Title Page

  • Conducted on

  • Prepared by

PPE Station above lab

  • All ppe dispensers are stocked?

  • Mirror is fixed to wall and clean ?

  • Area is clean and tidy ?

  • Any comments ?

Pedestrian walk-way towards tank farm

  • Any cobwebs and dust visible from top of staircase by the lab ?

  • Wall separating glass line and walk-way is clean ?

  • Floor along walk-way is clean and free of glass or any other debris ?

  • Area behind sand-filter is clean ?

  • Tank CIP equipment is clean and dust free ?

  • No cobwebs on wall above pedestrian access door ?

  • No visible gaps around door?

  • Pedestrian access door is shut ?

  • Pedestrian door - access control is functional ?

  • Pest control equipment fastened and working ?

Flow plate room and walk-way along tanks

  • Pest control equipment is fastened and working ?

  • Electrical cabinet door is locked ?

  • All valves are closed/capped ?

  • No cobwebs visible ?

  • No weeds growing from concrete walk-way ?

  • Walk-way is clean and tidy ?

  • Pump room is clean and tidy ?

  • Pedestrian door - access control is functional ?

  • Any comments ?

Area from tank farm towards Goods In

  • Green storage unit is locked ?

  • No random final product pallets ?

  • No random half used raw materials ?

  • Area around and behind Sidel 1 chiller is clean?

  • Any comments ?

Goods in area towards CO2 storage

  • Area around electrical station is clean and tidy ?

  • No random final product or half used raw materials ?

  • Area towards CO2 storage is clean and tidy ?

  • CO2 storage and gas cylinder storage is locked ?

  • Area around glass skip is clean and tidy ?

  • Gate leading to parking area is locked ?

  • All staff are wearing hi-vis in goods-in area ?

  • Area around water pump is clean and tidy ?

  • Any comments ?

Compressor room and surrounding area

  • No gaps or holes in wall of compressor room ?

  • Area around phone mast is tidy, free of rubbish and vegetation is tidy ?

  • Any comments ?

Chemical storage units for acids and alkaline

  • Both units are locked ?

  • Inside of units are clean and tidy ?

  • All chemicals have data sheets present ?

  • All chemical stored on a bund ?

  • Units have lights and are ventilated ?

Raw Material Storage Tent

  • Area around the outside of tent is free of rubbish and vegetation is maintained ?

  • Tent roller door is shut ?

  • Pedestrian door is shut ?

  • All raw materials are on a pallet - not on the floor ?

  • All raw material boxes and other raw materials are in-tact with no damage visible ?

  • No visible gaps around doors to allow pest access ?

  • Floor is clean ?

  • Any comments ?

Area between 5 litre and Sidel 2

  • Large roller doors are shut ?

  • Yellow railings, top of sand filter, floor and top of chiller is free of dust build-up ?

  • Area behind chiller is free of debris ?

  • PPE dispensers are well stocked ?

  • 5 Litre hand washing facility is in working order ?

  • Enough soap and sanitizer in dispensers ?

  • Dispensers tops and underneath are clean ?

  • Access control to production line is functional ?

5 Litre line

  • Area behind filter sets are clean and tidy ?

  • No leaks from filter housings ?

  • Side panels of blower is clean ?

  • No build up of debris/dirt in filler area ?

  • Preform hopper is clean ?

  • Clear control of traceability of preforms in place ?

  • Preform heating chamber is clean ?

  • Transfer area between blower and filler is clean ?

  • No observable foreign body risks in filling/capping area , including swarf control?

  • Conveyors leading from filler exit towards labeller are clean and area underneath is clean ?

  • Tool trolley is locked, with up to date inventory present ?

  • No nuts and bolts laying around ?

  • Labeller is clean and tidy ?

  • Glue solvent container lid is closed ?

  • Only labels for current product ?

  • Bottle label reels are covered when not in use ?

  • Handle applicator is clean ?

  • Drip trays in this area are clean ?

  • Operators desk is clean and tidy ?

  • No random tools and bits at back and sides of desk ?

  • All CIP paperwork completed correctly ?

  • Only our own brand water in drinks fridges ?

  • Only company issued pens in use ?

  • Production paperwork filled in correctly and no pre-filled paperwork ?

  • Scale and line weight is present and weighs correctly ?

  • Staff in area are wearing required ppe with hairnets OVER ears ?

  • Staff wearing clean coats and hi-vis ?

  • SMI machine is clean, top,sides and underneath ?

  • No product from previous run underneath palletiser/wrapping area ?

  • No raw materials or product on floor ?

  • Pallet labelling desk is clean and tidy ?

  • No drinks on flt or dotted around the line ?

  • All side doors are shut ?

  • Pallet conveyor to 5 litre warehouse area is clean underneath ?

  • Strip curtains present between production line and 5 litre warehouse ?

