Title Page
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Site conducted
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Conducted on
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Prepared by
Audit Scope
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Provide a brief description of the department, procedure, element, program, or area being audited.
Policy/Procedure
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Is there an official procedure for cleaning and sanitizing food contact surfaces?
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What document contains the procdure?
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Is there a procedure for verifying the cleaning of food contact surfaces?
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How is cleaning verified?
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With what frequency?
Physical Site
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Is the MSS up to date?
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What information is missing?
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Where and how are small utensils and vessels cleaned?
Responsibilities
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Who is responsible for cleaning production equipment and food contact surfaces?
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Who titrates the the cleaning chemicals and sanitizer stations?
GMP
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How are empty containers of cleaning chemicals disposed of?
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Does production clean equipment in a timely manner after use?
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How is equipment cleaning documented?
Food Safety
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What happens if a piece of equipment fails cleaning verification?
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How is the cleaning procedure validated?
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How is it determined that the correct concentration of chemicals is used in the cleaning process?
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Review a random titration record - are the concentrations compliant?
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Is there an inspection procedure for production equipment outside of cleaning verification?
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Explain
Quality
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What is QC's role in the sanitation process?
Electronic Records
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Are all electronic records stored in a secure location?
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What records regarding sanitation are stored electronically?
Record Retention
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What records pertaining to cleaning and the verification thereof are stored physically and for how long?
Details
Audit Details
Findings
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Minor
Minor Finding
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Description of Finding
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Major
Major Finding
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Description of Finding
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Critical
Critical Finding
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Description of Finding
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Corrective actions from findings:
Follow-up
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Short term corrective actions completed?
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Date short term corrective actions completed
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Long term corrective actions completed?
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Date long term corrective actions completed
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Verifier of corrective action completion:
Results
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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
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Results communicated to auditee?
Comments
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Additional Comments
Signatures
Auditee
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Auditee Signature
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Auditee Title
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Date of Signature
Auditor
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Auditor Signature
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Auditor Title
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Date of Signature
Management or SQF Practitioner
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Management or SQF Practitioner Signature
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Management or SQF Practitioner Title
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Date of Signature