Sixty years ago, an article on the sanitation of crushed ice was published in the Journal of the American Medical Association. The authors commented that an investigation of crushed ice revealed heavy contamination with coliform organisms. They opined that the contaminants can be introduced into crushed ice in many ways, chiefly by dust from the floors of freezing rooms, trucks and restaurants as well as by reusing soiled containers and through human hand contact. Of these, it was no small wonder that handling during dispensing was found to be the most prolific source. It took another 15 years for the U.S. Centers for Disease Control and Prevention to issue a publication in which epidemiologists traced several outbreaks of gastrointestinal illness—including noroviruses—to the use of contaminated ice, although many of these were in hospital settings.. Nonetheless, ice is no different from food or water when viewed as a comestible. However, there are differences between ice and potentially hazardous foods. First, even though the temperature of ice is well within the “safety zone,” ice machines are prone to microbial contamination. Even clean, potable water can become contaminated ice in ways that may not be readily apparent. Secondly, using a classical Hazard Analysis and Critical Control Points approach in evaluating the use of ice in the average retail food establishment will reveal that ice manufacturing, storage, distribution and handling is quite complex because of its almost universal use in preparation, service and as a food. The analysis will reveal Critical Control Points we would never imagine when dealing with meat or poultry. Additionally, applying a detailed plan review to the use and traffic of ice in a typical restaurant, the patterns that are revealed would make any sanitarian cringe, particularly those that lead to multiple and inappropriate handling practices.