and Inform All Personnel

  • Topics to Cover:

    • Symptoms and conditions that must be reported

      Consequences of working while ill

      Steps to take if illness occurs on site

    Evidence to Maintain:

    • Staff training records

      Visual awareness posters in common areas

      Refresher training logs for all staff, including temporary personnel

4. Monitor and Maintain Records

  • Records Must Be:

    • Confidential, secure, and compliant with privacy laws

      Accessible only to authorized personnel

      Periodically reviewed for trends or missed reports

    Evidence to Maintain:

    • Secured employee health files

      Attendance and illness reports

      Exclusion and return-to-work authorization forms

Common Audit Findings & Recommended Fixes

Audit Finding Recommended Action
No medical screening policy in place Develop SOPs and integrate pre-employment and ongoing screening
Illness reporting not clearly defined Train staff and post symptom reporting guidelines
Lack of documentation Maintain signed forms and illness logs securely
Health confidentiality breaches Restrict access to health data and train HR on privacy compliance

Auditor Verification Checklist

During an FSSC 22000 audit, expect to provide evidence of:

  • Medical screening procedures and related forms

    Completed and signed employee health declarations

    Records of staff illness reports and follow-up actions

    Employee training on symptom reporting

    Return-to-work evaluations where applicable

Implementation Roadmap

Build Your Policy

  • Create a medical screening and illness reporting SOP

    Define conditions that require exclusion from food handling

Train and Inform

  • Educate all staff, contractors, and temporary personnel on health requirements

    Use visual signage and acknowledgment forms

Monitor and Document

  • Track and securely store all health screenings and illness reports

    Review data for recurring risks or trends

Improve Continuously

  • Update procedures in line with legal or public health changes

    Reinforce awareness through regular refresher training

Why This Matters?

  • Prevents foodborne illness linked to personnel contamination

    Ensures compliance with FSSC 22000 requirements and public health regulations

    Reinforces a prevention-focused food safety culture

    Protects product integrity, brand reputation, and consumer safety

Support Tools Available

Food Safety Systems provides:

  • Medical screening and illness reporting SOP templates

    Confidential health declaration forms

    Staff training guides and awareness posters

    Return-to-work clearance form templates