• Conducted on

  • Room Location

  • Previous Order Item Number

  • Previous Order Clean Type

  • Item Number

  • Description

  • Clean Type

  • Top Mezzanine Condition

  • Enter Corrective Actions taken

  • Is Hopper Lid Closed?

  • Enter Corrective Actions taken

  • Hopper Condition

  • Enter Corrective Actions taken

  • Rotary Valve Condition

  • Enter Corrective Actions taken

  • Auger Condition

  • Enter Corrective Actions taken

  • Magnets Condition

  • Enter Corrective Actions taken

  • Are Magnets in the right slots?

  • Enter Corrective Actions taken

  • Check Weigher Condition

  • Enter Corrective Actions taken

  • Conveyor Condition

  • Enter Corrective Actions taken

  • Tape Machine Condition

  • Enter Corrective Actions taken

  • Comments

  • Photo Evidence

  • Area Photos
  • Photo

  • Done by - Signature

  • Verified by - Signature

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