Blending Department Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Blending Department - V Blender Room

• Room is clean

  Yes

  No

  N/A

• Floor/walls clean and undamaged

  Yes

  No

  N/A

• Machines properly identified

  Yes

  No

  N/A

• Product kept off floor

  Yes

  No

  N/A

• Scale calibrated

  Yes

  No

  N/A

• Paperwork standards

  Yes

  No

  N/A

• Employees properly gowned and hairnets

  Yes

  No

  N/A

• Tube guards

  Yes

  No

  N/A

Blending Department - Ribbon Blender Room

• Room is clean

  Yes

  No

  N/A

• Floor/walls clean and undamaged

  Yes

  No

  N/A

• Machines properly identified

  Yes

  No

  N/A

• Product kept off floor

  Yes

  No

  N/A

• Scales calibrated

  Yes

  No

  N/A

• Paperwork standards

  Yes

  No

  N/A

• Paperwork kept in black file box

  Yes

  No

  N/A

• Employees properly gowned and hairnets

  Yes

  No

  N/A

• Tube guards

  Yes

  No

  N/A

Final

• Misc. Notes

• Misc. Picture

  Media

• Misc. Picture

  Media

• Misc. Picture

  Media

• Signature of Auditor

  Sign

• Reviewed By

  Sign