Title Page

  • Conducted on

  • Prepared by

  • Location
  • To be completed at start and end of shift and verified by Team Manager. Any missing items need to be escalated to Manufacturing Manager or Quality Manager.

  • By acknowledging below requirements, you are accepting that all tools are in good repair and fit for purpose, any damaged tools or equipment record in corrective actions.

  • Is this check at start or end of shift ?

Weigh Up Room

  • Are 2 retractable safety knives in place ?

  • Is 1 green safety knife in place ?

  • Are 3 clipboards with attached MD pens in place ?

  • Are 2 MD white board markers in place in Weigh Up room?

  • Are 2 MD white board markers in place at whiteboard in stores ?

  • Is trace-ability book in place ?

Line 1 Mixer

  • Is a Temp Probe in place ?

  • Is 1 clipboard with attached MD pen in place ?

  • Is a calculator in place ?

  • Is the PCF Mixer book in place ?

  • Is the Process Change Log Book in place ?

  • Is 1 retractable safety knife attached to weigh up scales ?

Line 1 Check Weigher Area

  • Is Canola oil bottle in place ?

  • Is 1 plastic MD scraper in place ?

  • Is a 500gm Test weight and 1kg test weight and case in place ?

  • Are 2 clipboards with attached MD pens in place ?

Line 1 Moulders

  • Are 3 adjustor tools in place ?

Line 1 Oven/Prover

  • Is a temperature Probe in place ?

  • Are 3 clipboards with attached MD pens in place ?

  • Is PCF Oven and Prover Books in Place ?

  • Is 1 MD scraper in place ?

  • Is 1 clipboard with attached MD pen in place at workstation ?

Line 2 Mixer

  • Is PCF Mixer book in place ?

  • Is Process Change Log book in place ?

  • Are 2 clipboards with attached MD pens in place ?

Line 2 Checkweigher and Moulder Area

  • Is a Temperature probe in place ?

  • Are 2 plastic MD scrapers in place ?

  • Is a Divider adjustor tool in place ?

  • Is an oil bottle in place ?

  • Is a Moulder adjustor tool in place ?

Line 2 Oven / Prover

  • Is a Temperature Probe in place ?

  • Is 1 Clipboards with attached MD pen in place ?

  • Is bread measuring tool in place ?

  • Name and Signature

  • Leadership SIgn-off

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.