To be completed by Maintenance technician

  • Factory

  • Asset No

  • Asset description

  • Work report

Work on the above machine has been carried out and the necessary repair/maintenance has been completed. No extraneous engineering debris, equipment or tools have been left on or around the machine. The machine has been left in a clean and tidy condition in preparation for hygiene/sanitation prior to being returned to production.

  • Signature

  • Date work carried out

To be completed by factory Manager/Supervisor

  • Cleaning procedure. Red - Do not start production until cleaning/sanitation has been completed.
    Green - Check machine thoroughly and restart production if satisfied machine is clean.

  • I accept machine back after maintenance/repair and will ensure appropriate cleaning is carried out before returning it to production.

  • Date accepted

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