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Hygiene Clearance - GMP Checklist

Completing this hygiene clearance after every maintenance job makes sure equipment is safe for food contact before production resumes.
Farmdale Creamery Inc
02/08/2025

Hygiene Clearance - GMP Checklist

This procedure is the hygiene clearance checklist used after maintenance or repair work in a food production area. It makes sure Good Manufacturing Practices (GMP) were followed, food-grade materials were used, and tools and lubricants were removed. It also requires the equipment to be cleaned, sanitized and inspected, and signed off by both maintenance and production before it goes back into use.

    Maintenance Type

    Work Order Number

    Room Number

    Equipment Description

    Reason for Repair (if emergency repair)

    Maintenance Checklist

    All Premises and Maintenance Procedures have been followed (see 11.2.9.01)

    • Yes
    • No
    • N / A

    Food grade lubricants and materials used

    • Yes
    • No
    • N / A

    Repair complete and to standards (no temporary fasteners; sanitary welds; bolts/screws are secure; etc.)

    • Yes
    • No
    • N / A

    Equipment and area has been inspected and is acceptable (all tools, lubricants, and materials have been accounted for and are not left on or in equipment; all excess lubricant has been wiped off; spills cleaned up; etc.)

    • Yes
    • No
    • N / A

    Equipment is appropriately re-assembled and operational

    • Yes
    • No
    • N / A

    Production has been notified that equipment requires cleaning and sanitation

    • Yes
    • No
    • N / A

    Maintenance or repair is complete and was conducted in a manner which does not pose any risk to food safety or quality

    • Pass
    • Flag
    • Fail

    Mechanic Signature

    Click here to sign

    Mechanic Signature Date

    Production Checklist

    Equipment and immediate area has been cleaned & sanitized following rinse, wash, rinse then sanitize procedure

    • Yes
    • No
    • N / A

    Equipment and immediate area has been inspected and does not pose any risk to food safety or quality

    • Yes
    • No
    • N / A

    Equipment accepted back into production

    • Yes
    • No
    • N / A

    Operator/Supervisor Signature

    Click here to sign

    Operator/Supervisor Signature Date

    Comments

Source: Farmdale Creamery Inc (Community Member)

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