Line Clearance Checklist Template

• Product/item name

• Batch number

• Area

• Conducted on

  Date

• Prepared by

Area and Material Inspection

• Is the area clean, free from previous product and unwanted materials?

  Yes

  No

  N/A

• Is the equipment cleaned properly?

  Yes

  No

  N/A

• Is the temperature and humidity in the production area at the required specification?

  Yes

  No

  N/A

• Are the raw materials used labelled properly? (Material codes, expiry date, etc)

  Yes

  No

  N/A

• Have all samples been removed?

  Yes

  No

  N/A

Machine Inspection

• Are the conveyors clean, free from previous product and unwanted materials?

  Yes

  No

  N/A

• Are the transfer assembly lines clean, free from previous product and unwanted materials?

  Yes

  No

  N/A

• Are the product retainers clean, free from previous product and unwanted materials?

  Yes

  No

  N/A

• Is the foil feed empty, free from previous product and unwanted materials?

  Yes

  No

  N/A

• Has the packaging leaflet feed been dismantled?

  Yes

  No

  N/A

• Has the waste bin been removed and emptied?

  Yes

  No

  N/A

Personal Protective Equipment (PPE) Inspection

• Are there appropriate PPE designated for each personnel?

  Yes

  No

  N/A

• Are the PPE in good condition?

  Yes

  No

  N/A

• Is there a first aid kit present in the area?

  Yes

  No

  N/A

• Is the production line ready for setting up the next batch?

  Yes

  No

  N/A

• What else needs to be completed?

• Overall rating

  Pass

  Fail

  N/A

• Comments or suggestions

• Date completed

  Date

• Sign off

  Sign