BUREAU OF INDIAN STANDARDS

PFOFORMA FOR HYGIENIC CONDITIONS VERIFICATION DURING

PERIODIC INSPECTION OF PACKAGED DRINKING WATER / PACKAGED
NATURAL MINERAL WATER

CM/L- DATE OF VISIT :

NAME OF THE UNIT
Remarks if any
Extraction/Collection The source of extraction is well protected Yes/No
from contamination and unauthorized
access
Raw Water Storage Storage tank for raw water is clean and Yes/No
cleaning schedule is being followed.
Processing Area - Processing area is clean and Yes/No
adequately closed.
- Adequate ventilation and lighting Yes/No
facilities available and working
- Wire mesh/glass provided on Yes/No
windows
- Walls and ceiling are well painted Yes/No
and clean.
- Flooring is smooth, sloped, clean Yes/No
and free from cervices.
- Freedom from insects, rodent and Yes/No
birds, animals etc.
- Fly-catchers provided. Yes/No
- Not being used for storage Yes/No
purposes.
- Drains are clean and well covered. Yes/No
- Doors are self closing/close fitting Yes/No
type with air-curtains.
Hygienic Facilities - No over flow/ dripping from Yes/No
processing vessels.
- Cleaning schedule of equipment is Yes/No
adequate and is being followed.
- Proper disinfection of containers Yes/No
and caps is being ensured.
- Washing and disinfection of
reusable jars is being done Yes/No
adequately and absence of
residual cleaning chemicals
ensured.
- Changing facilities are clean and Yes/No
not being used as store.
- Toilets are clean and away from Yes/No
processing area.
 - Protective clothing being used by Yes/No
workers coming in contact with
the product.
- Medical examination of workers Yes/No
is being done periodically and
affected personnel are not allowed
to work.
- Adequate hand washing facilities Yes/No
are available and notices to this
effect are displayed.
- Personnel are being trained in Yes/No
food handling, processing and
personal hygienic.

Raw Material - The raw material including Yes/No

bottles, caps, etc. are properly
stored and free from probable
contamination.
- TC of R/M is available Yes/No
consignment wise.
Finished Product - Finished product pipeline and Yes/No
storage tank is of inert material
and is clean and free from
corrosion.
- Cleaning schedule being followed Yes/No
and supervised by identified
personnel.
- Inspection screen is provided and Yes/No
is well lit.
Storage of finished - The packed material is stored Yes/No
product adequately under hygienic
conditions, free from chances of
contamination.

Signature of I.O._______________
Name:________________________
Date:___________________