Title Page
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Audit Title
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Conducted on
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Prepared by
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Location
Maintenance Department/Contractor This document details the work being carried out followed by a hand back to production.
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Plant and area affected.
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Choose your site
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Task Description
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Risk Rating
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Using the risk matrix calculate the risk rating.
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Date and Time work undertaken
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Permit/SOP Number
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Will production continue on lines either side of the work area ?
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If yes above, specify the production being carried out and the proximity. Less than 5 Metres requires controls put in place.
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What type of work is being carried out ?
- Welding/Soldering
- Cutting/Drilling (Steel)
- Grinding/Polishing
- Electrical cabling and wiring
- Stripping and Painting
- Drilling (Concrete)
- Mechanical installation of parts
- Resurfacing (floors)
- Service and Lubrication
- Woodwork
- Plumbing/Insulation
- Nil
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What type of foreign matter will be /is expected to be generated ?
- Droplets(lubricant/oil)
- Droplets(paint)
- Droplets(chemicals,thinners,cleaners)
- Fumes
- Grinding Dust and drilling swarf (steel)
- Dust (concrete)
- Adhesive Tape(eg insulation)
- Grainy Residue(floor resin)
- Wood pieces and splinters
- Concrete debris (stones/aggregate)
- Glues,sealants,adhesives
- Electrical(plastic,cabling,wiring)
- Electrical (wire strands,connectors)
- Nuts,Bolts,Spacers,Washers,screws
- Smoke
- Cardboard/Packing waste
- Rubber,glass,plastic pieces
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List all controls put in place: eg.physical barriers, suppression,cloth drops,screens,extraction, cleaners in attendance.
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What actions will be taken after completion of work and prior to hand back to Production ?
- Dry Vacuum and inspection
- Water rinse and inspection
- Full CIP cycle and inspection
- Dry sweep/brush/shovel
- Wet sweep/brush clean
- Wet vacuum clean
- Air sampling plates
- Wet Vacuum clean - mobile scrubber
- Re-rubbering(replace rubber/orings)
- Check orientation of valves
- Inspect filters
- Contract cleaner to complete a final clean
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Have you completed a foreign matter inspection ?
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List any items found - on food stream,above food stream, in 10m radius of work area.
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Is the area clean ?
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Engineering/Contract 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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Production/QA Representative I am satisfied that the area has been left in a clean and food safe condition. list name and sign.