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 in preparation for hygiene/sanitation prior to being returned to production.

  • If no production supervisor available to sign hand n

  • Signature

To be completed by factory Manager/Supervisor

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

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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.