Title Page
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Conducted on:
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Conducted by:
Check locations for new lot numbers:
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Line 1 Break Room (First aid kit /PPE Station)
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Mothers Room (First aid kit)
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Line 3 Break Room (First aid kit /PPE Station)
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Sanitation Locker Room nexxt to Training Room p1 (First aid kit)
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Maintenance Shop P1
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L2-L3 hygiene Junction
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WH Dock
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Front Desk
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Line 4 Break Room/Locker Room (First Aid Kit/PPE Station)
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Maintenance Shop P2
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P1 Supervisor Office
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P2 #1 FA box
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P2 #2 FA box Warehouse
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P2 #3 FA box
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P2 #4 FA box Outside of Maintenace
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P2 #5 FA box pkg ped walkway
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P2 #6 FA box Treatment Room
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P1 L3 Hyg Junction
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P2 Lunch Room
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Was the MD log updated.
Item Verification
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Material Type:
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Lot Number:
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1st PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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Material Type:
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Lot Number:
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1st PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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Material Type:
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Lot Number:
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1st PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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Material Type:
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Lot Number:
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1st PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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Material Type:
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Lot Number:
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1st PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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Material Type:
-
Lot Number:
-
1st PASS CONDUCTED:
-
If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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Material Type:
-
Lot Number:
-
1st PASS CONDUCTED:
-
If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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Material Type:
-
Lot Number:
-
1st PASS CONDUCTED:
-
If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
-
3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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Material Type:
-
Lot Number:
-
1st PASS CONDUCTED:
-
If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
-
If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
-
If metal detector did not FAIL the item complete a corrective action?
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Material Type:
-
Lot Number:
-
1st PASS CONDUCTED:
-
If metal detector did not FAIL the item complete a corrective action?
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2nd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
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3rd PASS CONDUCTED:
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If metal detector did not FAIL the item complete a corrective action?
Documentation of Completion
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Completed by: Name , Title
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Date & Time Completed:
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Signed: