Maintenance - Service Report

• Title of maintenance report (if required)

• Operator / technician name

• Job number

• Company

• Team Leader

• Date and time

  Date

Maintenance request details

• Place of work

  Select Hulling Room Protein and Flour Room General Area

  • Hulling Room
  • Protein and Flour Room
  • General Area

• Other place of work

• Equipment type

• Description of scheduled maintenance, repair or other (Provide detail)

  Scheduled maintenance

  Major repair

  Minor repair

  Other

• Tools sanitised before start? (Only if working in food contact areas) Add any detail needed.

  Yes

  No

  N/A

• If Food Contact Equipment / area was involved QA needs to sign off before processing restart.

  Sign

• All tools removed from work area?

  Yes

  No

  N/A

• Tools sanitised before start? (Only if working in food contact areas)

  Yes

  No

  N/A

• If Food Contact Equipment / area was involved QA needs to sign off before processing restart.

  Sign

• Equipment / area cleaned and sanitised at the end of work (Only if working in food contact areas)

  Yes

  No

  N/A

• If Food Contact Equipment / area was involved QA needs to sign off before processing restart.

  Sign

Maintenance completed details (If required)

• Verified (Name and signature)

  Sign

• Additional comments and recommendations

• QA signature

  Sign

• Additional comments and recommendations