Title Page

  • Site conducted

  • Select date

  • Prepared by

  • List the equipment being installed

  • undefined

  • Date and time of installation

  • Select date

  • Precautions taken to decontaminate equipment prior to entering production areas

  • undefined

Product Contact Surfaces

  • Does the equipment meet the following 3A standards?

  • Smooth

  • Impervious

  • Free of cracks and crevices

  • Nonpourous

  • Nonabsorbent

  • Non-contaminating

  • Non-reactive

  • Corrosion resistant

  • Durable and maintenance free

  • Nontoxic

  • Cleanable

  • Equipment is self-draining and pitched to a stainable port with no potential hold up of food materials or solutions?

Non-Product Contact Surfaces

  • All framework is sealed?

  • Framework is free from penetrants (e.g. Bolts, studs)?

  • Legs of equipment are sealed at the base and not of hallow design?

Installation

  • Space around and between equipment is adequate enough to allow for sufficient cleaning?

  • Space between equipment and walls is adequate enough to allow for sufficient cleaning?

  • Equipment, unless sealed to walls, is at least 4" from walls?

  • Floor mounted equipment is at least 6" from the floor?

Notification

  • Have all required regulatory bodies been notified? (e.g. USDA, AZDA, FDA, SQF)

  • Have all affected customers been notified?

  • Initial CIP Obervations

  • undefined

  • Has the equipment undergone the pacification process?

  • undefined

  • Has CIP rinse water been sampled?

  • Sponge swabs on product contact surfaces have been collected?

  • Results

  • Environmental monitoring swabs in the adjacent area have been collected?

  • Results

Training and Records

  • Have relevant SOP's been revised/created?

  • List SOP numbers:

  • Has equipment been added to MP2?

Operation

  • Does equipment operate according to manufacturer expectations?

  • undefined

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.