Pre Start Up Check Sheet Dividing Area

• Test 6

• Pre Start Up Check Sheet Dividing Area

• Canberra

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date and Time of Audit

  Date

• Carried Out By:

  Sign

Safety

• Are all guards in place at Divider, Rounder and Intermediate Prover ?

  Yes

  No

  N/A

• Ensure there are no Lock Out Tags visible ?

  Safe

  At Risk

  N/A

• Is anyone working on the machines ?

  Safe

  At Risk

  N/A

• Are all Emergency Stops free of damage and in working order ?

  Yes

  No

  N/A

• Is the area clear of any slips, trips and fall hazards in working area ?

  Safe

  At Risk

  N/A

• Is all Perspex guarding in good condition ?

  Yes

  No

  N/A

Quality

Divider/Hopper

• Are the divider conveyors clean and free of previous dough ?

  Yes

  No

  N/A

• Is the divider oil drip tray clean ?

  Yes

  No

  N/A

• Is the exterior of the divider clean ?

  Yes

  No

  N/A

• Is the hopper and chute clean and free of old dough?

  Yes

  No

  N/A

• Are divider pockets clean and free of old dough ?

  Yes

  No

  N/A

• Is the interior of the divider clean and free of old dough ? Is Teflon in good condition ?

  Yes

  No

  N/A

• Is the sliding plate above the divider clean and free of old dough?

  Yes

  No

  N/A

• Is the floor swept and clean ?

  Yes

  No

  N/A

• Are all lights working, covers in place and clips in good condition and in place ?

  Yes

  No

  N/A

• Has all waste dough been removed from the area /

  Yes

  No

  N/A

Rounder

• Are the rounder spiral and collars clean and free of old dough ??

  Yes

  No

  N/A

• Are the rounder air sparges clean of debris ?

  Yes

  No

  N/A

• Are the rounder transfer conveyors clean and free of old dough ?

  Yes

  No

  N/A

• Is the checkweigher conveyor clean and free of old dough ?

  Yes

  No

  N/A

• Is the floor swept and clean ?

  Yes

  No

  N/A

• Has all oil been mopped from floor ?

  Yes

  No

  N/A

• Has all waste dough been removed from area ?

  Yes

  No

  N/A

Intermediate Prover

• Is the interior of the IP clean and free of old dough ?

  Yes

  No

  N/A

• Are the prover pockets free of damage and cleaned of all previous dough ?

  Yes

  No

  N/A

• Is the IP conveyor to moulder clean and free of old dough ?

  Yes

  No

  N/A

• Is all Perspex guarding in good condition ?

  Yes

  No

  N/A

• Has the floor been swept ?

  Yes

  No

  N/A

• Has all waste dough been removed from area ?

  Yes

  No

  N/A

Moulder

• Are the moulder conveyors clean and fee of previous dough ?

  Yes

  No

  N/A

• Is the pressure board clean and free of previous dough ?

  Yes

  No

  N/A

• Are the exterior of moulders clean and free of previous dough ?

  Yes

  No

  N/A

• Is Moulder setting correct ?

  Yes

  No

  N/A

• Is the interior of the moulder clean and free of old dough ?

  Yes

  No

  N/A

• Are floors around moulder swept and clean ?

  Yes

  No

  N/A

• Has all waste dough been removed from area ?

  Yes

  No

  N/A

• Is all Perspex guarding in good condition ?

  Yes

  No

  N/A

Tin Oiler Unit

• Has the spray unit and covers been cleaned ?

  Yes

  No

  N/A

• Has the catch tray been emptied and cleaned ?

  Yes

  No

  N/A

• Supervisor Signoff

  Sign