Glass / Brittle Plastic / Ceramic Audit - COSTCO Requirement Map P1 live 09/01/2024

• Month:

• Year:

• Assigned Inspector:

Location: Wash Room

• 

• Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Pitchers (2) / Hard Plastic / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fire Alarm / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Water Temperature Gauge / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Chemical Tags (if applicable) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Waste Room

• 

• 1) Utensils / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Air Pressure Gauge / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Chemical Cage Signage/ Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Zip Ties on Signage in good condition?

• 5) Chemical Tags (If applicable) / Hard Plastic/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) FV-419-100 Gauges (2) / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) HV-419-109 Guages (2) / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) EcoLab Trap #8 / Hard Plastic/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) Overhead Door Window / Glass/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 10) Overhead door controls and sensors / Hard Plastic/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• X) Exit sign / Hard Plastic/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Oven

Right Wall

• Fire Extinguisher Sign / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Outlet Cover / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Oven Feed Control Panel (start, stop, e-stop) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Back Wall

• Exit Sign / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fire Extinguisher Sign / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Door Alarm / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Outlet Cover / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Left Wall

• Exit Sign / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Front Wall (wall w/ clock)

• Fire Extinguisher Sign / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Paper Towel & Soap Dispenser / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• WiFi Router / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Plastic Wall Cabinet / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Compuer Screen Guard / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Clock / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fire Alarm / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Equipment (all control panels and buttons must be checked-reference equipment audit tab)

• Tote Dumper- control panel (start, stop, and e-stop) / Hard Plastic / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Tote Dumper- Glass PSI Gauge / Glass / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Wash Station (from dumper to sorting belt)- belt, plastic guards / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Oven- E-stop / Hard Plastic / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Oven- Control Panel / Hard Plastic / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Grading Table- plastic guards / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Hanging e-stops / Hard Plastic/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

General & Misc.

• Black Pallets- check for missing, broken pieces, fraying / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Potato Trays- check for missing, broken pieces, fraying / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Tote Crusher Station (outside oven overhead door)

• 

• Ecolab Light #6 / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Tote Crusher Control Panel / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Tote Crusher Plastic Guards

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Tote Crusher Sensor bars / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Oven Overhead Door Control Box / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Water Heat (eemax) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: North Hallway (Starting at Emergency Exit Door to L3 Debox)

• 

• 1) Palletizer: - LOTO Switches -Control Panels/Buttons/Switches -Air Pressure PSI Gauges/Valves -Lantech CTF6 and Remote included -Lift Curtain Reset Switch Emergency Stops/Resets/Cycle stop and Start Buttons / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Thermostat on back wall behind palletizer / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Exit Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Emergency Exit Alarm / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Clock / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Fire Extinguisher Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Emergency Lights (near ceiling, along right wall) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) L3 Locker Room Door Window / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) Wi-Fi Router (along right wall) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 10) L2 Stoplight / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• C) Fire Extinguisher Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• X) Fire Alarm / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• +) Debox Blue Overhead Door Control Panel / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• +) Debox Blue Overhead Door Screen / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• +) Debox Blue Overhead Door Windows / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• *) Mirror / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ?) Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• @) Window to Line 1 Pkg / glass/ Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: North Hallway Pallet Wrapper

• 

• 1) Computer Screen / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Pallet Wrapper (Black dials, power buttons, e-stop) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Clock by palletizer/Brittle Plastic/ Zone 4

  Acceptable

  Minor

  Needs Improvement

  Severe/Serious

  Unsatisfactory

Location: North Hallway Broiler area

• 

• 2-Pressure Gauges / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 

• Control Panel / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: South Hallway (Starting at Dock to Inventory Office)

• 

• 1) Dock Door Screen (left of door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Dock Door Control Box (right of door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Dock Door Overhead Door Sensor (above door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Fire Extinguisher Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Emergency Exit Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Eyewash Station (2 plastic bottles, 1 green wall plate) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Emergency Lights (towards ceiling) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) Cameras (towards ceiling) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) L3 Blue Overhead Door Screen / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 10) L3 Blue Overhead Door Windows / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• C) L3 Emergency Exit Door Window / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• x) L3 Pallet Exit Screen (Control Panel) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• @) L3 Pallet Exit Overhead Door Windows / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• +) L3 Pallet Exit Light Curtains (Yellow Posts) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• *) Mirrors / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ?) White Communication Board and Marker Compartment / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• R) Freezer Door Screen and Control Panel / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• R) Freezer Door Sensor (next to FasTrax) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• R) Cooler Door Screen and Control Panel / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• R) Cooler Door Sensor (next to FasTrax) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• -) Fire Extinguisher Signs / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• <) Wi-Fi Router (above mirror) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ^) Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: South hallway pallet wrapper

