Area / Equipment: ____________________________
Date: ____________________________
Batch / Lot (if applicable): ____________________________
| Verification Item | Yes | No | Comments / Corrective Action |
|---|---|---|---|
| All required sanitation activities completed per approved procedures | |||
| Equipment and contact surfaces visibly clean and free of residue | |||
| Sanitizers used were approved and within concentration limits | |||
| Equipment adequately dried prior to use (where required) | |||
| No evidence of pest activity or contamination observed |
Verified By: ____________________________
Signature: ____________________________
Date: ____________________________