Title Page

  • Site conducted

  • Conducted on

  • Harvest ID (if no harvest, please put N/A)

  • Pour ID (if no pour, please put N/A)

  • Quality Personnel (Name & Title)

  • Operations Personnel (Name & Title)

Downstream Area

  • Do all employees have the proper safety equipment and PPE for their job?

  • Do all machines have the proper safety guarding in place?

  • Are all conveyors free of any scraping or chipping? If not, please provide pictures, videos, and descriptions.

  • Blast freezer turned on and working properly?

  • Is the blast freezer temperature log filled out correctly?

  • Metal detector calibrated?

  • Is the information on the EBR filled out correctly?

  • Color tools are on shadow board and not leaning on other equipment?

  • Floor in area is free of excess water?

  • Chemical bottles have proper labeling?

  • Is the area clean and free of debris?

  • Notes ** Anything else that should be addressed?

Midstream Area

  • Do all employees have the proper safety equipment and PPE for their job?

  • Do all machines have the proper safety guarding in place?

  • Color tools are on shadow board and not leaning on other equipment?

  • Are all conveyors free of any scraping or chipping? If not, please provide pictures, videos, and descriptions.

  • Is the chemical cage locked?

  • Chemical cage storage OK? (color coded cleaning utensils stored properly/no cleaning utensils stored outside of the cage)

  • Floor in area is free of excess water?

  • Notes ** Anything else that should be addressed?

Upstream Area

  • Do all employees have the proper safety equipment and PPE for their job?

  • Do all machines have the proper safety guarding in place?

  • Color tools are on shadow board and not leaning on other equipment?

  • Floor in area is free of excess water?

  • Notes ** Anything else that should be addressed?

Warehouse Area

  • Refer temperature is within spec?

  • Is the refer temperature log up to date?

  • Are any items directly being stored on the floor?

  • Are all dock doors closed?

  • Chemical storage gates are closed/in locked position?

  • Notes ** Anything else that should be addressed?

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.