CA Chemical Control Program

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Scope

• Provide a brief description of the department, procedure, element, program, or area being audited.

Policy/Procedure

• Is there a procedure in place for chemical control?

  Yes

  No

  N/A

• What documents contain that procedure?

• Who gets trained on these procedures?

• When was the last training?

  Date

Physical Site

• Are the following chemical storage areas all locked upon inspection?

  Yes

  No

  N/A

• Why not?

• QC Lab

• Chemical Cage

• Maintenance Cage

• pH Cage

• Custodial Closet

• Are there any chemicals stored outside of designated storage areas?

  Yes

  No

  N/A

• What chemicals and where are they?

• Where are chemical spill kits located?

• Choose an area to observe.

  QC Lab

  Chemical Cage

  Maintenance Cage

  Titration Cage

  Custodial Closet

• Please use the "notes" feature to denote any non-compliance.

• No cross contamination of stored chemicals observed?

  Yes

  No

  N/A

• Area well ventilated?

  Yes

  No

  N/A

• Appropriate signage denoting the area a hazardous chemical storage area?

  Yes

  No

  N/A

• Equipped with a detailed and up to date inventory of chemicals present in the area?

  Yes

  No

  N/A

• Stocked with PPE and first aid supplies?

  Yes

  No

  N/A

• Area designed to contain spills?

  Yes

  No

  N/A

• Area equipped with spill kits?

  Yes

  No

  N/A

Responsibilities

• Who is responsible for ensuring chemical inventories are accurate and up to date?

• Who is responsible for ensuring that all chemicals have been approved for use and are stored properly?

GMP

• Are relevant staff trained in the proper use of PPE and chemical handling?

  Yes

  No

  N/A

• Explain

• Are instructions on how to use hazardous chemicals readily available?

  Yes

  No

  N/A

• Explain

Food Safety

• How is access to hazardous chemicals restricted?

• Have any complaints or incidents occurred from chemical contamination of a product?

  Yes

  No

  N/A

• Explain

• How are tools stored in the maintenance cage with hazardous chemicals prevented from becoming vectors for contamination should they be used in production areas?

Quality

• Have all the chemical inventories been conducted this quarter?

  Yes

  No

  N/A

• Why not?

• How and where is proof recorded that concentrated cleaning chemicals are diluted to the appropriate concentrations before use?

• Is access to the QC Lab restricted?

  Yes

  No

  N/A

• Explain.

• Are instructions for the use of chemicals in the lab available to technicians?

  Yes

  No

  N/A

• Explain.

Electronic Records

• Are any form or records stored electronically?

  Yes

  No

  N/A

• What are they?

• Are all electronic records stored in a secure location?

  Yes

  No

  N/A

Record Retention

• What documents about chemicals are stored physically and where are they stored?

• Are SDS's and inventories easily accessible to personnel working in chemical storage areas?

  Yes

  No

  N/A

Audit Details

• Interviewee(s):

• Documents reviewed:

• Evaluation Summary:

Findings

• Minor

Minor Finding

• Description of Finding

• Major

Major Finding

• Description of Finding

• Critical

Critical Finding

• Description of Finding

• Corrective actions from findings:

Follow-up

• Short term corrective actions completed?

  Yes

  No

  N/A

• Date short term corrective actions completed

  Date

• Long term corrective actions completed?

  Yes

  No

  N/A

• Date long term corrective actions completed

  Date

• Verifier of corrective action completion:

  Sign

Results

• Did the system being audited pass or fail?<br>Pass = <10 minor findings and no major or critical findings<br>Fail = >9 minor findings or any major or critical findings

  Pass

  Fail

• Results communicated to auditee?

  Yes

  No

  N/A

Signatures

Auditee

• Auditee Signature

  Sign

• Auditee Title

• Date of Signature

  Date

Auditor

• Auditor Signature

  Sign

• Auditor Title

• Date of Signature

  Date

Management or SQF Practitioner

• Management or SQF Practitioner Signature

  Sign

• Management or SQF Practitioner Title

• Date of Signature

  Date