CA Premises and Equipment Maintenance (current)

• 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 that addresses the maintenance and repair of equipment, physical structures, and associated utilities?

  Yes

  No

  N/A

• What documents contain that procedure?

• How and how often are tools that contact food surfaces cleaned?

• Is there a preventive maintenance program that schedules routine maintenance of equipment?

  Yes

  No

  N/A

• What document contains that schedule?

• Choose a piece of equipment from the PM schedule and briefly describe the PM process for it.

• What do the initials at the top and bottom of the PM schedule indicate?

Physical Site

• Where is the routine/preventive maintenance schedule located?

• Is the schedule signed by appropriate staff in a timely manner?

  Yes

  No

  N/A

• Explain

• No evidence of temporary fixes such as wire, string, or tape on equipment were found.

  Yes

  No

  N/A

• Explain

• No evidence of paint being used on food contact surfaces.

  Yes

  No

  N/A

• Explain

Responsibilities

• Who is responsible for ensuring contractors are following appropriate protocols?

• Who performs preventive maintenance on manufacturing equipment?

• Who is responsible for accounting for all tools and debris after maintenance has been performed?

• Who performs the cleaning chemical titrations?

GMP

• Are GMPs observed being followed in all maintenance staff and contractors?

  Yes

  No

  N/A

• Explain

• How are contractors informed of the company's GMP policy?

Food Safety

• Are food grade lubricants exclusively used on production equipment?

  Yes

  No

  N/A

• Where are food grade lubricants stored?

Quality

• How does quality ensure that equipment that has received maintenance is safe to return to service?

Electronic Records

• How are maintenance requests submitted electronically?

• Is there a way to track progress on a maintenance request electronically?

  Yes

  No

  N/A

• How?

• Are all electronic records stored in a secure location?

  Yes

  No

  N/A

Record Retention

• Where and how are maintenance records stored?

• Where is the Cleaning Chemical Titration Report kept?

• Is the program up to date?

  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

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