F#30 Knife and Sharp Object Inspection Log

• Prepared by

• Location
  Address

Knife Sign-Out Log

• Date & Time when removed

  Date

• Check the condition of the knife

  Compliant

  Non-Compliant

  N/A

• Sign-Out Initials

  Sign

• Handle Colour

  Select Yellow Green Red Blue Grey Black White Pink Orange

  • Yellow
  • Green
  • Red
  • Blue
  • Grey
  • Black
  • White
  • Pink
  • Orange

• Size of Knife

  Small

  Large

• Date & Time when returned to the dish area

  Date

• Sign-In Initials

  Sign
Scissors Sign-Out Log

• Date & Time when removed

  Date

• Check the condition of scissors

  Compliant

  Non-Compliant

  N/A

• Sign-Out Initials

  Sign

• Date & Time when returned to the portioning cart

  Date

• Sign-In Initials

  Sign
Blades in Grinder (4 pieces)

• Date & Time when removed

  Date

• Check the condition of the blades

  Compliant

  Non-Compliant

  N/A

• Sign-Out Initials

  Sign

• Date & Time when returned to the dish area

  Date

• Sign-In Initials

  Sign
Non-modular Grinder blade in Mixer (1 piece)

• Date & Time when removed

  Date

• Check the condition of the blade

  Compliant

  Non-Compliant

  N/A

• Sign-Out Initials

  Sign

• Date & Time when returned to the dish area

  Date

• Sign-In Initials

  Sign

• Verified by:

  Sign

• Date & Time of Verification:

  Date

Monthly on-site check

• Verified by (on-site):

  Sign

• Date & Time of Verification (on-site)

  Date

• Any deviations observed during the on-site check?

  Yes

  No

  N/A

• Explain