Title Page
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Prepared by
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Date
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Location
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Site conducted
Pre-Operational Checklist *The check box indicates the equipment or work utensils that will be used during the production day.
COOLERS/FREEZERS TEMPERATURE MONITORING
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Kitchen Cooler [°F]
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Receiving Freezer [°F]
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Receiving Cooler [°F]
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FP Freezer [°F]
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Receiving Cooler [°F] #2
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Receiving Freezer [°F] #2
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Outside Freezer [°F] #1
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Outside Freezer [°F] #2
KITCHEN
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Filling Machine
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Filling Machine-What is the status?
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Cooler Clean, Organized, No condensation
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In Cooler: Product identified/covered
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Allergen Segregation inside Cooler
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Racks: #1, #2, spices and drying are cleaned and organized
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Prep table #1, #2, #3, #4
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3 Compartment sink -Kit
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Hand washing sinks, soap & towel
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*E036 Hobart Mixer #1 (inspected during pre operational and post operational process in order to avoid risk of foreign matter contamination in Family Size Wild Fork Product, where is not used metal detector due is packed in a foil container)
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E036 Hobart Mixer #1 - What is the status during pre operational inspection?
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E036 Hobart Mixer #1 - What is the status during post operational inspection?
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E037 Hobart Grinder
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E037 Hobart Grinder-What is the status?
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* Robot Coupe (inspected during pre operational and post operational process in order to avoid risk of foreign matter contamination in Family Size Wild Fork Product, where is not used metal detector due is packed in a foil container)
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Robot Coupe - What is the status during pre operational inspection?
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Robot Coupe - What is the status during post operational inspection??
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Walls, floors, drains & lights
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Trash Cans
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E191 Braisin Pan
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E191 Braisin Pan-What is the status?
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E193 Blast Freezer Kitchen
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E193 Blast Freezer Kitchen-What is the status?
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E213 Palazzolo Cheese Grater
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E213 Palazzolo Cheese Grater-What is the status?
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Sanitizer concentration [200-400 ppm] / Once a week
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Expiration date / Lot #
CHEMICAL ROOM AND STORAGE
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Chemicals stored, identified, secured
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Sanitizer concentration [200-400 ppm] / Once a week
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Expiration date / Lot #
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Chemical tanks are free from dents and in good working condition?
GENERAL PRODUCTION AREA
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Walls, Doors
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Floors, Drains
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Trash Containers, No waste
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Gloves, sinks (Soap & Paper)
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Chemicals properly labeled / stored
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Product / Ingredients Identified correctly
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Pest Control Stations in Place no pests observed
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Utensils, food contact surfaces, containers, Tables, Trays, etc.
PRODUCTION AREA
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Production Equipment Rack
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E001 Dough mixer Dominioni
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E001 Dough mixer Dominioni-What is the status?
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Empanadas Machine # 1
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Empanadas Machine # 1-What is the status?
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E002 Sheeter Dominioni A520F
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E002 Sheeter Dominioni A520F-What is the status?
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Empanada Oven
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Empanada Oven - What is the status?
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E004 Dominioni Cooking Tunnel
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E004 Dominioni Cooking Tunnel-What is the status?
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E010 Ilpra Tray Packaging Machine
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E010 Ilpra Tray Packaging Machine-What is the status?
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E240 Tray Packaging Machine
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E240 Tray Packaging Machine - What is the status?
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E050 Dominioni (Tortellini, Tortelloni, Fiocchetti)
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E050 Dominioni (Tortellini, Tortelloni, Fiocchetti)-What is the status?
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E109 - E111 Multihead
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E109 - E111 Multihead-What is the status?
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E014 Dominioni Gnocchi Machine F6
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E014 Dominioni Gnocchi Machine F6-What is the status?
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E052 New Ravioli Machine
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E052 New Ravioli Machine-What is the status?
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E209 MBCJumbo Ravioli Machine
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E209 MBCJumbo Ravioli Machine-What is the status?
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E026 Sandore Dough Mixer MXC200
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E026 Sandore Dough Mixer MXC200-What is the status?
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E028 Italtech Nest Forming Machine
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E028 Italtech Nest Forming Machine-What is the status?
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E138 Castiglioni Pre-Essiccatore Pre-Drying Tunnel
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E138 Castiglioni Pre-Essiccatore Pre-Drying Tunnel-What is the status?
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E118 Blast Freezer with conveyors
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E118 Blast Freezer with conveyors-What is the status?
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E119 Blast Tunnel
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E119 Blast Tunnel-What is the status?
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E030 Dominioni Stacker
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E030 Dominioni Stacker-What is the status?
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Production Tables
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Production Fans
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E107 Omar Tortellini Machine
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E107 Omar Tortellini Machine-What is the status?
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Filling Machine
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Filling Machine-What is the status
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E139 Castiglioni Niditrice
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E139 Castiglioni Niditrice-What is the status?
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E140 Castiglioni Double Sheeter
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E140 Castiglioni Double Sheeter-What is the status?
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E161 Castiglioni Pasta Filling Pump
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E161 Castiglioni Pasta Filling Pump-What is the status?
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*E142 Castiglioni Dough Mixer Extruder (inspected during pre operational and post operational process in order to avoid risk of foreign matter contamination in Family Size Wild Fork Product, where is not used metal detector due is packed in a foil container)
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E142 Castiglioni Dough Mixer Extruder-What is the status during pre operational inspection?
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E142 Castiglioni Dough Mixer Extruder-What is the status during post operational inspection?
WAREHOUSE
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Water Dispenser and area
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RCooler: Clean, Product ID, Condensation
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RFreezer: Clean, Product ID, Condensation
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Allergen segregation inside cooler/freezer
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Warehouse floors, lights
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Warehouse cleanliness, ingredients storage
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Baler and Waste Collection area
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Allergen segregation in racks
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FP Freezer: Clean, Product ID, Condensation
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Pest control stations in place no pests observed
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Docks and doors closed
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Glass storage in designated area
STAFF AMENITIES
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Lunchroom
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Restrooms
COOLERS/FREEZERS TEMPERATURE MONITORING
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Time
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Kitchen Cooler [°F]
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Receiving Freezer [°F]
Pre-Op and Operational Verification
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Verified by
