Information
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Document No.
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Audit Title
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Client Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 KILL FLOOR
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1.1 CRADLES
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1.2 FLOOR
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1.3 DOORS
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1.4 HOSES
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1.5 KNIFE SANITIZERS
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1.6 PLASTIC BINS
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1.7 SS TABLE
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1.8 CEILING
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1.9 INSP. SHELF
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1.10 KNIVES
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1.11 HIDE PULLER
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1.12 HIDE TROLLEY
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1.13 GARBAGE BINS
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1.14 HOLSTERS
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1.15 BRUTE PAILS
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1.16 WHITE BINS
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1.17 HAND WASH SINK
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1.18 HOIST CHAINS
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1.19 HOIST HOOKS
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1.20 EAR TAG SHELF
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1.21 VISCERA TABLE
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1.22 SPLITTING SAW
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1.23 BRISKET SAW
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1.24 CALF CRADLE
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1.25 S/S STEPS
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1.26 DRAINS & COVERS
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1.27 SHOVELS
2.0 KILL FLOOR BACK HALL
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2.1 WINDOW
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2.2 KNIFE SANITIZER
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2.3 S/S STEPS
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2.4 CEILING
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2.5 FLOOR
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2.6 DRAIN & COVER
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2.7 HOSE WHEEL
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2.8 KNIFE RACK
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2.9 WALLS
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2.10 CHUTE & COVER
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2.11 BOOT WASH
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2.12 DOORS
3.0 HIDE ROOM
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3.1 LOADING DOOR
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3.2 WALLS
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3.3 CEILING
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3.4 DOOR
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3.5 FLOOR
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3.6 DRAIN & COVER
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3.7 BOOT WASH
4.0 INEDIBLE ROOM
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4.1 WALLS
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4.2 CEILING
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4.3 DRAIN & COVER
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4.4 FLOOR
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4.5 DOOR / CURTAIN
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4.6 INEDIBLE DRUMS
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4.7 LOADING DOOR
5.0 CASING ROOM
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5.1 SINKS
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5.2 S/S TABLE
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5.3 CEILING
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5.4 DOOR / HANDLES
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5.5 FLOOR
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5.6 WALLS
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5.7 CHUTE / COVER
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5.8 WINDOWS
6.0 WASHROOM - F
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6.1 TOILET
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6.2 SINK
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6.3 DOORS / HANDLES
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6.4 FLOOR
7.0 WASHROOM - M
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7.1 TOILET
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7.2 SINK
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7.3 DOORS / HANDLES
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7.4 FLOOR
8.0 WASHROOM - P
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8.1 TOILET
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8.2 SINK
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8.3 DOORS / HANDLES
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8.4 FLOOR
9.0 LUNCH / CHANGE
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9.1 TABLES
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9.2 CHAIRS
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9.3 SINK
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9.4 DOOR
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9.5 FLOORS
10.0 PKG ROOM
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10.1 S/S TABLES
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10.2 CUTTING BOARDS
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10.3 HAND SINK
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10.4 KNIFE RACK
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10.5 KNIVES
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10.6 MEAT BUGGIES
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10.7 BAND SAW
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10.8 STUFFERS
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10.9 VAC. PAK
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10.10 WRAPPER
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10.11 SCALE
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10.12 FLOOR
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10.13 WINDOWS
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10.14 WALLS / CEILING
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10.15 DRAINS & COVER
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10.16 BOOT WASH
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10.17 DOORS
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10.18
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10.19 SIGNS
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10.20 SQUEEGEE
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10.21 CONDENSER
11.0 SPIEDINI ROOM
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11.1 S/S TABLE
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11.2 CUTTING BOARDS
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11.3 SPIEDINI MACHINE
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11.4 SPIEDINI BOXES
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11.5 BUGGIES
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11.5 SPIEDINI TROLLEY
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11.6 PLASTIC TUBS
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11.7 WALLS
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11.8 FLOOR
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11.9 CEILING
12.0 CUTTING ROOM
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12.1 CONDENSER
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12.2 S/S TABLES
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12.3 S/S RACKING
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12.4 CUTTING BOARDS
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12.5 PLASTIC SHELVES
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12.6 KNIVES
