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  • Room #: Building: Laboratory Manager: Purpose of Laboratory: Area

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    Trishia Mae Lumagui Mendoza
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    This document contains an evaluation form for a food laboratory. It lists the room number, building name, laboratory manager, and purpose of the laboratory. It then lists various items in the laboratory and asks evaluators to rate on a scale of 2 to 10 how clean, organized, and well-maintained each item is. The items include cabinets, electric wiring, gas stove/ovens, kitchen utensils, ventilation, windows, lighting, walls/floors/ceiling, empty cans/bottles, mops, and heavy duty mixers.

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    5's_OSH.docx

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    This document contains an evaluation form for a food laboratory. It lists the room number, building name, laboratory manager, and purpose of the laboratory. It then lists various items in the laboratory and asks evaluators to rate on a scale of 2 to 10 how clean, organized, and well-maintained each item is. The items include cabinets, electric wiring, gas stove/ovens, kitchen utensils, ventilation, windows, lighting, walls/floors/ceiling, empty cans/bottles, mops, and heavy duty mixers.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    20 views3 pages

    Room #: Building: Laboratory Manager: Purpose of Laboratory: Area

    Uploaded by

    Trishia Mae Lumagui Mendoza
    This document contains an evaluation form for a food laboratory. It lists the room number, building name, laboratory manager, and purpose of the laboratory. It then lists various items in the laboratory and asks evaluators to rate on a scale of 2 to 10 how clean, organized, and well-maintained each item is. The items include cabinets, electric wiring, gas stove/ovens, kitchen utensils, ventilation, windows, lighting, walls/floors/ceiling, empty cans/bottles, mops, and heavy duty mixers.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    ROOM #:

    BUILDING:
    LABORATORY MANAGER:
    PURPOSE OF LABORATORY:
    AREA:
    DIRECTION: Read and analyze each item carefully, and encircle the
    corresponding score.
    (2= Very Bad, 4=Bad, 6=Average, 8=Good, 10=Very
    Good)

    5’S EVALUATION FORM

    ITEMS FOCUS SCORES

    CABINETS Are they clean and labeled for the


    easy retrieval of things needed? 10 8 6 4 2

    ELECTRIC Is it tidy, safe and conveniently laid 10 8 6 4 2


    WIRING out for operations?

    LPG’s/ GAS Are they clean, well-maintained 10 8 6 4 2


    STOVE/ STOVE and in proper place?

    ROTARY OVEN Are they clean and well- 10 8 6 4 2


    maintained?

    KITCHEN Are they clean and organized? 10 8 6 4 2


    UTENSILS

    VENTILATION Are they adequate for efficient 10 8 6 4 2


    operation?

    WINDOWS Are they dust-free and well- 10 8 6 4 2


    maintained?

    LIGHTING Are they adequate for efficient 10 8 6 4 2


    operation?

    WALLS/FLOORS Are they dust-free and well- 10 8 6 4 2


    CEILING maintained?

    EMPTY CAN AND Are they properly dispose? 10 8 6 4 2


    BOTTLES

    MOP Are clean and in the right place? 10 8 6 4 2

    HEAVY DUTY Are they clean and well- 10 8 6 4 2


    MIXER maintained?
    ROOM #: LS FOOD LABORATORY
    BUILDING: LS BUILDING
    LABORATORY MANAGER: PROF. ELSIE CANLAS
    PURPOSE OF LABORATORY: FOOD PROCESSING / COOKERY / BAKING
    AREA: WORKING AREA
    DIRECTION: Read and analyze each item carefully, and encircle the
    corresponding score.
    (2= Very Bad, 4=Bad, 6=Average, 8=Good, 10=Very
    Good)

    5’S EVALUATION FORM

    ITEMS FOCUS SCORES

    CABINETS Are they clean and labeled for the


    easy retrieval of things needed? 10 8 6 4 2

    ELECTRIC Is it tidy, safe and conveniently laid 10 8 6 4 2


    WIRING out for operations?

    LPG’s/ GAS Are they clean, well-maintained 10 8 6 4 2


    STOVE/ STOVE and in proper place?

    ROTARY OVEN Are they clean and well- 10 8 6 4 2


    maintained?

    KITCHEN Are they clean and organized? 10 8 6 4 2


    UTENSILS

    VENTILATION Are they adequate for efficient 10 8 6 4 2


    operation?

    WINDOWS Are they dust-free and well- 10 8 6 4 2


    maintained?

    LIGHTING Are they adequate for efficient 10 8 6 4 2


    operation?

    WALLS/FLOORS Are they dust-free and well- 10 8 6 4 2


    CEILING maintained?

    EMPTY CAN AND Are they properly dispose? 10 8 6 4 2


    BOTTLES

    MOP Are clean and in the right place? 10 8 6 4 2


    HEAVY DUTY Are they clean and well- 10 8 6 4 2
    MIXER maintained?

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