  • All pest control equipment is fastened and functioning ?

  • All raw material containers are whole ?

5Litre warehouse extension

  • Doors are shut ?

  • Doors have functional access control ?

  • No gaps visible around doors ?

  • Area is covered by cctv ?

  • Pest control equipment is fastened and working ?

  • No product or raw materials on floor ?

Bottom tank farm flow plate room

  • Doors are shut ?

  • Access control is functional ?

  • Gaps visible around doors ?

  • Chemicals used for 5litre cip is on a bund and chained up ?

  • CIP tanks are clean inside, outside and underneath ?

  • No dirt marks on walls or cob webs ?

  • Tank area is clean and tidy ?

  • Area in front of flow plate room is clean and tidy ?

  • Area behind flow plate room - no overgrown vegetation and rubbish ?

Sidel 2

  • Bins outside Sidel 2 entrance are not overflowing ?

  • Sidel 2 entrance door access control is functional ?

  • Strip curtains and entrance area is clean ?

  • Hand washing equipment is functional and clean ?

  • Wall along hand wash area is clean ?

  • Clothing hanging from correct hooks for work and own clothing areas ?

  • PPE dispensers are well stocked ?

  • Enough soap and sanitizer in dispensers ?

  • Dispensers tops and underneath are clean ?

  • Mould box covers are clean ?

  • Drains are clean ?

  • Carbonator Area - floor under conveyors are clean ?

  • Tool used for pushing bottles on table is clean ?

  • Area behind and underneath filter sets are clean and tidy ?

  • No leaks from filter housings ?

  • Side panels of blower is clean ?

  • No pipes on the floor ?

  • CIP area is clean and tidy ?

  • CIP PPE cabinets are stocked and clean ?

  • CIP test strips and titrant bottles are in date ?

  • Preform hopper is clean - check sides, top and underneath?

  • Preform conveyor is free of debris build up - check up stairs?

  • Clear control of traceability of preforms in place ?

  • Any risk of foreign bodies in this area getting into preforms ?

  • No observable foreign body risks in blowing/filling/capping area , including swarf control?

  • No black mould in hard to reach areas of filler/capper area?

  • No cracked plastic that is not monitored ?

  • Conveyors leading from filler exit towards labeller are clean and area underneath is clean ?

  • Transfer area between blower and filler is clean ?

  • No nuts and bolts laying around ?

  • Control panel station is clean and tidy, no random bits and tools ?

  • Gloves and sanitiser available for operators to go in filler ?

  • Bottle cutting - checks are in spec ?

  • Labeller is clean and tidy, inside and underneath ?

  • Glue solvent container lid is closed ?

  • Only labels for current product ?

  • Bottle label reels are covered when not in use ?

  • Drip trays in this area are clean ?

  • Operators desk is clean and tidy ?

  • No random tools and bits at back and sides of desk ?

  • All CIP paperwork completed correctly ?

  • Only our own brand water in drinks fridges ?

  • Only company issued pens in use ?

  • Production paperwork filled in correctly and no pre-filled paperwork ?

  • Scale and line weight is present and weighs correctly ?

  • Thermometer and pressure gauge present ?

  • Staff in area are wearing required ppe with hairnets OVER ears ?

  • Staff wearing clean coats and hi-vis ?

  • No product or raw materials from previous run on floor - in bottom SMI area ?

  • Cap hopper lids are shut ?

  • Cap hoppers are clean inside, underneath and tops ?

  • Green tubs are clean ?

  • No cardboard/cellotape engineering ?

  • No raw materials or product on floor ?

  • No drinks on flt or dotted around the line ?

  • All side doors are shut ?

  • Staircase leading to warehouse is clean ?

  • Sanitiser dispenser is well stocked and clean ?

  • All pest control equipment is fastened and functioning ?

  • All raw material containers are whole ? -no damage

  • Top floor SMI area is clean and tidy ?

  • Top SMI is clean inside, underneath and the top ?

  • Any final product on floor under palletiser area ?

  • All lights are working ?

  • Any comments ?

Warehouse

  • Despatch area is clean and tidy, no random bottles or items laying around ?

  • Pedestrian access doors are shut ?

  • Pedestrian doors have access control ?

  • Area outside despatch cabin is free of rubbish ?

  • No mixed product on part pallets ?

  • No bits of wood put on pallets ?

  • Warehouse desk is clean and tidy ?

  • No other brand water or food on flts ?

  • Warehouse floor is clear of debris and build up of dust ?

Sidel 1

  • Sidel 1 entrance door access control is functional ?

  • Sidel 1 roller doors are functional ?

  • Hand washing equipment is functional and clean ?

  • Wall along hand wash area is clean ?

  • Clothing hanging from correct hooks for work and own clothing areas ?

