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Sv. Dimdang Nyos Form 1. Sanitation Audit Form
Sv. Dimdang Nyos Form 1. Sanitation Audit Form
DIMDANG NYOS
Form 1.
SANITATION AUDIT FORM
CATATAN AUDIT SANITASI
Date:………………Month:………….Year:………..
TIME PRE-ON
PASS/FAIL TIME BREAK TIME POST-OP COMENTS/
SANITATION CONDITION JAM PASS/FAIL PASS/FAIL CORECTION
KONDISI SANITASI SEBELUM JAM ISTIRAHAT JAM SELESAI KETERANGAN/
LULUS/GAGAL LULUS/GAGAL LULUS/GAGAL KOREKSI
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
a. Adequate supplies of soap at
each entrance to processing area
Persediaan sabun yang cukup
untuk setiap wastafel di setiap
pintu masuk ruangan pengolahan.
b. Hand washing using 5 %alcanios
SF 20
Pencucian tangan menggunakan
air dengan 5% alcanios SF 20
c. Washing Basket, box, table using
5% alcanios SF 20
Pencucian keranjang, box, meja
menggunakan larutan 5% alcanios
sf 20.
5. PROTECTION FROM
ADULTERANS
PERLINDUNGAN TERHADAP
SALAH PAKAI
a. Cleaning compounds labeled and
storage
Pemberian label dan penyimpanan
bahan pembersih yang baik
b. Lubricants labeled and stored
properly
Pemberian label dan penyimpanan
bahan pelumas yang baik.
c. Product protected from condensate
Pestisida diberi label dan
disimpan dengan baik
d. Pesticides labeled and stored
properly
Pestisida diberi label dan
disimpan dengan baik
e. Product protected from floor
splash.
Produk terhindar dari percikan air
dari lantai
6. COLD STORAGE
Packed product separated from raw
material.
Sebelum dipak, produk jadi terpisah
dari produk mentah.
7. EMPLOYE HEALTH
KESEHATAN KARYAWAN
Employees do not show signs of
medical problems that could
compromise product.
Karyawan tidak menunjukan gejala
gangguan kesehatan yang dapat
mempengaruhi produk
8. TOILET FACILITIES
FASILITAS TOILET
Toilets are cleaned and properly
function.
Toilet dalam keadaan bersih dan
berfungsi dengan baik.
9. PEST
SERANGGA &BINATANG
PENGGANGGU
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
No pest present in the processing area
Tidak ada serangga & binatang
penggangu di area pengolahan
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 2.
CHECKING NOTE OF EQUIPMENT/UTENSIL AND EMPLOYEES HEALTH
CATATAN PERLENGKAPAN KERJA DAN KESEHATAN KARYAWAN
DATE:…………………….Month:…………………..Year:…………
EQUIPMENT/ COMMENT
NO. NAME OF EMPLOYEE HEALTH
UTENSIL CORRECTION
1.
2.
3.
4.
5.
6
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV.DIMDANG NYOS
Form 3.
RECORD OF RECEIVING RAW MATERIAL
CATATAN PENERIMAAN BAHAN BAKU
Date : Spesies :
Inpection time : Size :
Supplier : Tonnage :
NO. DESCRIPTION STANDART REMARKS
0
1. Temperature ≤3 C
2. Odor Natural
3. Texture Hard shell
4. Appearance Fresh
5. Color Natural
6. Black spot None
7. Foreign material None
8. Broken None
Date : Spesies :
Inpection time : Size :
Supplier : Tonnage :
NO. DESCRIPTION STANDART REMARKS
1. Temperature ≤30C
2. Odor Natural
3. Texture Hard shell
4. Appearance Fresh
5. Color Natural
6. Black spot None
7. Foreign material None
8. Broken None
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 4.
RECORD OF PROCESS TEMPERATURE
CATATAN SUHU PROSES/PENGOLAHAN
DATE:…………………….
INSPECTION TIME
NO STEP REMARKS
08.00 10.00 13.00 15.00
1. Receiving
2. Gross weighing
3. Washing I
- Deheading
4.
- Peeling
5. Washing II
6. Sorting
7. Deveining (PD)
8. Washing III
9. Checking
11. Washing IV
13. Washing V
16. Glazing
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 5.
FORM LETTER OF GUARANTEE
CATATAN SURAT JAMINAN
If the next time in reality founded about the material that we have agree if shrimp return to us and moneys
that we have according will be returning to PT. Ujung Timur.
Date:
Who give statement
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 6.
RECORD OF CHECKING
CATATAN CHECKING
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 7.
FORM FINAL WEIGHING
CATATAN PENIMBANGAN AKHIR
CEK RESUT
DATE SPESIFICATION SIZE LABEL WEIGHT/PAN REMARKS
SIZE LULUS/GAGAL
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
DATE SPESIFICATION BLOCK SHAPE GLAZING REMARKS
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
METAL FILTH,
DATE SPESIFICATION SIZE FOREIGN REMARKS
MATERIAL
INNER MASTER
DATE POLYBAG LABEL REMARKS
CARTON CARTON
Head of QC: Checked by:
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 11.
RECORD OF DAILY THAWING
CATATAN THAWING HARIAN
DATE:
No ITEMS 1 2 3 4 5 6
1. Type of product
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
2. Production date
3. Production code
4. Size
7. Total PCS/pan
8. PCS/lbs I
9. PCS/ lbs II
13. Small 10 %
14. Big 10 %
17. Smell/odor
18. Broken
22. Uniformity
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
Name of buyer
Contract order
L/C Number
Date of loading
Destination
Container number
Type of product
Gross weight
Net weight
Temperature before loading
Temperature after loading
Container condition
Result of inspection
Comment/correction
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 14.
RECORD OF COLD STORAGE TEMPERATURE
CATATAN TEMPERATUR COLDSTORAGE
TEMPERATURE
DATE TIME REMARKS
CS I CS II
07.00
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
08.00
09.00
10.00
11.00
12.00
13.00
14.00
15.00
16.00
17.00
18.00
19.00
20.00
21.00
22.00
23.00
24.00
01.00
02.00
03.00
04.00
05.00
06.00
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 16.
RECORD OF PEST CONTROL
CATATAN PENGAWASAN BINATANG PENGGANGGU
Date Trap Trap Trap Trap Trap Trap Trap Trap Trap Trap Trap Trap Trap Trap Reamarks
1 2 3 4 5 6 7 8 9 10 11 12 13 14
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
CV. DIMDANG NYOS
Form 17.
HARVESTING REPORT
CATATAN PANEN TAMBAK
AT POND
Date of Harvest : …………………………………………………………….
Area : …………………………………………………………….
Owner : …………………………………………………………….
No. Pound : …………………………………………………………….
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
Size sampling : …………………………………………………………….
Time of harvesting : …………………………………………………………….
System of harvesting : …………………………………………………………….
Source of washing water : …………………………………………………………….
Chlorine water : …………………………………………………………….
Quantity : …………………………………………………………….
Remark : …………………………………………………………….
AT PLAN
Date of receiving : …………………………………………………………….
Time : …………………………………………………………….
No. Truck : …………………………………………………………….
Temperature of shrimp : …………………………………………………………….
Quantity : …………………………………………………………….
Condition of shrimp : …………………………………………………………….
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.
Head of QC: Checked by:
INTERNAL VALIDATION
VALIDASI INTERNAL
Date :
Signature :
1. 2.