Information
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Conducted on
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Prepared by
Glass, Brittle & Hard Plastic Verification
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Glass, Brittle and Hard Plastics shall be checked prior to, and after, each production shift for breakage, wear, or any missing pieces. Items shall be considered either acceptable as not showing any breakage, wear, or missing pieces, and unacceptable if any of the deficiencies is found.
PRE-SHIFT INSPECTION:
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Pre-Shift Inspection QFS Initials:
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DATE/TIME:
RTE AREA- Hallway: ALARM CONTROL CASE
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-Door Windows (2)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-Fryer Lights
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-Light Covers (12)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-Printer
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-Scale Screen
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-Switch Covers (5)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-Vector Fly Light
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-Waterline Gauge
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-A/C Unit Piping
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Conveyor Knobs
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Door Windows (2)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Handwash Sink Sensor (1)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Light Covers (4)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Shrink Tunnel Gauge
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Soap Dispenser (1)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Switch Cover (1)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Vacuum Sealer Lid
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Pre-Shift:
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ACCEPTABLE?
RTE AREA- Pack-Waterline Gauge
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-A/C Unit Piping
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-Handwash Sink Sensor (1)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-Light Covers (4)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-Metal Detector Air-Gauge
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-Metal Detector Chain Cover
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-Metal Detector Screen
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-Soap Dispenser (1)
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-T-570 Air Guage
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-T-570 Control Panel
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-Urschel E-Stop Knob
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Pre-Shift:
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ACCEPTABLE?
RTE AREA-C11-Vacuum Sealer Panel
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Pre-Shift:
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ACCEPTABLE?
OVERHEAD SPEAKERS:
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Pre-Shift:
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ACCEPTABLE?
DRAIN GRATES:
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Pre-Shift:
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ACCEPTABLE?
CARTS/WHEELS:
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Pre-Shift:
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ACCEPTABLE?
CAMERA COVERS:
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Pre-Shift:
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ACCEPTABLE?
HOSES:
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Pre-Shift:
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ACCEPTABLE?
CORDS:
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Pre-Shift:
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ACCEPTABLE?
POST_SHIFT INSPECTION:
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Post-Shift Inspection QFS Initials:
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DATE/TIME:
RTE AREA- Hallway: ALARM CONTROL CASE
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-DOOR WINDOWS (2)
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-FRYER LIGHTS:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-LIGHT COVERS (12)
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-PRINTER:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-SCALE SCREEN:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-SWITCH COVERS (5):
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-VECTOR FLY LIGHT:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Hallway-WATERLINE GAUGE:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-A/C UNIT PIPING:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-CONVEYOR KNOBS:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-DOOR WINDOWS:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-HANDWASH SINK SENSOR (2):
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-LIGHT COVERS (4):
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-SHRINK TUNNEL GAUGE:
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-SOAP DISPENSER (1)
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-SWITCH COVERS (1):
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-VACUUM SEALER LID
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Post-Shift:
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ACCEPTABLE?
RTE AREA- Pack-WATERLINE GAUGE:
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-A/C UNIT PIPING:
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11- Handwash Sink Sensor (1)
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-Light Covers (4)
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-Metal Detector Air-Gauge
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-Metal Detector Chain Cover
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-Metal Detector Screen
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-Soap Dispenser (1)
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-T-570 Air Guage
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-T-570 Control Panel
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-Urschel E-Stop Knob
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Post-Shift:
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ACCEPTABLE?
RTE AREA-C11-Vacuum Sealer Panel
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Post-Shift:
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ACCEPTABLE?
CORDS:
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Post-Shift:
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ACCEPTABLE?
HOSES:
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Post-Shift:
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ACCEPTABLE?
CAMERA COVERS:
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Post-Shift:
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ACCEPTABLE?
CARTS/WHEELS:
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Post-Shift:
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ACCEPTABLE?
DRAIN GRATES:
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Post-Shift:
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ACCEPTABLE?
OVERHEAD SPEAKERS:
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Post-Shift:
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ACCEPTABLE?
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COMMENTS:
Operational Sanitation Report
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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.
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QFS Initials:
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AREA:
FIRST CHECK:
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FIRST CHECK Date/Time:
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PERSONAL ITEMS OFF OF THE FLOOR
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HAND-WASH STATIONS STOCKED
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HOUSEKEEPING, INCLUDING TRASH
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PACKAGING MATERIAL STORED APPROPRIATELY
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PRODUCT SAFETY (covered or protected)
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CONDENSATION (Clean and Chemical Concentration)
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DRAINS
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FOOTBATH
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SHARP IMPLEMENTS, WEAR/BREAKAGE OF EQUIPMENT
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Acceptable?
SECOND CHECK:
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SECOND CHECK Date/Time:
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Employee GMPs (5 team members)
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Employee GMPs (5 team members)
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PERSONAL ITEMS OFF OF THE FLOOR
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HAND-WASH STATIONS STOCKED
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HOUSEKEEPING, INCLUDING TRASH
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PACKAGING MATERIAL STORED APPROPRIATELY
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PRODUCT SAFETY (covered or protected)
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CONDENSATION (Clean and Chemical Concentration)
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TOOLS, DETERGENTS, CHEMICALS, & LUBRICANTS
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DRAINS
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FOOTBATH
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SHARP IMPLEMENTS, WEAR/BREAKAGE OF EQUIPMENT
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Acceptable?
THIRD CHECK:
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THIRD CHECK Date/Time:
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Employee GMPs (5 team members)
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PERSONAL ITEMS OFF OF THE FLOOR
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HAND-WASH STATIONS STOCKED
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HOUSEKEEPING, INCLUDING TRASH
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PACKAGING MATERIAL STORED APPROPRIATELY
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PRODUCT SAFETY (covered or protected)
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CONDENSATION (Clean and Chemical Concentration)
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TOOLS, DETERGENTS, CHEMICALS, & LUBRICANTS
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DRAINS
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FOOTBATH
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SHARP IMPLEMENTS, WEAR/BREAKAGE OF EQUIPMENT
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Acceptable?
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QFS Verification:
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DATE/TIME:
CORRECTIVE ACTION REPORT:
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Identify and Eliminate the Cause of the Deviation:
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Actions to bring the Area back under control:
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Preventative Measures:
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Product Affected: Y or N
Metal Detector Verification Log
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Foreign material detection equipment will be verified by a QFS technician at the beginning of the production shift, every hour of production, and at the end of the shift. If the foreign material detection equipment fails to detect the test samples, the line will be stopped immediately. All products back to the last acceptable verification will be placed on hold until they can be re-run through properly functioning foreign material detection equipment.
METAL DETECTOR
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS:
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS:
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS:
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS:
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS:
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS:
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS:
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS:
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DATE/TIME:
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4.0mm Ferrous
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4.5mm Non-Ferrous
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5.5mm Stainless Steel
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COMMENTS:
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INITIALS: