Information
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Document No.0001
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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LEGEND:
YES = OK
NO = Not OK
NUNC = Not used, not covered.
NUC = Not used, covered.
N/A = Not applicable
1.0 BEEF COOLER
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1.1 REFRIGERATION UNIT<br><br>
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1.2 SHELVING<br><br>
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1.3 DOORS<br>
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1.4 FLOOR DRAINS<br>
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1.5 FLOOR<br>
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1.6 RED CRATES
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1.7 TUMBLERS
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1.8 GRINDER
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1.9 CEILING
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1.10 LIGHTING
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1.11 ELECTRICAL
2.0 CHEESE COOLER
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2.1 REFRIGERATION UNIT
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2.2 SHELVING
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2.3 DOORS
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2.4 FLOOR DRAINS
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2.5 FLOOR
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2.6 CEILING
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2.7 LIGHTING
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2.8 ELECTRICAL
3.0 CHILL COOLER
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3.1 REFRIGERATION UNIT<br>
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3.2 UNIVERSALS
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3.3 DOORS
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3.4 FLOOR DRAINS
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3.5 FLOOR
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3.6 WALLS
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3.7 RED CRATES
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3.8 CEILING
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3.9 LIGHTING
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3.10 ELECTRICAL
4.0 CUTTING ROOM
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4.1 REFRIGERATION UNIT
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4.2 SHELVING
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4.3 DOORS
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4.4 FLOOR DRAINS
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4.5 FLOOR
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4.6 HAND WASHING STATION
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4.7 SINKS
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4.8 WALLS
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4.9 TABLES
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4.10 VACUUM PACK MACHINE
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4.11 SAW
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4.12 SAUSAGE STUFFER
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4.13 CUBE MACHINE
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4.14 CEILING
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4.15 LIGHTING
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4.16 ELECTRICAL
5.0 FREEZER
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5.1 REFRIGERATION UNIT
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5.2 DOORS
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5.3 FLOOR DRAINS
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5.4 FLOOR
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5.5 LIGHTING
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5.6 ELECTRICAL
6.0 RAW COOLER
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6.1 TUMBLERS
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6.2 GRINDER
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6.3 FLOOR
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6.4 WALLS
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6.5 CEILING
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6.6 FLOOR DRAINS
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6.7 REFRIGERATION UNIT
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6.8 SHELVES
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6.9 RACKS
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6.10 LIGHTS
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6.11 DOOR
7.0 PACKAGING ROOM
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7.1 SLICER
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7.2 VACUUM SEALER
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7.3 SHRINK TUNNEL
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7.4 TABLES
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7.5 REFRIGERATION UNIT
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7.6 SHELVING
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7.7 DOORS
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7.8 FLOOR DRAINS
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7.9 FLOOR
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7.10 HAND WASHING STATION
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7.11 SINKS
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7.12 WALLS
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7.13 LIGHTING
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7.14 ELECTRICAL
8.0 RECEIVING CORRIDOR
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8.1 REFRIGERATION UNIT
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8.2 INJECTOR
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8.3 SMOKE HOUSE
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8.4 MIXER
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8.5 TABLES
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8.6 PATTY MACHINE
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8.7 DOORS
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8.8 CEILING
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8.9 LIGHTING
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8.10 ELECTRICAL
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8.11 FLOOR
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8.12 WALLS
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8.13 FLOOR DRAINS
9.0 HALLWAYS
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9.1 REFRIGERATION UNIT
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9.2 RED CRATES
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9.3 INJECTOR
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9.4 SCALE
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9.5 MIXER
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9.6 TABLES
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9.7 BOOT SANITIZER
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9.8 DOORS
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9.9 FLOOR
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9.10 FLOOR DRAIN
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9.11 WALLS
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9.12 CEILING
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9.13 LIGHTING
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9.14 ELECTRICAL
10.0 KITCHEN
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10.1 OVENS
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10.2 STOCK POT
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10.3 TILT KETTLE
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10.4 TILT SKILLET
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10.5 STOVE
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10.6 TABLES
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10.7 HOOD FAN
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10.8 CEILING TILES
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10.9 DOORS
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10.10 SMOKERS
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10.11 HAND WASHING STATION
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10.12 SINKS
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10.13 FLOOR DRAINS
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10.14 WALLS
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10.15 SHELVING
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10.16 LIGHTING
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10.17 ELECTRICAL
11.0 LUNCHROOM / WASHROOM
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11.1 DOORS
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11.2 FLOOR DRAINS
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11.3 FLOOR
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11.4 WASHROOM
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11.5 TABLE
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11.6 COFFEE STATION
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11.7 MICROWAVE
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11.8 CEILING
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11.9 LIGHTING
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11.10 ELECTRICAL
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NOTES:
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DATE:
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PCI SUPERVISOR SIGNATURE
