Information

  • Site conducted

  • Document No.

  • Audit Title

  • Factory

  • Department / Division

  • Inspection Date

  • Inspected by

  • Accompanied by

1. Locker / Changing Room

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Door & Windows

  • Commitment Date & PIC

  • e) Locker

  • Commitment Date & PIC

  • f) Fan

  • Commitment Date & PIC

  • g) Trash Bin

  • Commitment Date & PIC

  • h) Shoes Rack

  • Commitment Date & PIC

  • i) Bench

  • Commitment Date & PIC

  • j) Floor Mat / Carpet

  • Commitment Date & PIC

  • k) Sticky Roller Board

  • Commitment Date & PIC

  • l) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • m) Others

  • Commitment Date & PIC

2. Handwashing Area Entrance

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Door

  • Commitment Date & PIC

  • e) Hand Washing Sink & Pipe

  • undefined

  • f) Mirror

  • Commitment Date & PIC

  • g) Fan

  • Commitment Date & PIC

  • h) Hand Dryer

  • Commitment Date & PIC

  • i) Water Pipe

  • Commitment Date & PIC

  • j) Plastic Strip Curtain

  • Commitment Date & PIC

  • k) Floor Mat / Carpet

  • Commitment Date & PIC

  • l) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • m) Others

  • Commitment Date & PIC

3. Chemical Room

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Door

  • Commitment Date & PIC

  • e) Rack

  • Commitment Date & PIC

  • f) Material Arrangement

  • Commitment Date & PIC

  • g) Utensils (Cleaning tools, karcher, scrapper, brush etc.)

  • Commitment Date & PIC

  • h) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • i) Others (PPE storage& condition, etc.)

  • Commitment Date & PIC

4. Washing Area

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Sink & Bench

  • Commitment Date & PIC

  • e) Pipe

  • Commitment Date & PIC

  • f) Door

  • Commitment Date & PIC

  • g) Trash Bin

  • Commitment Date & PIC

  • h) Ventilation (Wire mesh at wall)

  • Commitment Date & PIC

  • i) Drainage

  • Commitment Date & PIC

  • j) Hot Water Tank

  • Commitment Date & PIC

  • k) Material & Cleaning Tools Arrangement

  • Commitment Date & PIC

  • l) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • m) Others

  • Commitment Date & PIC

5. Butter Waffles Mixing Room

  • a) Floor

  • Commitment Date & PIC

  • b) Wall & Notice Board

  • Commitment Date & PIC

  • c) Control Panel

  • Commitment Date & PIC

  • d) Ceiling & Lighting

  • Commitment Date & PIC

  • e) Door / Sliding Door & Window

  • Commitment Date & PIC

  • f) Fan

  • Commitment Date & PIC

  • g) Dustbin

  • Commitment Date & PIC

  • h) Utensils (Scoop, scrapper, dough pail, metal tray,etc.)

  • Commitment Date & PIC

  • i) Equipments

  • Commitment Date & PIC

  • j) Air Conditioner Room

  • Commitment Date & PIC

  • k) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • l) Others

  • Commitment Date & PIC

6. Butter Waffles Oven Area

  • a) Floor

  • Commitment Date & PIC

  • b) Wall / Notice Board

  • Commitment Date & PIC

  • c) Control Panel

  • Commitment Date & PIC

  • d) Ceiling & Lighting

  • Commitment Date & PIC

  • e) Ventilator Fan

  • Commitment Date & PIC

  • f) Door

  • Commitment Date & PIC

  • g) Equipment (Dough hopper, Wire mesh conv., Cutter, dough roller, nozzle)

  • Commitment Date & PIC

  • h) Utensils

  • Commitment Date & PIC

  • i) Others (Air compressor, piping, etc.)

  • Commitment Date & PIC

  • j) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • k) Others

  • Commitment Date & PIC

7. Wafer Book Oven Area

  • a) Floor

  • Commitment Date & PIC

  • b) Wall, Divider & Notice Board

  • Commitment Date & PIC

  • c) Control Panel

  • Commitment Date & PIC

  • d) Ceiling & Lighting

  • Commitment Date & PIC

  • e) Wafer Book Cooler

  • Commitment Date & PIC

  • f) Sliding Door

  • Commitment Date & PIC

  • g) Dehumidifier

  • Commitment Date & PIC

  • h) Utensils

  • Commitment Date & PIC

  • i) Equipment (Cutter, dividing table, wire mesh conv., metal detector, etc.)

