Title Page

  • Document No.

  • Filling Room

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Employees are clean and are wearing clean clothing?

  • Hair is restrained by hairnets, bouffant style (including beard/mustache bibs)?

  • No jewelry worn by employees, excluding band type rings (no stones or loose materials)<br>

  • No personal belongings or food stored at work stations

  • No gum chewing, eating, except in designated area.

  • No misc equipment, work tools left at work stations

  • Empty container conveyors covered?

  • Wall are clean and no cobwebs visible?

  • Ceilings are clean with no signs of peeling paint, dirt or grime?

  • Fans are clean an in good repair?

  • Overhead pipes are clean?

  • Ceiling in good repair - no leaks?

  • Lighting is operational, clean and no webbing?

  • Floors are clean, no visible dirt, mold, debris or stains, not sticky?

  • Drains are clean and free of debris and no off odors?

  • No openings in walls around pipes?

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.