• 

• 1) Computer Screen / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Control Panel (black dials, power/start buttons, e-stop) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Dock (Starting at Man Door to Exit Door)

• 

• ^) Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Freezer Protection Thermostat (X7-28, X7-26) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Overhead Door Sensor & Control Panel / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Mandoor Window / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Fire Alarm (to right of overhead door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Exit Sign (near fire extinguisher) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Charging Stations (3) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) Dock Door Lights (yellow-1 per dock door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) WiFi Router (above bathroom) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 10) Dock Control Panels (1 per dock door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 1) Fire Alarm / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• @) Ecolab Light #8 / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ?) Exit Sign (above mandoor) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: West Hallway (on inventory end)

• 

• Clock by palletizer/Brittle Plastic/ Zone 4

  Acceptable

  Minor

  Needs Improvement

  Severe/Serious

  Unsatisfactory

• 1) Exit Sign (above man door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Emergency Lights (near ceiling) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Fire Alarm / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Ecolab Light #5 / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Mirror / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Ecolab Light #9 / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Fire Extinguisher Sign (above ecolab light) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) L1 Huddle Station Windows & Clock / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) L1 Overhead Door Control Box (#21) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) Hazard Lights (red, various along right wall) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 10) Fire Alarm / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• @) WESCO Machine Windows / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• *) Charging Station / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• C) Exit Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• X) Mirror / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• +) Plastic Cabinet / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• <3)Waste Room Overhead Door Control Box / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ?) Fire Alarm (next to staircase mezz.) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• R) WiFi Router / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• -) Ecolab Station #10 / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• A) Fire Alarm / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• B) Plastic Wall Cabinet / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• D) Fire Extinguisher Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• E) L1 Stoplight / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• F) Thermostat (near maintenance smocks) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• G) Light Switches / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• H) Tornado Shelter Sign (above bathrooms) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• I) Emergency Light (above smocks) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• J) Ecolab Light #11 (near L1 packaging) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• K) Emergency Light / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• L) AED Station (sign + window) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• M) Plastic Wall Cabinets / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• N) Emergency Light (halfway up staircase to storage mezz) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 

• Lunch Room pamplet holder

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• O) Break Room & Office Door Windows (7 total) / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Inventory Office Area

• 

• 1) Charging Stations (2) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Fire Extinguisher Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Deonizer / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Eyewash Station / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Navigator Gauge (right of eyewash station) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Inventory Office Window / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Ecolab Light / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) Truck Lock Station (below ecolab light, left of recycle door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) Garbage Overhead Door Window / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 10) Recycle Overhead Door Window / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• A) Door Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• B) Security Keypad / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• C) Exit Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• D) Mandoor Window / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• E) Emergency Exit Alarm / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• F) Fire Extinguisher Sign / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• G) Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Freezer (Start at Overhead Door in South Hallway)

• 

• 1) Light Curtains (both sides) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Overhead Door Screen & Sensor (both sides) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Thermometer Box (on wall in Bay 42) (on wall in Bay 36) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Cooler (Start at Man Door in South Hallway)

• 

• A) Light Curtains / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• B) Overhead Door Screen (both sides) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• C) Thermometer Box (on wall in Bay 20) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• D) Exit Sign (above 2nd man door) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• E) Overhead Door Control Box (L1 Side) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• F) Thermometer Box (on right wall in small cooler) / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• G) Glass Gauge (on back wall, next to man door in small cooler) / Glass / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• H) Overhead Lights / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

R&D: FFA MATERIALS-Type Quanity & then condition

• 

• 250 mL Beakers

• 250 mL Beaker

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Glass Dropper

• Glass Dropper

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 50 mL Glass Cylinders

  Yes

  No

  N/A

• 50 mL Glass Cylinders

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 25 mL Kimax Burets

• 25 mL Kimax Burets

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Amber 2 oz. Dropper Bottles

• Amber 2 oz. Dropper Bottles

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Date:

  Date

• Name of Inspector:

Location: Side Storage Room

• Plastic Floor Pallets-check for missing, broken pieces, fraying / Hard Plastic/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All Plastic Tubs & Tools- food contact, non-food contact, animal feed / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Processing

Hygiene Junction

• Paper Towel Dispensers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Soap Dispensers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Boot Scrubber (buttons) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Right Wall

