Information
-
Document No.
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Audit Title
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Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY:
-
CORRECTIVE ACTION REPORT
PLEASE SELECT A NEW REPORT FOR EACH INCIDENCE.
NEW REPORT
-
DATE
-
DEPARTMENT <br>(Select only ONE.)
-
NOTES:
-
EQUIPMENT (Select only ONE)
- AIR AGITATED SCALDER X 2
- AUTO CROPPER
- AUTO NECK BREAKER W/LOW VACUUM
- BEAMS & SUPPORTING RODS
- BIRD UNLOADER
- BIRD UPLOADER
- BLOOD TANKS
- CAROUSELS
- CEILING
- CORNER WHEELS
- CRATE WASHER
- DISK PICKER
- DRAIN PIPES (GREY COLOR)
- DRAINS
- ELECTRIC WIRES
- EVIS SHACKLE LINE / PACK LINE
- EVISCERATOR
- FANS
- FLOOR
- FOOT UNLOADER
- GUIDE RAIL
- HEAD REMOVER
- HLS (HEART, LUNG SEPARATOR)
- HOCK CUTTER
- HURRICANE REPROCESSING MACHINE
- HVAC UNITS
- INCLINED CONVEYOR
- IOBW
- KILL / SHACKLE LINE
- KNIFE SANITIZER
- LIGHTS
- NECK SKIN CUTTER
- OFFAL CONVEYORS
- OFFAL HOPPER
- OFFAL TROUGH
- OIL GLAND CUTTER
- OPENER
- OUTSIDE BIRD WASHER
- OUTSIDE BIRD WASHER (PICKER ROOM)
- OVERHEAD PIPES
- PEC (GIZZARD SEPARATOR)
- PGI
- RECEIVING BAY
- REFRIGERATION UNITS
- RE-HANG TABLE W CONVEYOR
- ROLLERS / CONVEYORS
- SHACKLES, CHAIN, WHEELS
- SHELVES
- SINKS STANDS RACKS
- SS BLOOD TANK
- SS CATCH PAN
- SS OFFAL BINS
- STUNNER
- SYNCHRONIZER X 2
- TRUCK BAY FANS
- UNLOADER / WASHER PACK LINE
- VENTOR
- WALLS
- WELFARE AREA
-
NOTES:
-
ISSUES WITH EQUIPMENT: (Select all that apply.)
- DIRTY AFTER CLEANING
- WAS 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 IN PROPER PROCEDURES
- ITEM REWASHED
- NO ACTION REQUIRED AT THIS TIME
- INCIDENCE ADDRESSED WITH CLEANER IN QUESTION
- APPROPRIATE STAFF NOTIFIED OF DEFECT / BREAKAGE
- EQUIPMENT DISMANTLED
- RINSED AND SANITIZED
- SANITIZED ONLY
- FULL WASH AND SANITIZED
- OTHER - SEE ADDITIONAL NOTES
-
ADDITIONAL DETAILS: (Please provide any additional information that was not mentioned above, ex: name of person who re cleaned, further action needed etc...)
-
NAME OF CLEANER(S) INVOLVED:
-
SIGNATURE OF PCI SUPERVISOR ON DUTY: