Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • SCRAPERS/BRUSHES CONTROL- START UP CHECKS - FOREIGN BODY CONTROL

  • SCRAPER ONE

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • DATE/ TIME

  • ACTION NEEDED

SCRAPER TWO

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • DATE/TIME

  • ACTION NEEDED

SCRAPER THREE

  • INTACT

  • DAMAGED

  • AREA

  • REPLACEMENT NEEDED

  • DATE/TIME

  • ACTION NEEDED

SCRAPER FOUR

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • DATE/TIME

  • ACTION NEEDED

SCRAPER FIVE

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • DATE/TIME

  • ACTION NEEDED

SCRAPER SIX

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • DATE/TIME

  • ACTIOIN NEEDED

SCISSOR ONE

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • TIME

  • ACTION NEEDED

SCISSOR TWO

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • TIME

  • ACTION NEEDED

SCISSOR THREE

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • TIME

  • ACTION NEEDED

SCISSOR FOUR

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • TIME

  • ACTION NEEDED

BRUSHES

BRUSH ONE

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • TIME

  • ACTION NEEDED

BRUSH TWO

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • TIME

  • ACTION NEEDED

BRUSH THREE

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • TIME

  • ACTION NEEDED

BRUSH FOUR

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • DATE

  • ACTION NEEDED

BRUSH FIVE

  • AREA

  • INTACT

  • DAMAGED

  • REPLACEMENT NEEDED

  • DATE

  • ACTION NEEDED

COMPLETED AND VERIFIED

  • NAME

  • SIGNATURE

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