Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT -
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE
NEW REPORT
-
DATE:
-
DEPARTMENT: (Select only ONE)
- ANIMAL FOOD ROOM
- BARNS / PENS
- BASEMENT STAIRS
- BOX RECEIVING
- CASING / TRIPE
- CHEMICAL ROOM
- COMMON HALLS
- DELIVERY TRUCKS
- DRY STORAGE B
- FREEZER
- HIDE ROOM
- HOLDING COOLER
- INEDIBLE ROOM
- KILL FLOOR
- KILL FLOOR BACK HALL
- LUNCH & CHANGE ROOM
- PACKAGE ROOM
- SHIPPING & RECEIVING
- SPIENDINI ROOM
- STORAGE ROOM
- WASHROOM F
- WASHROOM M
- WASHROOM P
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
EQUIPMENT: (Select only ONE)
- BAND SAW
- BINS
- BOOT WASH
- BRISKET SAW
- BRUTE PAILE
- BUGGIES
- CALF CRADLE
- CEILING
- CHUTE
- CHUTE & COVER
- CRADLES
- CURTAINS
- CUTTING BOARDS
- DOOR / HANDLES
- DOORS
- DRAINS & COVERS
- EAR TAG SHELF
- EXHAUST & FAN
- FLOOR
- FLOOR MATS
- FOOT PEDALS
- FREEZER TUBS
- GARBAGE BINS
- HANDWASH SINK
- HIDE PULLER
- HIDE TROLLEY
- HOIST HOOKS
- HOLSTERS
- HOSE WHEEL
- INEDIBLE DRUMS
- INSP. SHELF
- KNIFE RACK
- KNIFE SANITIZERS
- KNIVES
- KNIFE & UTENSILS
- LIGHTING
- LOADING DOOR
- MEAT BUGGIES
- MIRROR
- OFFICE
- OVERHEAD FAN
- PAIL BASES
- PLASTIC BINS
- PLASTIC SHELVES
- PLASTIC TUBS
- RAILS
- REEFERS
- ROLLERS
- S/S CABINET
- S/S RACKING
- S/S SHELVING
- S/S STEPS
- S/S TABLES
- S/S TROLLEYS
- SCALE
- SHOVELS
- SINKS
- SPIEDINI BOXES
- SPIEDINI TROLLEY
- SPLITTING SAW
- STAIRWAY
- STUFFERS
- TABLES
- TOILET
- VACUUM PACK.
- VISCERA TABLE
- WALLS
- WATER TROUGHS
- WHITE BINS
- WINDOW
- WRAPPER
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
ISSUES WITH EQUIPMENTt: (Select ALL that apply.)
- DIRTY AFTER CLEANING
- NOT CLEANED
- REPORT FILLED INCORRECTLY
- ITEM WAS NOT USED / CLEAN
- EQUIPMENT FAULTY / BROKEN
- EQUIPMENT NOT DISMANTLED
- OTHER - SEE ADDITIONAL NOTES
-
NOTES:
-
PLEASE SELECT CORRECTIVE ACTION TAKEN: (Select ALL that apply.)
- CLEANER INSTRUCTED ON PROPER PROCEDURES
- ITEM REWASHED
- ITEM WASHED
- INCIDENCE ADDRESSED WITH CLEANER
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED & SANITIZED
- ITEM SANITIZED
- FULL WASH & SANITIZE
- NO ACTION REQUIRED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex name of person who recleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
NOTES:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
