Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Interior Structure

  • Ceilings are free of dust and dirt, no cobwebs, lights are free of dirt and insects, paint has no chips or dings and shows no sign of fading

  • Floors and Walls: Walk the whole production floor, hallway, bathroom, tool room, electrical room, staff room, and office, ensure all rooms edges clean, corners have no build-up, the floor is a uniform color and in good condition, No build up around any heavy equipment legs

  • Ensure all doors and windows are clean and in good condition. No dirt/dust build up, paint is a uniform colour, matches the sample and complete. Locks move smoothly. Frames are clean and clear of all debris. No sunlight visable through any seams

  • Ceiling and Floor Fans: are in good working condition and no visible signs of dirty/dust build-up.

  • Waste drums: Check waste drums at all expellers and filter machine. Drums should be clean and not more the 1/4 full.

Water and Handwashing

  • Start in the electrical room do the shut-off valves move smoothly. Then Staff bathroom does the shut-off valves work. Is there hot and cold water. Move to production does the shut-off valves work, is there Hot and Coldwater, then staff room does the shut-off valve work is there hot and cold water.

  • Staffroom, Bathroom, and Production hand washing areas have a clean pristine handwashing sign, stocked soap, paper towel

Hopper and Auger for 6 Head Expeller

  • Auger is dust free, no paint flecks, holding bin is dust free Inspect all wires for signs of damage and complete repair work orders as needed

6 H Expeller

  • Check Seals (Ensure maintanence log is up to date replaced every 12 months), Check belts replace as needed and enter in log. Starting at the top of the unit is everything clean and in good repair. Extra attention to table surface and legs Inspect all wires for signs of damage and complete repair work orders as needed

Bins above 6 H Expellers

  • Seed bins and cake bin is dust free, Flex auger is clean

  • Visually inspect magnets, are they free of any metallic material

Lift Table

  • Table is 100% clean, extend table to full height underneath frame is clean, floor lever and handle are functioning. Check hydraulic cylinder, Check bolts

Ribbon Blender

  • Unit is clean and wrapped up, legs are clean. motor is secure Inspect all wires for signs of damage and complete repair work orders as needed

Hammer Mill

  • Using a ladder start at the top of the unit ensure frame and bin are dust free, work your way down the unit with the shop vac, when the unit is fully vacuumed, take an air hose spray out all the edges, cracks. Take the face plate off, vacuum out and scrub down around the blades Inspect all wires for signs of damage and complete repair work orders as needed

  • Remove and inspect magnet from top and interior of Hammer mill. Are they free of any metal debris, in good condition no loose parts?

Hopper and Auger for Hammer Mill

  • Ensure the auger and hopper is dust free, there is no paint flecks, lid is covering the hopper. Inspect all wires for signs of damage and complete repair work orders as needed

Vacuum Table

  • Inspect the table spending time looking in the spaces you cant normally see, under lips, behind panels, around the wheels Inspect all wires for signs of damage and complete repair work orders as needed

Bag filler

  • The machine is securely wrapped, inspect edges for dust, ensure wheels are clean, electrical cord is in good repair

Hopper and Auger for Bag Filler

  • Auger securely wrapped, plastic is clean and dust free, bin is covered and motor is clean

Fork lift

  • Inspect the forklift, ensure surfaces are clean, no paint flecks, inspect pressure hoses, are they in good condition, not showing any signs of strain. Forks are clean. Check for hydraulic leaks. The tires are in good repair.

Pallet Jack

  • Inspect pallet jack paint in good condition no flakes, no rust, check underneath ensure clean and free of oily residue, wheels are clean

Floor Scale

  • Move the scale ensure the floor underneath is clean, check the underneath side of the edges ensure no oily residue or dirt. Inspect all wires for signs of damage and complete repair work orders as needed

Continuous Band Sealers

  • Inspect continuous band sealer A. Is the unit clean raise the conveyor deck is it clean underneath, check the heating and sealing bands are they in good condition if not replace them. Open the top of the unit do the chains move smoothly, grease where needed

  • Inspect continuous band sealer B. Is the unit clean raise the conveyor deck is it clean underneath, check the heating and sealing bands are they in good condition if not replace them. Open the top of the unit do the chains move smoothly, grease where needed

Oberlin Filter Machine

  • Is the Filter machine clean and ready for use

Bulk Bag Fill

  • Is the unit clean? Inspect the interior is it clean? Is the Frame clean and in good repair? Check the counter weights are they clean?

Bottle Filling Machine

  • Is the unit clean inside and out? Inspect edges and cracks? Has pump been dissembled and cleaned?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.