Title Page

  • Conducted on

  • Prepared by

General Waste Bin

  • In working condition?

  • Internal and external surfaces clean?

Windows and Sills

  • Surfaces, frames and handles in good condition?

  • Internal surfaces free form dirt, smudges, cobwebs and product splashes?

Walls

  • Accessible surfaces free from dirt and product splashes?

  • Inaccessible surfaces free from dirt and product splashes?

Crossflow Filter

  • Filter intake and delivery points in clean condition?

  • External surfaces free from dirt and product splashes?

  • Internal surface of T1 tank free from product residue?

  • Chemical storage bunds in clean condition?

  • Pre-filter internal cartridge in clean condition?

  • Floor area underneath filter clean?

Drains

  • Free from material?

  • In clean condition?

External Surfaces

  • Conduit and trunking clean?

  • Fan and bulk water feed control boxes clean?

  • CO2 fixed alarms clean?

  • Electrical sockets clean?

  • Radar panel surfaces clean?

Hot Water Boilers

  • Jacket, pipework, header tank and skid all clean?

  • Floor area underneath boilers clean?

Pumps, Rousers and Flowmeters

  • 2 x CIP pumps surfaces, skid and VSD clean?

  • 2 x Transfer pumps surfaces and switches clean?

  • 3 x Phoenix PD pumps surfaces, switches and VSD clean?

  • 1 x Sugar dosing pump surfaces, skid and VSD clean?

  • 3 x Flowmeter surfaces and skid clean?

  • 2 x Rousers surfaces and switches clean?

Caustic/PAA Dosing Systems

  • Both pump units clean?

  • Both chemical holding bunds clean?

  • Caustic dosing point stored correctly?

  • PAA holding vessel clean?

  • Floor area underneath chemical holding bunds clean?

Tanks

  • Accessible surfaces clean?

  • Inaccessible surfaces clean?

  • Tank thermometers, sample tap, racking port and sight-glass clean?

  • Total evacuation and racking ports capped?

  • Tank feet and legs clean?

  • Nursery tank manifolds clean?

  • Accessible floor area underneath tanks free of debris and clean?

CO2 Delivery Points

  • 2 x delivery hoses stored in accordance with visual aid?

  • 2 x pressure regulators in good condition and clean?

Equipment Rack

  • Surfaces and backplate clean?

  • Appropriate equipment stored in accordance with visual aid?

Flexi-hose Storage

  • Hoses stored in accordance with visual aid?

  • Brackets clean?

  • Floor area underneath brackets clean?

Water Hose Storage

  • Are connections tight with no leaks?

  • Hoses stored in accordance with visual aid?

Equipment Storage Pallet

  • Pallett surface clean?

  • Floor area underneath pallet clean?

  • Appropriate equipment stored in accordance with visual aid?

Floors

  • Tank aisle 1 free from debris and clean?

  • Tank aisle 2 free from debris and clean?

  • Main walkthrough area free from debris and clean?

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.