Title Page
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Conducted on
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Check each item on the list for cleanliness with no signs of residue
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Equipment or areas that fail need to be re cleaned and re-inspected
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Any evidence of pest activity needs to be reported to QA immediately
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Pass If Item is CLEAN
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Fail If Item is UNCLEAN ( Provide Corrective Action)
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Product if Tank if filled with product
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In Use
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Completed by:
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Date:
General
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Production Entrance - Hand wash sink
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Door strips
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Floor
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Footbath
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Forklift Access - Door strips
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Evidence of forklift wash system in use
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Has waste been removed from all areas?
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No signs of infestation (moths, flies, mice etc)
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Wood Pallets – Check wood pallets in production area for signs of damage/ dirt
Pasteuriser Area
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Landing stairs (clean with no signs of spills)
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Instantiser (clean internal & external)
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Vacuum lifter
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Holding Tank 1 (clean internal & external)
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Bag Knife
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Holding Tank 2 (clean internal & external)
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Control Panel on landing
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Workstation (neat, no clutter of paperwork, pens/text as)
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Lower Control Panel
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Surrounding floor area clean (free of spills Glucose, AMF)
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Buckets/Scoops/Weighing Spoons for use
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Work bench/tables
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Weighing Scales
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Mobile stairs to bulk units
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No Signs of infestation (moths, flies, mice, etc)
Tanks & Droppers
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Tank 1 (container, cover, lids, measuring stick, holes, agitator)
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Tank 2 (container, cover, lids, measuring stick, holes, agitator)
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Tank 3 (container, cover, lids, measuring stick, holes, agitator)
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Tank 4 (container, cover, lids, measuring stick, holes, agitator)
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Tank 5 (container, cover, lids, measuring stick, holes, agitator)
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Tank 6 (container, cover, lids, measuring stick, holes, agitator)
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Tank 7 (container, cover, lids, measuring stick, holes, agitator)
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Tank 8 (container, cover, lids, measuring stick, holes, agitator)
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Tank 9 (container, cover, lids, measuring stick, holes, agitator)
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Tank 11 (container, cover, lids, measuring stick, holes, agitator)
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Tank 12 (container, cover, lids, measuring stick, holes, agitator)
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Tank 13 (container, cover, lids, measuring stick, holes, agitator)
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Tank 14 (container, cover, lids, measuring stick, holes, agitator)
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Drop pipe between Tank 1, Tank 2 and Tank 3
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Drop pipe between Tank 4 and Tank 5
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Drop pipe between Tank 6 and Tank 7
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Drop pipe between tank 8 and Tank 9
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Drop pipe between Tank 11
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Drop pipe into Tank 12
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Drop pipe into Tank 13
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Drop pipe into Tank 14
Flavour Mix Area
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Buckets for use
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Whisks for use
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Measuring Jugs for use
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Spoons for use
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Scoops for use
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Hand squeegee
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Mixing Paddles for use
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Table
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Weighing Scales
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Dirty pipe racks
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Wall pipe racks
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Tank 12, 13 & 14 paddle
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Electric pump (P7)
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Workstation (neat, no clutter of paperwork, pens / text as)
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No Signs of infestation (Moths, Flies, Mice, etc)
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Please select any additional equipment for use
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Grate/Sieve
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New Mobile Agitator (E35)
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Mobile Agitator(E26)
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Hand held Mixer
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Mixing Bowl
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Air pump (E27)
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Mobile (M1)
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Mobile (M2)
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Mobile (M3)
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Mobile (M4)
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Large mixing mobile (M5)
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Large mixing mobile (M6)
Churning/Packing Area
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Grey tubs for use
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Buckets for use
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Measuring Jugs for use
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Spoons for use
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Scoops for use
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Whisks for use
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Tables for use
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Weighing Scales
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Hand squeegee
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Mixing Paddles for use
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Tables for Use
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Workstation (neat, no clutter of paperwork, pens / text as)
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No Signs of infestation (Moths, Flies, Mice, etc)
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Please select equipment for use
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Balance Tank (BT1)
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Balance Tank (BT2)
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Balance Tank (BT3)
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Balance Tank (BT4)
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Balance Tank (BT5)
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Outlet Bath (Churn 1/2/3/4/5 Pipework)
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Dirty Rack (Utensils, Pipework, Machine Parts, etc)
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Clean Rack (Utensils, Pipework, Machine Parts, etc)
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Clean Shelf (Scoops, Spoons, Scrapers, Molds, etc)
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Dixie Machine (E6)
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Ingredients Feeder (E31)
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Ripple Machine (E3A)
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Ripple Machine (E3B)
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4Lt ROKK Rotary Filler (E15)
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5Lt ROKK Semi Auto Filler (E18)
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1Lt ROKK Semi Auto Filler (E41)
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Sawvel (E2)
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Tecknoice Filler (E42)
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One Shot Machine (E23)
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Marshmallow Feeder (E22)
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Lidder Machine (E1)
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Tape Machine for Use
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Conveyor Belts for Use
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Labelling Machine for Use
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Inkjet Coder
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Carton Holder (No Leftover packaging left)
GELATERIA
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Buckets for use
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Measuring Jugs for use
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Spoons for use
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Scoops for use
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Hand squeegee
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Whisks for use
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Tables for use
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Weighing Scales
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Workstation (neat, no clutter of paperwork, pens / text as)
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No Signs of infestation (Moths, Flies, Mice, etc)
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Please Select Equipment for Use
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Gelateria Pump (P8)
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Sample Batch Churn (C6)
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Batch Churn (C7)
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Batch Churn (C8)
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Thermaliser (E13)
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Blast Freezer 1
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Blast Freezer 2
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Ripple Kettle (E19)
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Bag in Box Machine (E14)
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Bag in Box Machine: Check Filler Head Seal is in place
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Balance Tank (BT6)
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Pump (P6)
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Handheld Mixer
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Chocolate Kettle (E20)
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Chocolate Enrober (E5)
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Hisk Bowls
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Flexi Pipes and Joints
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Coffin Mobile (M7)
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Coffin Mobile (M8)
FOOTBATHS
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Check one foot-bath per day for chemical strength and record
2 samples to be taken at Midday (1)and at End of Shift (2)
Result must fall between (400 to 500)ppm or in the green zone of test strip -
Area Checked
- Main Staff Entry to Factory
- Entry to Gelateria
- Entry Packing Floor from Dry Store
- Side Door to Dry Store
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Test Result in ppm
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Compliance (400 - 500 ppm)
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Advise to correct Foot-Batch Level
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AcuuPoint Swabbing test
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Data downloaded from the unit - Data available for the day
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Observations & Corrective Actions
