Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Audit Scope

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

Policy/Procedure

  • Is there an official procedure for cleaning and sanitizing food contact surfaces?

  • What document contains the procdure?

  • Is there a procedure for verifying the cleaning of food contact surfaces?

  • How is cleaning verified?

  • With what frequency?

Physical Site

  • Is the MSS up to date?

  • What information is missing?

  • Where and how are small utensils and vessels cleaned?

Responsibilities

  • Who is responsible for cleaning production equipment and food contact surfaces?

  • Who titrates the the cleaning chemicals and sanitizer stations?

GMP

  • How are empty containers of cleaning chemicals disposed of?

  • Does production clean equipment in a timely manner after use?

  • How is equipment cleaning documented?

Food Safety

  • What happens if a piece of equipment fails cleaning verification?

  • How is the cleaning procedure validated?

  • How is it determined that the correct concentration of chemicals is used in the cleaning process?

  • Review a random titration record - are the concentrations compliant?

  • Is there an inspection procedure for production equipment outside of cleaning verification?

  • Explain

Quality

  • What is QC's role in the sanitation process?

Electronic Records

  • Are all electronic records stored in a secure location?

  • What records regarding sanitation are stored electronically?

Record Retention

  • What records pertaining to cleaning and the verification thereof are stored physically and for how long?

Details

Audit Details

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?

  • Date short term corrective actions completed

  • Long term corrective actions completed?

  • Date long term corrective actions completed

  • Verifier of corrective action completion:

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

  • Results communicated to auditee?

Comments

  • Additional Comments

Signatures

Auditee

  • Auditee Signature

  • Auditee Title

  • Date of Signature

Auditor

  • Auditor Signature

  • Auditor Title

  • Date of Signature

Management or SQF Practitioner

  • Management or SQF Practitioner Signature

  • Management or SQF Practitioner Title

  • Date of Signature

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