Equipment / Machinery Movement / Commissioning Sheet

This sheet must be completed each time a piece of equipment or machinery is moved from one production area / department to
another, or a new piece of equipment or machinery is brought onsite for use in a production area.

Sheet originated by: Department: Date:

Description of
equipment/machinery:
Is the equipment new or being moved?
Area / department to Area / department
be moved from? to be moved to?
Area / department to Area / department
be moved back from: to be moved back to:

TECHNICAL MANAGEMENT
Type of swabs / tests
Is cleaning required?
required?
Tech sign: Date:

HYGIENE MANAGEMENT
Equipment cleaned? sign: Date:

Re-clean? sign: Date:

QA - TECHNICAL
Has swabbing Type of swabbing Visual
been carried out? carried out: inspection OK?
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Swab
Swabbed by - sign:
date:
Limits for ATP Swabs: High Care – 50 Stainless Steel, 80 Plastic. Low Care – 80 Stainless Steel, 150 Plastic

TECHNICAL MANAGEMENT
Is a re-clean /
Tech sign: Date:
re-swab required?
Has equipment been
Tech sign: Date:
released?
Once equipment has been passed onto the room does it need to be cleaned again
before use?

EQUIPMENT MOVED INTO AREA

Equipment moved by - sign: Date:

HYGIENE MANAGEMENT
Equipment re-cleaned in
sign: Date:
area before use?
 Equipment / Machinery Movement / Commissioning Sheet

TECHNICAL - NEW EQUIPMENT ONLY

Equipment risk assessed for glass & brittle materials? Yes / NA
Relevant sheets updated: Ref:
Equipment risk assessed for blades / knives? Yes / NA
Relevant sheets updated: Ref:
GMP audit updated? Yes / NA
Relevant sheets updated: Ref:
Maintenance audit updated? Yes / NA
Relevant sheets updated: Ref:
Department QA check sheets updated? Yes / NA
Relevant sheets updated: Ref:
Department swabbing plans updated? Yes / NA
Relevant sheets updated: Ref:
Start-up sheet updated? Yes / NA
Relevant sheets updated: Ref:
Tech sign: Date:

HYGIENE MANAGEMENT - NEW EQUIPMENT ONLY

Create/update cleaning schedule? Yes / NA
Relevant sheets updated: Ref:
Update cleaning checklist? Yes / NA
Relevant sheets updated: Ref:
PIH sign: Date:

ENGINEERING - NEW EQUIPMENT ONLY

Has new equipment been added to the PPM schedule? Yes / NA
Relevant sheets updated: Ref:
Eng. sign: Date:

HEALTH & SAFETY - NEW EQUIPMENT ONLY

Has the new equipment been assessed against:
Yes / NA
PROCEDURE FOR THE PLANT HAND OVER
Sign: Date:

TRAINING - NEW EQUIPMENT ONLY

Work Instruction updated / created? Yes / NA
Relevant work instruction updated: Ref:
Sign: Date:

TRAINING - NEW EQUIPMENT ONLY

Training completed? Yes / NA

Sign: Date:

Comments: