Operational Audit Form

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Procedure audited

• Forms audited

• Discussed with:

Questions

• Is the procedure understandable and clear?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark:

• Did you observe the activity covered by this procedure?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark

• Did you ask the team members that have responsibilities and authorities in the procedure how an activity is completed or why it is completed in a specific way?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark

• After watching the activity, is the procedure complete?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark:

• Is there written evidence that the procedure is being effectively carried out? Please attach examples of objective evidence. If no forms, please attach photos or describe your observations.

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark, Major NC, Major NC:

• Did your review of the records confirm that the activity was completed and recorded correctly?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark, Major NC, Major NC

• Is the written evidence being filed correctly according to the instructions?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark, Major NC, Major NC

• Does the product handling pose a food safety threat to the product?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark, Major NC, Major NC

• Does the environment pose a food safety threat to the product?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark, Major NC, Major NC

• In general, is the procedure effective?

  Select Yes No N/A Remark Minor NC Major NC

  • Yes
  • No
  • N/A
  • Remark
  • Minor NC
  • Major NC

• Description of Remark, Major NC, Major NC