Information
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Conducted on
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Prepared by
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Verification:
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DATE/TIME:
Glass, Brittle, and Hard Plastic Verification
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INITIALS:
Tortilla Chunker Knobs
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Tortilla Chunker Gauges
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Mixer Control Panel
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Water Meter Panel
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Shortening Cutting Board
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Press Control Panel
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Press Control Knobs
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:DATE/TIME:
Oven Control Panel
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Oven Control knob
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Counter Control Panel
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Counter Control knobs
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
-
Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Mirror
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Door Window (1)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Door Window (2)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Door Window (3)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Door Window (4)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Door Window (5)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
-
Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Drop Door Flaps
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Oven Exhaust Gauge (1)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Oven Exhaust Gauge (2)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
RTE AREA-C11- Handwash Sink Sensor (1) Oven Exhaust Gauge (3)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Oven Waterline Gauge
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Switch Cover (1)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Switch Cover (2)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Switch Cover (3)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Switch Cover (4)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
-
Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Switch Cover (5)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Switch Cover (6)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (1)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (2)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (3)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (4)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (5)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (6)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (7)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
-
ACCEPTABLE?
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DATE/TIME:
Machine Window (8)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (10)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (11)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
-
Post-Shift:
-
ACCEPTABLE?
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DATE/TIME:
Machine Window (12)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (13)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (9)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (14)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (16)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (21)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (18)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (19)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (20)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (17)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (22)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Cooling Tower Windows
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Cooling Tower Belt
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Metal Detector Guards
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Metal Detector Belt
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Metal Detector E-Stop
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Curved Conveyor belt
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Counter Alarm Light
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Water Tank Thermometer
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Lights
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Clock (1)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Soap Dispenser (2)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
4x4 Wall Window
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Soap Dispenser (1)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
Machine Window (15)
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Pre-Shift:
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ACCEPTABLE?
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DATE/TIME:
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Post-Shift:
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ACCEPTABLE?
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DATE/TIME:
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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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Employee GMPs (5 team members)
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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PERSONAL ITEMS OFF OF THE FLOOR
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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HAND-WASH STATIONS STOCKED
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DATE/TIME:
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DATE/TIME:
-
DATE/TIME:
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HOUSEKEEPING, INCLUDING TRASH
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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PACKAGING MATERIAL STORED APPROPRIATELY
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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PRODUCT SAFETY (covered or protected)
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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PACKAGING MATERIAL STORED APPROPRIATELY
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CONDENSATION (Clean and Chemical Concentration)
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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TOOLS, DETERGENTS, CHEMICALS, & LUBRICANTS
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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DRAINS
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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FOOTBATH
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DATE/TIME:
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DATE/TIME:
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DATE/TIME:
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SHARP IMPLEMENTS, WEAR/BREAKAGE OF EQUIPMENT
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Acceptable?
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SIGN:
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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:
-
DATE/TIME:
-
4.0mm Ferrous
-
4.5mm Non-Ferrous
-
5.5mm Stainless Steel
-
COMMENTS:
-
INITIALS:
-
DATE/TIME:
-
4.0mm Ferrous
-
4.5mm Non-Ferrous
-
5.5mm Stainless Steel
-
COMMENTS:
-
INITIALS:
-
DATE/TIME:
-
4.0mm Ferrous
-
4.5mm Non-Ferrous
-
5.5mm Stainless Steel
-
COMMENTS:
-
INITIALS:
-
DATE/TIME:
-
4.0mm Ferrous
-
4.5mm Non-Ferrous
-
5.5mm Stainless Steel
-
COMMENTS:
-
INITIALS:
-
DATE/TIME:
-
4.0mm Ferrous
-
4.5mm Non-Ferrous
-
5.5mm Stainless Steel
-
COMMENTS:
-
INITIALS:
-
DATE/TIME:
-
4.0mm Ferrous
-
4.5mm Non-Ferrous
-
5.5mm Stainless Steel
-
COMMENTS:
-
INITIALS:
-
DATE/TIME:
-
4.0mm Ferrous
-
4.5mm Non-Ferrous
-
5.5mm Stainless Steel
-
COMMENTS:
-
INITIALS:
-
DATE/TIME:
-
4.0mm Ferrous
-
4.5mm Non-Ferrous
-
5.5mm Stainless Steel
-
COMMENTS:
-
INITIALS:
