Title Page

  • Conducted on

  • Prepared by

  • Participants

  • Location

PLANT MAP

  • REFER TO PLANT MAP FOR TRAVEL PATH

ENTRY WAY/OFFICE AREA

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

BREAK ROOM

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

WATER TREATMENT AREA

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

QA LAB

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

SCALING & BATCHING

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

RECEIVING & INGREDIENT STORAGE

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

CAN LINE 1

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

CAN LINE 2

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

SHIPPING DOCK / FINISHED GOODS

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

SHIPPING OFFICE

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

SANITATION AREA / CHEMICAL STORAGE

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

MAINTENANCE

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

BATTERY CHARGING AREA

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

BOILER ROOM

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

COMPRESSOR ROOM

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

RESTROOMS

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

OUTSIDE PERIMETER

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

GENERAL PLANT

  • MAJOR: Non-conformity affects SAFETY - FOOD and/or PERSONAL

  • MINOR: Non-conformity affects CORE 5S Principles

  • MINOR: Non-conformity affects CORE 5S Principles

  • COMMENTS:

PLANT CULTURE

  • Were any employee's able to recite / acknowledge any of the 4 culture statements?

  • COMMENTS:

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