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  • This form must be completed before commencing production.

  • Site conducted

  • Conducted on

  • Prepared by

  • Confirm the operating rooms for today's production

  • Are there enough hairnets and beard nets in the Changing Room?

  • Are all PPEs (overalls & gumboots) correctly stored? Everything should be in the right cubicle.

  • Are there enough hand soap, hand sanitiser and paper towels in the dispensers?

  • Fill up all three footbaths in the Syrup room & one footbath in the HZ3 changing room with 6L water and 40mL of Resiquat (6-8mL/L ratio). Confirm the concentration with Quat strip (must be >600ppm).

    Quat strips.png
  • Are all footbaths filled up with Resiquat solution with >600ppm?

  • Is all the MACHINERY functioning?

  • Is all the MACHINERY clean and free from foreign matter? No tools around the machinery?

  • Are staff complying with personal hygiene procedures (clean & correct uniform, no jewellery, often hand washing, all hair contained, etc.,)?

  • Are waste bins clean and accessible?

  • Free from any insects (e.g., fruit flies, midges, mosquitos, flies)?

  • If there are any, spray the insecticides and rinse off with water. Make sure there are no bottles or caps where you spray. If you need to spray where the bottles and caps are, you need to dump those after spraying.

  • No product/packaging material directly on the floor?

  • Free from broken or damaged glass or hard brittle plastics?

  • Any other comments or observations?

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.