Glass, Brittle, and Hard Plastic Verification

  • INITIALS:

Injector Screen and Cover

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

Waterline Gauge

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

Water Meter (4)

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

Rack Scale

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

PVC in thaw room

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

Door Window (1)

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

Door Window (2)

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:DATE/TIME:

Door Window (3)

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

Door Window (4)

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

Lights

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

Soap Dispenser

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

CORDS:

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

HOSES:

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

CAMERA COVERS:

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

CARTS/WHEELS:

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

OVERHEAD SPEAKERS:

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

DRAIN GRATES:

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

OVERHEAD SPEAKERS:

  • Pre-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • Post-Shift:

  • ACCEPTABLE?

  • DATE/TIME:

  • COMMENTS:

Operational Sanitation Report

  • 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:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • PERSONAL ITEMS OFF OF THE FLOOR

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • HAND-WASH STATIONS STOCKED

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • HOUSEKEEPING, INCLUDING TRASH

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • PACKAGING MATERIAL STORED APPROPRIATELY

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • PRODUCT SAFETY (covered or protected)

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • PACKAGING MATERIAL STORED APPROPRIATELY

  • First Check

  • Second Check

  • Third Check

  • CONDENSATION (Clean and Chemical Concentration)

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • TOOLS, DETERGENTS, CHEMICALS, & LUBRICANTS

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • DRAINS

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • DATE/TIME:

  • FOOTBATH

  • First Check

  • DATE/TIME:

  • Second Check

  • DATE/TIME:

  • Third Check

  • DATE/TIME:

  • SHARP IMPLEMENTS, WEAR/BREAKAGE OF EQUIPMENT

  • Acceptable?

  • SIGN:

  • DATE/TIME:

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

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