Title Page

  • Site conducted

  • Conducted on

  • sarfeses
  • Location

Note

  • 1-Food contact surfaces- Low Care Areas
    *Less than 50 RLU= Pass / 51-99 RLU= Caution/ More than 100 RLU=Fail

    2-Food contact surfaces- High Care Areas
    *Less than 10 RLU= Pass / 11-29 RLU= Caution/ More than 30 RLU=Fail

    3-Hands
    Less than 60 RLU= Pass/ More than 60 RLU=Fail

  • Noted:
    *Pass= Cleaned and sanitized well
    *Caution = Cleaned but not sanitized well
    *Fail= Not cleaned and not sanitized properly

ATP

  • Section

  • Area-Low care/High Care:

  • Surface Swab
  • Surface Name

  • Result

  • Status

  • Hand Swab
  • Staff Name/B.No

  • Result

  • Status

  • checd by:

  • Verified by:

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