Z S V - duplicate

• Document No.

• Audit Title

• Client / Site

  SURE FRESH INC.

• Conducted on

  Date

• Prepared by

  Charlie Mitchell

  Eric Duchesne

  Nick Turkson
• Location
  Address

• Personnel

1.0 EQUIPMENT

• 1.1 WALLS, SHELVES, OVERHEAD PIPES

  Yes

  No

  N/A

• 1.2 RE-HANG TABLE W/CONVEYOR

  Yes

  No

  N/A

• 1.3 OUTSIDE BIRD WASHER

  Yes

  No

  N/A

• 1.4 OIL GLAND CUTTER

  Yes

  No

  N/A

• 1.5 VENTOR

  Yes

  No

  N/A

• 1.6 OPENER

  Yes

  No

  N/A

• 1.7 EVISCERATOR

  Yes

  No

  N/A

• 1.8 PGI

  Yes

  No

  N/A

• 1.9 SYNCHRONIZER X 2

  Yes

  No

  N/A

• 1.10 PEC (GIZZARD SEPARATOR)

  Yes

  No

  N/A

• 1.11 HLS (HEART, LUNG SEPARATOR)

  Yes

  No

  N/A

• 1.12 UNLOADER / WASHER PACK LINE

  Yes

  No

  N/A

• 1.13 AUTO CROPPER

  Yes

  No

  N/A

• 1.14 AUTO NECK BREAKER W/LOW VACUUM

  Yes

  No

  N/A

• 1.15 NECK SKIN CUTTER

  Yes

  No

  N/A

• 1.16 IOBW

  Yes

  No

  N/A

• 1.17 BIRD UNLOADER

  Yes

  No

  N/A

• 1.18 EVIS SHACKLE LINE / PACK LINE

  Yes

  No

  N/A

• 1.19 SINKS, STANDS, RACKS AND CAROUSELS

  Yes

  No

  N/A

• 1.20 REFRIGERATION UNITS

  Yes

  No

  N/A

• 1.21 FLOORS & DRAINS

  Yes

  No

  N/A

• 1.22 LIGHTS

  Yes

  No

  N/A

• 1.23 FANS

  Yes

  No

  N/A

• 1.24 KNIFE SANITIZER

  Yes

  No

  N/A

• 1.25 WELFARE AREA

  Yes

  No

  N/A

• 1.26 RECEIVING BAY

  Yes

  No

  N/A

• 1.27 KILL / SHACKLE LINE

  Yes

  No

  N/A

• 1.28 ROLLERS / CONVEYORS

  Yes

  No

  N/A

• 1.29 STUNNER

  Yes

  No

  N/A

• 1.30 TRUCK BAY FANS

  Yes

  No

  N/A

• 1.31 CRATE WASHER

  Yes

  No

  N/A

• 1,32 BLOOD TANKS

  Yes

  No

  N/A

• 1.33 AIR AGITATED SCALDER X 2

  Yes

  No

  N/A

• 1.34 SS BLOOD TANK

  Yes

  No

  N/A

• 1.35 OUTSIDE BIRD WASHER (PICKER ROOM)

  Yes

  No

  N/A

• 1.36 HEAD REMOVER

  Yes

  No

  N/A

• 1.37 HOCK CUTTER

  Yes

  No

  N/A

• 1.38 FOOT UNLOADER

  Yes

  No

  N/A

• 1.39 DISK PICKER

  Yes

  No

  N/A

• 1.40 SS OFFAL BINS

  Yes

  No

  N/A

• 1.41 OFFAL HOPPER

  Yes

  No

  N/A

• 1.42 OFFAL TROUGH

  Yes

  No

  N/A

• 1.43 OFFAL CONVEYORS

  Yes

  No

  N/A

• 1.44 HURRICANE REPROCESSING MACHINE

  Yes

  No

  N/A

• 1.45 INCLINED CONVEYOR

  Yes

  No

  N/A

• 1.46 BIRD UNLOADER

  Yes

  No

  N/A

• 1.47 SS CATCH PAN

  Yes

  No

  N/A

2.0 PRE-CHILL / AIR CHILL

• 2.1 FLOOR

  Yes

  No

  N/A

• 2.2 WALLS

  Yes

  No

  N/A

• 2.3 CEILING

  Yes

  No

  N/A

• 2.4 SHACKLES + CHAIN + WHEELS

  Yes

  No

  N/A

• 2.5 CORNER WHEELS

  Yes

  No

  N/A

• 2.6 BEAMS + SUPPORTING RODS

  Yes

  No

  N/A

• 2.7 GUIDE RAIL

  Yes

  No

  N/A

• 2.8 LIGHTS

  Yes

  No

  N/A

• 2.9 DRAINS

  Yes

  No

  N/A

• 2.10 DRAIN PIPES (GREY COLOR)

  Yes

  No

  N/A

• 2.11 ELECTRIC WIRES

  Yes

  No

  N/A

• 2.12 HVAC UNITS

  Yes

  No

  N/A

• NOTES:

• DATE:

  Date

• CLIENT SIGNATURE:

  Sign

• PCI SUPERVISOR SIGNATURE:

  Sign