Title Page
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Conducted on
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Prepared by
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List the equipment being installed
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Date and time of installation
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Select date
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Precautions taken to decontaminate equipment prior to entering production areas
Product Contact Surfaces
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Does the equipment meet the following 3A standards?
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Smooth
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Impervious
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Free of cracks and crevices
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Nonpourous
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Nonabsorbent
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Non-contaminating
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Non-reactive
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Corrosion resistant
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Durable and maintenance free
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Nontoxic
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Cleanable
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Equipment is self-draining and pitched to a stainable port with no potential hold up of food materials or solutions?
Non-Product Contact Surfaces
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All framework is sealed?
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Framework is free from penetrants (e.g. Bolts, studs)?
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Legs of equipment are sealed at the base and not of hallow design?
Installation
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Space around and between equipment is adequate enough to allow for sufficient cleaning?
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Space between equipment and walls is adequate enough to allow for sufficient cleaning?
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Equipment, unless sealed to walls, is at least 4" from walls?
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Floor mounted equipment is at least 6" from the floor?
Notification
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Have all required regulatory bodies been notified? (e.g. USDA, AZDA, FDA, SQF)
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Have all affected customers been notified?
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Initial CIP Obervations
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Has the equipment undergone the pacification process?
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Has CIP rinse water been sampled?
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Sponge swabs on product contact surfaces have been collected?
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Results
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Environmental monitoring swabs in the adjacent area have been collected?
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Results
Training and Records
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Have relevant SOP's been revised/created?
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List SOP numbers:
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Has equipment been added to MP2?
Operation
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Does equipment operate according to manufacturer expectations?