  • PPE dispensers are well stocked ?

  • Enough soap and sanitizer in dispensers ?

  • Dispensers tops and underneath are clean ?

  • No leaks from filter housings ?

  • No pipes on the floor ?

  • Area behind and underneath filter sets are clean and tidy ?

  • Carbonator Area - floor under conveyors are clean ?

  • Mould box covers are clean ?

  • CIP area is clean and tidy ?

  • CIP PPE cabinets are stocked and clean ?

  • CIP test strips and titrant bottles are in date ?

  • Drains are clean ?

  • Side panels of blower is clean ?

  • Dirt build up in hard to reach areas ?

  • Preform hopper is clean - check sides, top and underneath?

  • Preform conveyor is free of debris build up - check up stairs?

  • Clear control of traceability of preforms in place ?

  • Any risk of foreign bodies in this area getting into preforms ?

  • No observable foreign body risks in blowing/filling/capping area , including swarf control?

  • No black mould in hard to reach areas of filler/capper area?

  • No cracked plastic that is not monitored ?

  • Conveyors leading from filler exit towards labeller are clean and area underneath is clean ?

  • Transfer area between blower and filler is clean ?

  • No nuts and bolts laying around ?

  • Control panel station is clean and tidy, no random bits and tools ?

  • Labeller is clean and tidy, inside and underneath ?

  • Glue solvent container lid is closed ?

  • Only labels for current product ?

  • Bottle label reels are covered when not in use ?

  • Green tubs are clean ?

  • Drip trays in this area are clean ?

  • Operators desk is clean and tidy ?

  • Bottle cutting - checks are in spec ?

  • No random tools and bits at back and sides of desk ?

  • All CIP paperwork completed correctly ?

  • Only our own brand water in drinks fridges ?

  • Only company issued pens in use ?

  • Production paperwork filled in correctly and no pre-filled paperwork ?

  • Scale and line weight is present and weighs correctly ?

  • Thermometer and pressure gauge present ?

  • Staff in area are wearing required ppe with hairnets OVER ears ?

  • Staff wearing clean coats and hi-vis ?

  • Bottom SMI machine is clean, - top, sides and underneath ?

  • No product or raw materials from previous run on floor - in bottom SMI area ?

  • No cardboard/cellotape engineering ?

  • No raw materials or product on floor ?

  • No drinks on flt or dotted around the line ?

  • All side doors are shut ?

  • Staircase leading to warehouse is clean ?

  • Sanitiser dispenser is well stocked and clean ?

  • All pest control equipment is fastened and functioning ?

  • All raw material containers are whole ? -no damage

  • No final product on floor under palletiser area ?

  • SMI drip trays are clean ?

  • SMI is clean inside, underneath and tops ?

  • SMI operator is recording hourly checks and 2nd signatures are present as appropriate ?

  • Current product spec is available ?

  • No drinks in the SMI/ warehouse entrance area of Sidel 1 ?

Engineering workshop

  • Pedestrian door is shut ?

  • The access control on door is functional ?

  • No visible gaps around the door ?

  • Tool check records are up to date ?

  • Lubricant lockers are locked ?

  • No wooden tools ?

Canteens and staff facilities

  • No dirt marks on wall, cob webs or dust build up ?

  • Fridges and microwaves are clean ?

  • No sign of nuts or products thereof ?

  • No other brands of product in canteen? ( only our own allowed)

  • Pest control equipment is fastened and working ?

  • Lockers in changing areas have no debris on floor underneath or dust on top ?

  • No food visible in open lockers ?

Syrup Room

  • Hand washing facilities are clean and stocked ?

  • Staff are wearing PPE correctly with hairnets OVER ears.

  • Staff coats and ppe is clean ?

  • No Fine ingredients directly on floor ?

  • Current production test results are in spec ?

  • 50 micron sieve checks have been recorded correctly ?

  • CIP records are up to date and completed correctly ?

  • Fine ingredient tubs underneath counter are clean ?

  • No foreign body risk to fine ingredients ?

  • No mould on tanks, at back or underneath the tanks ?

  • No mould around filter set area ?

  • No leaks from filter housings ?

Glass line

  • Hand washing facilities are clean and stocked ?

  • Staff are wearing PPE correctly and hairnets over ears ?

  • Line paperwork is accurate and not pre-filled ?

  • CIP records are current and have been completed correctly ?

  • Bottle rinser is in operation ?

  • No broken glass visible in filler ?

  • De-pal breakage/cleaning sheet is current and completed accurately ?

  • No build up of dirt or dust on ink coder ?

  • No build up of dirt or dust on labeller ?

  • No build up of dirt or dust on SMI, inside tops and underneath machine ?

  • No foreign body risk to open/exposed bottles ?

  • No sign or previously run product ?

  • No leaks from filter housings ?

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.