Title Page

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 to allow production staff to carry out the cleaning & sanitation and completion of cleaning records prior to being returned to production.

  • Signature

  • Pictures

To be completed by factory Manager/Supervisor

  • Amber - Do not start production until cleaning/sanitation procedure and records have been completed. Green - Check machine thoroughly and restart production if satisfied machine is clean. Red- Work done out of production hrs. Do not start production until cleaning/sanitation procedure and records have been completed

  • Machine has been formally accepted back to production control and cleaning/sanitation procedure will be implemented and carried out as required

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