Maintenance Department/Contractor This document details the work being carried out followed by a hand back to production.

  • Plant and area affected.

  • Choose your site

  • Task Description

  • Risk Rating

  • Using the risk matrix calculate the risk rating.

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  • Date and Time work undertaken

  • Permit/SOP Number

  • Will production continue on lines either side of the work area ?

  • If yes above, specify the production being carried out and the proximity. Less than 5 Metres requires controls put in place.

  • What type of work is being carried out ?

  • What type of foreign matter will be /is expected to be generated ?

  • List all controls put in place: eg.physical barriers, suppression,cloth drops,screens,extraction, cleaners in attendance.

  • What actions will be taken after completion of work and prior to hand back to Production ?

  • Have you completed a foreign matter inspection ?

  • List any items found - on food stream,above food stream, in 10m radius of work area.

  • Is the area clean ?

  • Engineering/Contract Representative I am satisfied that the area has been left in a clean and food safe condition. List name and sign.

  • Production/QA Representative I am satisfied that the area has been left in a clean and food safe condition. list name and sign.

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