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12.7 KNIFE SANITIZER
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12.8 DOOR
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12.9 FLOOR
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12.10 DRAIN / COVER
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12.11 FLOOR MATS
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12.12 WALLS / CEILING
13.0 DRIP COOLER
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13.1 S/S TABLES
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13.2 TUBS
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13.3 S/S TROLLEYS
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13.4 BRUTE PAILS
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13.5 PAIL BASES
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13.6 BAND SAWS
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13.7 BOOT WASH
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13.8 FLOOR
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13.9 DRAIN / COVER
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13.10 DOORS / CEILING
14.0 HOLDING COOLER
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14.1 BAND SAW
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14.2 SPLITTING SAW
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14.3 KNIVES / UTENSILS
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14.4 S/S TABLES
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14.5 S/S SHELVING
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14.6 CUTTING BOARDS
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14.7 KNIFE SANITIZER
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14.8 MEAT TROLLEYS
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14.9 DRAINS / COVERS
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14.10 FLOOR
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14.11 WALLS
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14.12 DOORS
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14.13 CONDENSERS / CEILING
15.0 FREEZER
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15.1 NO ICE BUILD-UP
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15.2 CLEAN
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15.3 ORGANIZED
16.0 COMMON HALLS
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16.1 FLOORS
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16.2 WALLS
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16.3 CEILING
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16.4 DOORS
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16.5 WINDOWS
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16.6 AIR CONDITIONER
17.0 BASEMENT STAIRS
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17.1 STAIRWAY
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17.2 WALLS
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17.3 RAILING
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17.4 CEILING
18.0 DRY STORAGE (P)
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18.1 S/S SHELVING
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18.2 S/S CABINET
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18.3 SINK
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18.4 DESK
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18.5 CEILING
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18.6 WALLS
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18.7 FLOOR
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18.8 LIGHTING
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18.9 DOOR
19.0 DRY STORAGE (B)
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19.1 S/S SHELVING
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19.2 FLOOR
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19.3 DRAIN / COVER
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19.4 WALLS
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19.5 CEILING
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19.6 LIGHTING
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19.7 DOORS
20.0 ANIMAL FOOD ROOM
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20.1 BAND SAW
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20.2 CHUTE
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20.3 FREEZER TUBS
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20.4 BINS
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20.5 SINK
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20.6 FLOOR
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20.7 DRAIN / COVER
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20.8 WALLS
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20.9 CEILING
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20.10 DOOR
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20.11 EXHAUST
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20.12 LIGHTING
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20.13 KNIFE SANITIZER
21.0 BOX RECEIVING
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21.1 DOORS
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21.2 FLOOR
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21.3 CEILING
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21.4 WALLS
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21.5 LIGHTING
22.0 STORAGE ROOM
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22.1 CLEAN
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22.2 ORGANIZED
23.0 CHEMICAL ROOM
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23.1 CLEAN
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23.2 ORGANIZED
24.0 DELIVERY TRUCKS
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24.1 CLEAN
25.0 SHIPPING & RECEIVING
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25.1 FLOOR
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25.2 S/S SHELVING
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25.3 RAILS
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25.4 DOORS
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25.5 WALLS
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25.6 CEILING
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25.7 DRAIN / COVER
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25.8 OFFICE
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25.9 LIGHTING
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25.10 LOADING DOORS
26.0 WASHROOM
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26.1 TOILET
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26.2 SINK
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26.3 FOOT PEDALS
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26.4 DRAIN / COVER
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26.5 LIGHTING
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26.6 EXHAUST FAN
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26.7 MIRROR
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26.8 FLOOR
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26.9 CEILING
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26.10 WALLS
27.0 KILL FLOOR
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27.1 EXHAUST FAN (M)
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27.2 FLOOR FAN (W)
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27.3 LIGHTING (M)
28.0 KF BACK HALL
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28.1 LIGHTING (M)
29.0 HIDE ROOM
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29.1 LIGHTING (M)
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29.2 OVERHEAD FAN
30.0 INEDIBLE ROOM
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3.1 LIGHTING (M)
31.0 CASING / TRIPE
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31.1 LIGHTING (M)
32.0 OFFICE
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32.1 FLOOR
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32.2 WALLS
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32.3 GARBAGE
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NOTES:
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DATE:
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CLIENT SIGNATURE:
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PCI SUPERVISOR SIGNATURE:
