Information

  • Conducted on

  • Prepared by

Glass, Brittle, and Hard Plastic Verification

Blancher Temperature Gauge (1)

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

Blancher Temperature Gauge (2)

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

Blancher Temperature Gauge (3):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

FLOOR SCALE DISPLAY:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CRYOVAC (ON-PAC) GUARDS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CRYOVAC (ON-PAC) CONVEYOR BELT:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATERLINE DIAL (1):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATERLINE DIAL (2):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATERLINE DIAL (3):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATERLINE DIAL (4):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATERLINE DIAL (5):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CRYOVAC (ON-PAC) GAUGE:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATERLINE DIAL (6):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATER METER (1):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATER METER (2):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATER METER (3):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

LARGE KETTLE #1 PADDLES:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WATERLINE DIAL (7):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

LARGE KETTLE #3 PADDLES:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

LARGE KETTLE #2 PADDLES:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

FLAP ON INCLINE CONVEYOR:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

THERMOMETER:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CLOCK:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

LARGE KETTLE #4 PADDLES:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

X-RAY ALARM LIGHT:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

X-RAY CONVEYOR:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

X-RAY GUARD FLAPS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

ARPAC SENSORS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

ARPAC GAS GAUGE:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

ARPAC FILTER GAUGE:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

ARPAC GUARDS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

ARPAC E-STOP:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

WORLD CUP GUARDS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

MULTIVAC CONVEYOR:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

MULTIVAC E-STOP:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

POWER FLEX CONTROL (1):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

POWER FLEX CONTROL (2):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

LIGHTS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

MULTIVAC SCREEN:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

EXIT SIGN:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

DOOR WINDOWS (2):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

TRASH CANS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

VEMAG WHEELS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

UTENSILS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CONVEYOR BELTS (3):

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

SINE PUMP SWITCHES;

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CARBON MONOXIDE DETECTOR:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CORDS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

HOSES:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CAMERA COVERS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

CARTS/WHEELS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

OVERHEAD SPEAKERS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

DRAIN GRATES:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

SOAP DISPENSER:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

OVERHEAD SPEAKERS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

LIGHTS:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

MULTIVAC SCREEN:

  • Pre-Shift:

  • ACCEPTABLE?

  • Post-Shift:

  • ACCEPTABLE?

  • COMMENTS:

Operational Sanitation Report

  • Complete an operational sanitation report for each time that production is running: start up to lunch, lunch to pm break, pm break to end. 10-fully compliant, 7=minor deficiency, 5=prevalent deficiency, 3=numerous deficiency, 0=total failure. Scores of 5 or below require documented corrective action on the Operational Sanitation Corrective Action Report.

  • Employee GMPs (5 team members)

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • PERSONAL ITEMS OFF OF THE FLOOR

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • HAND-WASH STATIONS STOCKED

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • HOUSEKEEPING, INCLUDING TRASH

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • PACKAGING MATERIAL STORED APPROPRIATELY

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • PRODUCT SAFETY (covered or protected)

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • PACKAGING MATERIAL STORED APPROPRIATELY

  • First Check

  • Second Check

  • Third Check

  • CONDENSATION (Clean and Chemical Concentration)

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • TOOLS, DETERGENTS, CHEMICALS, & LUBRICANTS

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • DRAINS

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • DATE/TIME:

  • FOOTBATH

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • SHARP IMPLEMENTS, WEAR/BREAKAGE OF EQUIPMENT

  • Acceptable?

  • SIGN:

  • DATE/TIME:

CORRECTIVE ACTION REPORT:

  • Identify and Eliminate the Cause of the Deviation:

  • Actions to bring the Area back under control:

  • Preventative Measures:

  • Product Affected: Y or N

X-RAY Verification Log

  • Foreign material detection equipment will be verified by a QFS technician at the beginning of the production shift, every hour of production, and at the end of the shift. If the foreign material detection equipment fails to detect the test samples, the line will be stopped immediately. All products back to the last acceptable verification will be placed on hold until they can be re-run through properly functioning foreign material detection equipment.

X-RAY Verification Log

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

  • DATE/TIME:

  • 1.0mm Stainless Steel

  • 3.0mm Glass

  • 5.0mm Ceramic

  • Initials:

Metal Detector Verification Log

  • Foreign material detection equipment will be verified by a QFS technician at the beginning of the production shift, every hour of production, and at the end of the shift. If the foreign material detection equipment fails to detect the test samples, the line will be stopped immediately. All products back to the last acceptable verification will be placed on hold until they can be re-run through properly functioning foreign material detection equipment.

METAL DETECTOR

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

  • DATE/TIME:

  • 4.0mm Ferrous

  • 4.5mm Non-Ferrous

  • 5.5mm Stainless Steel

  • COMMENTS:

  • INITIALS:

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