Title Page

  • Conducted on

  • Prepared by

  • Location

List of Glass or Brittle Plastic

Glass or Brittle Plastic Identified

Ingredient Area

  • Halogen Lights-3

  • Fly Lights

  • Exit Lights

Production Area

  • Halogen Lights-16

  • Small Rilling Machine Guards

  • Small Mixer Guards

  • Fly Lights-6

  • Large Rolling Machine Guards

Proofer

  • Plastic Light Covers

Retarder

  • Plastic Light Covers-4

Freezer Side

  • Halogen Lights-4

  • Fly Lights

  • Exit Signs

Freezer

  • Light Covers-5

Audit Results

  • List of Brittle and Hard Plastic is complete.

  • All items are in good/acceptable condition.

  • Observe QA Technician verification of light covers

  • Department QA Verified

  • Miscellaneous notes from the audit

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