  • j) Moveable Stairs

  • Commitment Date & PIC

  • k) Ventilation (Fan, air conditioner, etc.)

  • Commitment Date & PIC

  • l) Plastic Strip Curtain

  • Commitment Date & PIC

  • m) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • n) Others

  • Commitment Date & PIC

8. Wafer Roll Oven Area

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Door

  • Commitment Date & PIC

  • d) Ceiling & Lighting

  • Commitment Date & PIC

  • e) Ventilation (Blower, Fan, etc)

  • Commitment Date & PIC

  • f) Utensil (Water tank, tube, scrapper, spindle, etc.)

  • Commitment Date & PIC

  • g) Equipment (Oven, conveyer, double deck conveyer, etc.)

  • Commitment Date & PIC

  • h) Batter Pump Station

  • Commitment Date & PIC

  • i) Stair

  • Commitment Date & PIC

  • j) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • k) Others

  • Commitment Date & PIC

9. Cream Preparation Area

  • a) Floor

  • Commitment Date & PIC

  • b) Wall & Control Panel

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Ventilation (Fan, Blower)

  • Commitment Date & PIC

  • e) Trolley

  • Commitment Date & PIC

  • f) Dustbin

  • Commitment Date & PIC

  • g) Racks

  • Commitment Date & PIC

  • h) Weighing Bridge

  • Commitment Date & PIC

  • i) Utensils

  • Commitment Date & PIC

  • j) Equipments (Vibration sifter, ball mill, GTP mixer, tempering tank, etc.)

  • Commitment Date & PIC

  • k) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • l) Others

  • Commitment Date & PIC

10. Sugar Grinding Room

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Door

  • Commitment Date & PIC

  • e) Equipment

  • Commitment Date & PIC

  • f) Sugar Tub

  • Commitment Date & PIC

  • g) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • h) Others

  • Commitment Date & PIC

11. Cold Room

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Door

  • Commitment Date & PIC

  • e) Plastic Strip Curtain

  • Commitment Date & PIC

  • f) Material Arrangement (Allergen/Non-Allergen) & Rack

  • Commitment Date & PIC

  • g) Panel Box (Outside Cold Room)

  • Commitment Date & PIC

  • h) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • i) Others

  • Commitment Date & PIC

12. Loading Bay (Ground Floor & First Floor)

  • a) Shutter Door

  • Commitment Date & PIC

  • b) Floor

  • Commitment Date & PIC

  • c) Ceiling

  • Commitment Date & PIC

  • d) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • e) Others

  • Commitment Date & PIC

13. Staircase (From Production to Raw Mat. Store)

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling

  • Commitment Date & PIC

  • d) Lighting

  • Commitment Date & PIC

  • e) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • f) Others

  • Commitment Date & PIC

14. Raw Material Storage Area

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Door

  • Commitment Date & PIC

  • e) Materials Arrangement

  • Commitment Date & PIC

  • f) Weighing Scales

  • Commitment Date & PIC

  • g) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • h) Others

  • Commitment Date & PIC

15. Minor Ingredient Weighing & Preparation Room

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Ceiling & Lighting

  • Commitment Date & PIC

  • d) Racks/ Shelves

  • Commitment Date & PIC

  • e) Utensils (Scoop, bottles, scrapper, etc.)

  • Commitment Date & PIC

  • f) Plastic Container

  • Commitment Date & PIC

  • g) Door

  • Commitment Date & PIC

  • h) Material Arrangement

  • Commitment Date & PIC

  • i) Raw Materials Condition

  • Commitment Date & PIC

  • j) Equipment (Robo cutter, conching machine, etc.)

  • Commitment Date & PIC

  • k) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • l) Others

  • Commitment Date & PIC

16. Batter Mixing Room

  • a) Floor / Drainage

  • Commitment Date & PIC

  • b) Wall & Notice Board

  • Commitment Date & PIC

  • c) Control Panel

  • Commitment Date & PIC

  • d) Ceiling & Lighting

  • Commitment Date & PIC

  • e) Chiller

  • Commitment Date & PIC

  • f) Sugar Syrup Tank / Water Tank

  • Commitment Date & PIC

  • g) Water Filter

  • Commitment Date & PIC

  • h) Sink

  • Commitment Date & PIC

  • i) Egg Weighing Table / Egg Weighing Scale

  • Commitment Date & PIC

  • j) Tables / Racks / Shelves

  • Commitment Date & PIC

  • k) Sugar Syrup Pipe / Water Pipe / Batter Pipe

  • Commitment Date & PIC

  • l) Utensils (Scoop, bottles, scrapper, plastic jar, etc.)

  • Commitment Date & PIC

  • m) Equipments (Vibration sifter, mixer, etc.)

  • Commitment Date & PIC

  • n) Trolley / Pallet Truck

  • Commitment Date & PIC

  • o) Ventilation (Air cond., blue filter)

  • Commitment Date & PIC

  • p) Door & Windows

  • Commitment Date & PIC

  • q) Raw Materials Condition

  • Commitment Date & PIC

  • r) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • s) Others

  • Commitment Date & PIC

17. Packaging Material Store

  • a) Floor

  • Commitment Date & PIC

  • b) Ceiling

  • Commitment Date & PIC

  • c) Wall

  • Commitment Date & PIC

  • d) Roof

  • Commitment Date & PIC

  • e) Pallets

  • Commitment Date & PIC

  • f) Arrangement of Material

  • Commitment Date & PIC

  • g) Material Reject Area

  • Commitment Date & PIC

  • h) Packaging Material

  • Commitment Date & PIC

  • i) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • j) Others

  • Commitment Date & PIC

18. Packing Area

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Door / Plastic Curtain Strip

  • Commitment Date & PIC

  • d) Ceiling

  • Commitment Date & PIC

  • e) Equipment

  • Commitment Date & PIC

  • f) Utensil

  • Commitment Date & PIC

  • g) Hand Washing Area

  • Commitment Date & PIC

  • h) Air Conditioner Room

  • Commitment Date & PIC

  • i) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • j) Others

  • Commitment Date & PIC

19. Packing Preparation Area

  • a) Packaging Materials

  • Commitment Date & PIC

  • b) Pallets

  • Commitment Date & PIC

  • c) Wall

  • Commitment Date & PIC

  • d) Floor

  • Commitment Date & PIC

  • e) Ceiling

  • Commitment Date & PIC

  • f) Utensils

  • Commitment Date & PIC

  • g) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • h) Others

  • Commitment Date & PIC

20. Finished Goods Store

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Pallets

  • Commitment Date & PIC

  • d) Utensil

  • Commitment Date & PIC

  • e) Finished Good Condition

  • Commitment Date & PIC

  • f) Ceiling

  • Commitment Date & PIC

  • g) Rack

  • Commitment Date & PIC

  • h) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

21. Warehouse

  • a) Floor

  • Commitment Date & PIC

  • b) Racking

  • Commitment Date & PIC

  • c) Pallets

  • Commitment Date & PIC

  • d) Lighting

  • Commitment Date & PIC

  • e) Wall

  • Commitment Date & PIC

  • f) Ceiling

  • Commitment Date & PIC

  • g) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • h) Others

  • Commitment Date & PIC

22. Rejected Biscuits Grinding Area

  • a) Condition of Rejected Biscuits

  • Commitment Date & PIC

  • b) Grinding Machine

  • Commitment Date & PIC

  • c) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • d) Others

  • Commitment Date & PIC

23. Raw Material Receiving Bay

  • a) Floor

  • Commitment Date & PIC

  • b) Ceiling

  • Commitment Date & PIC

  • c) Wall

  • Commitment Date & PIC

  • d) Condition of Glass, Ceramic & Brittle Materials

  • Commitment Date & PIC

  • e) Others

  • Commitment Date & PIC

24. Waste Disposal Area

  • a) Floor

  • Commitment Date & PIC

  • b) Shutter Door

  • Commitment Date & PIC

  • c) Others

  • Commitment Date & PIC

25. Workshop Area

  • a) Floor

  • Commitment Date & PIC

  • b) Wall

  • Commitment Date & PIC

  • c) Material Arrangement

  • Commitment Date & PIC

  • d) Others

  • Commitment Date & PIC

26. Surrounding Area

  • a) Five - Foot Way

  • Commitment Date & PIC

  • b) Guardhouse

  • Commitment Date & PIC

  • c) Toilet

  • Commitment Date & PIC

  • d) Bilik Timbang

  • Commitment Date & PIC

  • e) Hand Washing Sink

  • Commitment Date & PIC

  • f) Canteen

  • Commitment Date & PIC

  • g) Garden

  • Commitment Date & PIC

  • h) Others

  • Commitment Date & PIC

Completion

  • Remarks:

  • Reviewed by (Full name):

  • Date:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.