• Exit Sign / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Eyewash Stations / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fire Extinguisher Signs / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Outlet Covers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Processing Computer / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Clock / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fire Alarm / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Internal Freezer Lights/ HArd Plastic/ Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Left Wall (Line 2 Side)

• Overhead Door Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Emergency Door Window / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fire Extinguisher Sign / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Eelctrical Cord Drops / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Master On/Off Switch / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Eyewash Station / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Back Wall (Cooler Side)

• Electrical Cord Drops / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Master On/Off Switch / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Outlet Covers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Line Flow & Equipment: all control panels and buttons must be checked-reference equipment audit tab

• Grinder / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Shredder / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Mixer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Nex Gem / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Extruder / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Tote Dumper / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All plastic belts & conveyors & equipment shields/guards- includes links and guards / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Potato Driller / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Quarter Shell Slicer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fryers / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Water Wheel / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Reiser / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Hadtman / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Water Bath / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Batter Mixer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Predust Applicators / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Batter Applicators- multiple passes / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Breader Applicators- multiple passes / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Drying Conveyor / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Breader Sensors / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Packaging

Hygiene Junction

• Paper Towel Dispensers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Soap Dispensers Hard Plastic 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Boot Scrubber (buttons) Hard Plastic 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Line Flow & Equipment: all control panels and buttons must be checked-reference equipment audit tab

• Palletizer: - LOTO Switches -Control Panels/Buttons/Switches -Air Pressure PSI Gauges/Valves -Lantech CTF6 and Remote included -Lift Curtain Reset Switch Emergency Stops/Resets/Cycle stop and Start Buttons / Hard Plastic / Zone 4

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Freezer (control panel & buttons) / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Shakers & Gates / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Equipment Scales / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Bagger Control Panels / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Baggers and Guards / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Metal Detector / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Carton Former / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Case Former / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Case Packer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Case Sealer/Tri-Sealer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Packaging Computer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All plastic belts & conveyors & equipment shields/guards- includes links and guards / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Window to hallway / glass/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Entire Line (General & Misc.)

• Black Pallets- check for missing, broken pieces, fraying / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Potato Trays- check for missing, broken pieces, fraying / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Overhead Lights / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All Plastic Tubs & Tools- food contact, non-food contact, animal feed / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Equipment Carts (wheels) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• V-Mag Lids- check for missing, broken pieces, fraying / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Master On/Off Switches / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Date:

  Date

• Name of Inspector:

Location: Walls & Perimeters

Hygiene Junction

• Paper Towel Dispensers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Soap Dispensers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Boot Scrubber (buttons) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Front Wall (wall clock)

• Clock / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Right Wall

• Scale #13 Control Panel / Hard Plastic / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Outlet Covers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Eyewash Station / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Processing Computer / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Window of L1 Processing Entry Door (Emergency Door) / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Clock / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fire Alarm / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Left Wall

• Outlet Covers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Eyewash Station / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Window of L3 Packaging Entry Door / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Overhead Door into L3 Waste (control panel) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Fire Extinguisher Signs / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Packaging Computer / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Handwash Sink Area (soap dispenser & paper towel dispenser) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Back Wall (Freezer Side)

• Clock / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Freezer Overhead Door Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Freezer Overhead Door Lightposts / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Outlet Covers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Processing

Line Flow & Equipment: all control panels and buttons must be checked-reference equipment audit tab

• Grinder / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Shredder / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Mixer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Slurry Tank / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Potato Driller / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Slicer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Raque / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All plastic belts & conveyors & equipment shields/guards- includes links and guards / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Packaging

Line Flow & Equipment: all control panels and buttons must be checked-reference equipment audit tab

• Freeze Tunnel / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Shakers & Gates / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Equipment Scales / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Metal Detector / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Bagger Control Panels / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Carton Former / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Case Former / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Case Code/Labeling/Taping / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All plastic belts & conveyors & equipment shields/guards- includes links and guards / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Mezzanine

• Gauge cover / glass / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Light clips above line flow/plastic/Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Note number of clips on lights above line flow

Location: Entire Line (General & Misc.)

• Black Pallets- check for missing, broken pieces, fraying / Hard Plastic / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Potato Trays- check for missing, broken pieces, fraying / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Overhead Lights / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All Plastic Tubs & Tools- food contact, non-food contact, animal feed / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Equipment Carts (wheels) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• V-Mag Lids- check for missing, broken pieces, fraying / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Master On/Off Switches / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Post Freezer Belt

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Potato Indeed Belt

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Potato Slicer Belt

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Raque Belt

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Date:

  Date

• Name of Inspector:

Location: Debox Area

• 

• 1) Overhead Lights / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Water Temperature Gauge / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Wall Clock / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Elecrtrical Box (buttons) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Raven Screen Protector / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Process PNLA Switch / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Overhead Door Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) Plastic Tools / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Mixing Room (Includes Equipment- reference equipment audit tab)

• 

• 1) HMI Screen Protector / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Grinder / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Mixer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Overhead Door Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Fire Alarm / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Window on Personal Access Door / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Overhead Lights / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Sanitation Room (Includes Equipment- reference equipment audit tab)

• 

• 1) Window on Personal Access Door / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Hot Water Gauge / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Overhead Lights / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Overhead Door Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Overhead Door Lightbar / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) COP Tank #2 Control Panel / Hard Plastic / Zone 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Equipment Room (Includes Equipment- reference equipment audit tab)

• 

• 1) Window on Personal Access Door / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Hot Water Gauge / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Fire Alarm / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Overhead Door Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Overhead Door Lightbar / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Overhead Lights / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Walls & Perimeters (Processing Side)

Entrance Area (near CIL Manuals)

• 

• 1) Fire Alarm / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Eyewash Station / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Boot Scrubber (buttons) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Right Wall (Debox & Storage Room Side)

• 

• 1) Plastic over Communication board / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Blue Overhead Doors Control Panels / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Exit Signs / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Fire Extinguisher Signs / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) HMI-300-001 Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) HMI-300-002 Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Batter Mixing Area

• 

• 1) Plastic Wall Cabinet / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Personal Access Door Window / Glass / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Fire Extinguisher Signs / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) HMI-300-003 Control Panel / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Processing Computer / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Eyewash Station / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Processing

Line Flow & Equipment: all control panels and buttons must be checked-reference equipment audit tab additional checks being performed by the Operators when completing sanitation & CIPs

• 

• 1) Nex Gem Former / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Nex Gem Discharge Conveyor / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Nex Gem Column Dumper / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) AOD Pump Nex Gem / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Extruder / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Tote Dumper / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Hopper / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) Predust Applicator / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) Breader Applicator- Multiple Passes / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 10) Batter Applicator- Multiple Passes / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• C) Breader Sensors / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• X) Batter Mixer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• +) Fryer 1 / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ?) Fryer 2 / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Internal Freezer/Hard Plastic/ Zone 1 (Done each pre-op: Verify ppw is complete)

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All plastic belts & conveyors- includes links and guards / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Packaging (Bagger Area)

Line Flow & Equipment: all control panels and buttons must be checked-reference equipment audit tab ^ upstairs V downstairs

• 

• v 1) Bagger 1 / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• v 1) Bagger 2 / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• v 1) Bagger 3 / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ^ 2) Bagger Shaker Belts / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ^ 3) Reverse Reject Conveyor / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ^ 4) Freezer Discharge Conveyor / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ^ 5) Wall Controls on Bagger Mezz. / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• ^ 6) Mezz Sensors / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All plastic belts & conveyors- includes links and guards / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Packaging

Hygiene Junction

• 

• 1) Mandoor Window (3) /Glass/ Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Paper Towel Dispensers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Soap Dispensers / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Boot Scrubber / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Line Flow & Equipment: all control panels and buttons must be checked-reference equipment audit tab

• 

• 1) Metal Detectors (lane 1, 2, 3) / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 2) Carton Former / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 3) Carton Fill/Date Code / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 4) Carton Sealer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 5) Case Former / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 6) Case Packer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 7) Case Sealer/Tri-Sealer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 8) Case Loading HMI-333-102 / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 9) Carton Loading HMI-333-101 / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• 10) Palletizer / Hard Plastic / Zone 1 or 2

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

Location: Entire Line (General & Misc.)

• Overhead Lights / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• All Plastic Tubs & Tools- food contact, non-food contact, animal feed / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Equipment Carts (wheels) / Hard Plastic / Zone 3

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• V-Mag Lids- check for missing, broken pieces, fraying / Hard Plastic / Zone 1

  Select Acceptable Minor Needs Improvement Severe/Serious Unsatisfactory N/A

  • Acceptable
  • Minor
  • Needs Improvement
  • Severe/Serious
  • Unsatisfactory
  • N/A

• Date:

  Date

• Name of Inspector:

• Inspection Completed By: (Name, Signature, Date)

  Sign