Daily Food Safety Gemba rev 1.2

• Document No. rev 1.2

• Daily Food Safety Gemba

• Leclerc Montgomery pa

• Conducted on

  Date

• Prepared by Charles Bruce

• Personnel

• Plant Floor
  Address

Wash bays

• Are all utensils clean? Are only clean utensils stored on clean rack?

  Safe

  At Risk

  N/A

• Are Non- food contact items stored with food contact items?

  Safe

  At Risk

  N/A

• Are dispensers labeled with proper chemical?

  Safe

  At Risk

  N/A

• Are any food contact tools/equipment stored on floor?

  Safe

  At Risk

  N/A

• Is any standing water present inside bowls/container or on floors

  Safe

  At Risk

  N/A

Kitchen

• Look in cabinets, are cabinets clean? Utensils clean? Stored in correct bins?

  Safe

  At Risk

  N/A

• Are correct color utensils used?

  Yes

  No

  N/A

• Are utensils in good condition? No tape used for repairs. Are conveyor belts in good condition?

  Safe

  At Risk

  N/A

• Are pre-op forms filled out correctly? Look for scribbles and if issues recorded have corrective actions?

  Safe

  At Risk

  N/A

• Is there any standing water on floors?

  Yes

  No

  N/A

• Are tools and utensils laying around?

  Yes

  No

  N/A

• Are chemicals stored in correct locations? Not over food products?

  Safe

  At Risk

  N/A

• Are only correct rework in production? Are they labeled correctly?

  Yes

  No

  N/A

Guillotine

• Are Cooling tunnels visibly clean?

  Yes

  No

  N/A

• Check cleanliness where exposed wires are. Is there food build up present?

  Safe

  At Risk

  N/A

• Is there any standing water present on floors?

  Yes

  No

  N/A

• Are only correct reworks in production? Are they all labeled properly?

  Yes

  No

  N/A

• Are utensils in good condition? No tape used for repairs. Are conveyor belts in good condition?

  Safe

  At Risk

  N/A

• Are chemicals stored in correct locations? Not over food products?

  Safe

  At Risk

  N/A

• Are tools and utensils laying around?

  Safe

  At Risk

  N/A

• Are there any chemicals present and not secured?

  Safe

  At Risk

  N/A

• Are correct colored utensils used?

  Yes

  No

  N/A

• Are pre-op forms filled out correctly? Look for scribbles and if issues recorded have corrective actions?

  Safe

  At Risk

  N/A

• Are there any personal items present?

  Safe

  At Risk

  N/A

Packaging

• Are correct colored utensils used?

  Yes

  No

  N/A

• Do hand sinks have hot water, soap, hand dryer, and sign (wash hands)? Nothing can be stored in sink.

  Safe

  At Risk

  N/A

• Are only correct reworks in production? Are they all labeled properly?

  Yes

  No

  N/A

• Are utensils in good condition? No tape used for repairs. Are conveyor belts in good condition?

  Safe

  At Risk

  N/A

• Are pre-op forms filled out correctly? Look for scribbles and if issues recorded have corrective actions?

  Safe

  At Risk

  N/A

• Are chemicals stored in correct locations? Not over food products?

  Safe

  At Risk

  N/A

• Are tools and utensils laying around?

  Safe

  At Risk

  N/A

• Is there any standing water present on floors?

  Yes

  No

  N/A

• Are there any chemicals present and not secured?

  Safe

  At Risk

  N/A

• Are there any chemicals present and not secured?

  Safe

  At Risk

  N/A

• Are there any personal items present?

  Safe

  At Risk

  N/A

• Is daylight present around exterior doors? Are seals in good condition?<br>

  Safe

  At Risk

  N/A

• Is there any old packaging from other products present?

  Safe

  At Risk

  N/A

• Do hand sinks have hot water, soap, hand dryer, and sign (wash hands)? Nothing can be stored in sink.

  Safe

  At Risk

  N/A

Capper

• Any old product present on piping? Cheese/peanut butter

  Safe

  At Risk

  N/A

• Are correct colored utensils used?

  Yes

  No

  N/A

• Are utensils in good condition? No tape used for repairs. Are conveyor belts in good condition?

  Safe

  At Risk

  N/A

• Are pre-op forms filled out correctly? Look for scribbles and if issues recorded have corrective actions?

  Safe

  At Risk

  N/A

• Are tools and utensils laying around?

  Safe

  At Risk

  N/A

• Are chemicals stored in correct locations? Not over food products?

  Safe

  At Risk

  N/A

• Are there any chemicals present and not secured?

  Safe

  At Risk

  N/A

• Are there any personal items present?

  Safe

  At Risk

  N/A

• Do hand sinks have hot water, soap, hand dryer, and sign (wash hands)? Nothing can be stored in sink.

  Safe

  At Risk

  N/A

• Is there any standing water on floors?

  Yes

  No

  N/A

Laminator

• Are only correct reworks in production? Are they all labeled properly?

  Yes

  No

  N/A

• Are utensils in good condition? No tape used for repairs. Are conveyor belts in good condition?

  Safe

  At Risk

  N/A

• Are pre-op forms filled out correctly? Look for scribbles and if issues recorded have corrective actions?

  Safe

  At Risk

  N/A

• Are correct colored utensils used?

  Yes

  No

  N/A

• Are tools and utensils laying around?

  Safe

  At Risk

  N/A

• Are chemicals stored in correct locations? Not over food products?

  Safe

  At Risk

  N/A

• Are there any chemicals present and not secured?

  Safe

  At Risk

  N/A

• Are there any personal items present?

  Safe

  At Risk

  N/A

• Are correct colored utensils used?

  Yes

  No

  N/A

• Are there any personal items present?

  Safe

  At Risk

  N/A

• Do hand sinks have hot water, soap, hand dryer, and sign (wash hands)? Nothing can be stored in sink.

  Safe

  At Risk

  N/A

• Are there any chemicals present and not secured?

  Safe

  At Risk

  N/A

• Do hand sinks have hot water, soap, hand dryer, and sign (wash hands)? Nothing can be stored in sink.

  Safe

  At Risk

  N/A