Title Page
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Document No.
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Filling Room
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Conducted on
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Prepared by
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Location
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Personnel
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Employees are clean and are wearing clean clothing?
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Hair is restrained by hairnets, bouffant style (including beard/mustache bibs)?
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No jewelry worn by employees, excluding band type rings (no stones or loose materials)<br>
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No personal belongings or food stored at work stations
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No gum chewing, eating, except in designated area.
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No misc equipment, work tools left at work stations
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Empty container conveyors covered?
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Wall are clean and no cobwebs visible?
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Ceilings are clean with no signs of peeling paint, dirt or grime?
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Fans are clean an in good repair?
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Overhead pipes are clean?
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Ceiling in good repair - no leaks?
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Lighting is operational, clean and no webbing?
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Floors are clean, no visible dirt, mold, debris or stains, not sticky?
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Drains are clean and free of debris and no off odors?
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No openings in walls around pipes?