Title Page
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Conducted on
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Prepared by
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Location
Completed By:
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Assessor's Name & Signature
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Date & Time
DISH SANITATION ROOM
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Light Covers (1 item)
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Measuring cups
DRY STORAGE
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Coloured Cones (may be in receiving, packoff, cooler/freezer, prep room)
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Light Covers (1 item)
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Fan Switch Box on the ceiling
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Face Shields for cleaning ceilings (4 items)
GRINDING ROOM
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Blue hose head (1 item)
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Blue Mixing Paddle
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Soap dispensers (2 items)
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Paper towel dispensers (2 items)
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Sanitizer dispensers (2 items)
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Sink PVC (2 items)
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Production exit windows (2 items)
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Electrical boxes on roof (3 items)
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Light covers (3 items)
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Fan switch box (behind fan unit) (1 item)
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Fan covers (3 items)
HOLDING COOLER
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Fan covers (6 items)
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Soap dispenser (1 item)
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Paper towel dispenser (1 item)
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Sanitizer dispenser (1 item)
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Light covers (3 items)
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Fan switch box (behind fan unit) (1 item)
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Sink PVC
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Light switch
INGREDIENT PREP ROOM
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Kelp wheel bins and lid (1 items)
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Light switch box (1 item)
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Electrical roof boxes (2 items)
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Soap dispenser (1 item)
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Sanitizer dispenser (1 item)
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Paper towel dispensers (1 item)
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Sink PVC
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Fan covers (6 items)
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Light covers (3 items)
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Scale head (2 items)
PACK OFF
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Sink PVC
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Plastic wall clock (1 item)
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Soap dispensers (2 items)
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Sanitizer dispensers (2 items)
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Paper towel dispensers (2 items)
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Light covers (4 items)
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Corner white PVC
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Door open electrical boxes (2 items)
PACKAGING LINE
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Sink PVC
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Hand sanitizer dispenser (1 item)
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Hand soap dispenser (1 item)
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Paper towel dispenser (1 item)
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Light cover (3 items)
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Stop/Start/Reset Buttons on Metal detector
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Metal detector alarm lights (1 item)
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Plastic Wall Clock (2 items)
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Whiteboard on the wall (1 item)
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Red Air Hose Gun Nozel (1 item)
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Start/Stop Buttons on Strapper (1 item)
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Stop Button on Multivac Packager (1 item)
PROCESSING ROOM - BONES
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Pressure washer head and parts (2 items)
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Red dust pan (1 item)
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Red buckets/handles (5 items)
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Fan covers (8 items)
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Light covers (4 items)
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Paper towel dispenser (1 item)
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Soap dispenser (1 item)
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Sanitizer dispenser (1 item)
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Grey sink PVC
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Light switch box (1 item)
GENERAL PRODUCTION
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Red broom (2 items)
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Red squeegee (6 items)
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Red dust pan (1 item)
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Mop x2
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Mop bins x2
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IPads
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Walkies
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Scanners
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Scanner guns
RECEIVING DOCK
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Clear File Folders (2 items)
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Genus Fly station (1 item)
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Light cover (1 item)
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Glass wall clock (1 item)
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Dock power box (1 item)
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Light switch and box (2 items)
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Dry storage door windows (2 items)
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Mounted whiteboard (1 item)
SHIPPING DOCK
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Light covers (2 items)
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Shipping door windows (2 items)
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Genus Fly station (1 item)
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Exit sign + 2 lights
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Garage door open button box (1 item)
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Light switch (1 item)
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Glass lift door windows ( 1 item)
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Lift master box and sensors (3 items)
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Beard and hairnet dispensers (3 items)
SHIPPING HALL
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Blue hose head (1 item)
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Exit sign + 2 lights
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Hose head (white hose) (1 item)
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Grey sink PVC
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Soap dispensers (2 items)
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Paper towel dispensers (2 items)
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Sanitizer dispensers (1 item)
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Overhead light covers (4 items)
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Entry door windows (1 item)
WAREHOUSE
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Light covers (3 items)
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Electrical box wire covers (3 items)
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Mineral oil drum and lid
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Forklift lights
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Wet Floor Sign
FREEZER
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Light switch (1 item)
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PVC piping
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Cooler fan guards (10 items)
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Door electric boxes (2 items)
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Light covers (4 items)
Verification
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Verified by:
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Date & Time of Verification:
