Document No. ARC-GEN-FM-14 Original Issue: 01-01-2016 Rev.#:00 Rev.

Date:
Daily Sanitation Audit Form

Raw Material & Packing Material Store

General Cleanliness & Sanitation 8 am 4 pm

Remarks Corrective action
Condition of S/ns s/ns

a. Floor

b. Side walls
Material Status

a. all on pallets, no overlapping

b. shelf life (expiry)

c. all material are closed & in good

packing status
d. stacked 30 cm away from wall &
ceiling

e. sufficient room temperature

Changing Room &Toilets

Document No. ARC-GEN-FM-14 Original Issue: 01-01-2016 Rev.#:00 Rev. Date:
Daily Sanitation Audit Form

General Cleanliness & Sanitation 8am 4pm

Remarks Corrective action
Condition of S/ns S/ns

Cloth changing room is cleaned & sanitized

Toilets are cleaned &sanitized

Hand wash basins are cleaned & sanitized

Garbage is cleared or not

Is there any objectionable odors, dust and

other contaminants?

General cleanliness of changing room

General cleanliness of side wall, floor &

ceiling
Document No. ARC-GEN-FM-14 Original Issue: 01-01-2016 Rev.#:00 Rev. Date:
Daily Sanitation Audit Form

General Cleanliness & Sanitation 8.30 am 4 pm Remarks

Corrective action
Condition s / ns s / ns

1. Surrounding
a. Sanitation of floor
b. Sanitation of side walls

2. Equipments
a. Equipments cleaned and sanitized
before start-up

3. Employee Attire
a. Aprons, gloves, masks and
uniforms clean & in good repair.
4. Cross Contamination
a. Employees hands, gloves equipments
and utensils that contacts unsanitary
objects are washed and sanitized
before contacting food.
Document No. ARC-GEN-FM-14 Original Issue: 01-01-2016 Rev.#:00 Rev. Date:
Daily Sanitation Audit Form

5. Hand washing & sanitizing facility

a. Adequate supply of water
b. Tissue roll
c. Hand washing soap

6. Employee Health:
a. Employee do not show signs of
medical problems that could
compromise product.

7. Vermin and Pest control

a. Insect killers are functioning properly

Verified By: ------------------------- Date: ----------------------------

(FS TL)

Prepared by: Reviewed by: Approved by: