PUMP Daily Verification Logs

• Conducted on

  Date

• Prepared by

• INITIALS:

Injector Screen and Cover

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

Waterline Gauge

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

Water Meter (4)

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

Rack Scale

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

PVC in thaw room

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

Door Window (1)

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

Door Window (2)

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:DATE/TIME:

  Date

Door Window (3)

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

Door Window (4)

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

Lights

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

Soap Dispenser

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

CORDS:

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

HOSES:

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

CAMERA COVERS:

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

CARTS/WHEELS:

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

OVERHEAD SPEAKERS:

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

DRAIN GRATES:

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

OVERHEAD SPEAKERS:

• Pre-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• Post-Shift:

• ACCEPTABLE?

  Yes

  No

  N/A

• DATE/TIME:

  Date

• COMMENTS:

• Complete an operational sanitation report for each time that production is running: start up to lunch, lunch to pm break, pm break to end. 10-fully compliant, 7=minor deficiency, 5=prevalent deficiency, 3=numerous deficiency, 0=total failure. Scores of 5 or below require documented corrective action on the Operational Sanitation Corrective Action Report.

• Employee GMPs (5 team members)

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• PERSONAL ITEMS OFF OF THE FLOOR

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• HAND-WASH STATIONS STOCKED

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• HOUSEKEEPING, INCLUDING TRASH

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• PACKAGING MATERIAL STORED APPROPRIATELY

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• PRODUCT SAFETY (covered or protected)

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• PACKAGING MATERIAL STORED APPROPRIATELY

• First Check

• Second Check

• Third Check

• CONDENSATION (Clean and Chemical Concentration)

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• TOOLS, DETERGENTS, CHEMICALS, & LUBRICANTS

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• DRAINS

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• DATE/TIME:

  Date

• FOOTBATH

• First Check

• DATE/TIME:

  Date

• Second Check

• DATE/TIME:

  Date

• Third Check

• DATE/TIME:

  Date

• SHARP IMPLEMENTS, WEAR/BREAKAGE OF EQUIPMENT

• Acceptable?

  Yes

  No

  N/A

• SIGN:

  Sign

• DATE/TIME:

  Date

CORRECTIVE ACTION REPORT:

• Identify and Eliminate the Cause of the Deviation:

• Actions to bring the Area back under control:

• Preventative Measures:

• Product Affected: Y or N