Pre-Operational Inspection Checklist

The following checklist will help you conduct a thorough pre-operational

inspection to reduce the risk of cross-contamination.

Machine/Object/Workspace eg Line 1 Filler

Operator documents cleaning and inspection. Pre-operational verification completed by line manager.

Swabs Yes/No Pass / Fail

ATP on cleaned equipment

Show corrective actions for any failed ATP swab

Equipment and Pre-operational

Observation Verification
area to be Corrective Action
s
inspected
Pass Fail
Key inspection pt 1        

Key inspection pt 2        

Key inspection pt 3        

Key inspection pt 4        

Key inspection pt 5        

Key inspection pt 6        

Key inspection pt 7        

Key inspection pt 8        

Key inspection pt 9        
Condition of nearby area:

Floor clean
       
Drains clean
       
Hoses rolled up
and put away        
Overheads free of
flaking paint        

Observations Key: Corrective Actions Key: Other comments:

OK or X : Parts are clean
PR : Part repaired 
& in good condition
PD : Part is damaged PC : Part changed

PNC : Part is not clean  PRC : Part re-cleaned Cleaning & Inspection completed by:

PP : Part is pitted WO: Work order issued Verification by Team Coordinator or Back-up:

CN: Coordinator Notified CN: Coordinator Notified Date: Shift:

Pre-operational Checklist Template. Version 004. Diversey Knowledge Based Services. ©2019.