Scribd
Upload
4K views

Report of Glass Breakage Form

This form documents any instances of broken glass or brittle plastic found in a plant. It includes details of the incident such as location, item broken, and person responsible for clean-up. A two-step clean-up procedure is outlined that involves removing large pieces by hand, sweeping up small shards, thoroughly washing the area, and getting approval from quality assurance before resuming work. The area supervisor must sign off to confirm the area is safe to continue food processing.

Uploaded by

Mj Ortiz
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
4K views

Report of Glass Breakage Form

This form documents any instances of broken glass or brittle plastic found in a plant. It includes details of the incident such as location, item broken, and person responsible for clean-up. A two-step clean-up procedure is outlined that involves removing large pieces by hand, sweeping up small shards, thoroughly washing the area, and getting approval from quality assurance before resuming work. The area supervisor must sign off to confirm the area is safe to continue food processing.

Uploaded by

Mj Ortiz
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 1

REPORT OF Form P04-1

GLASS / BRITTLE PLASTIC


BREAKAGE Page 1 of 4

Issued on: Version No: 1 Revised:


Issued by: Supersedes:

This form must be filled out whenever glass and/or brittle plastic is/are found broken and/or
glass and/or brittle plastic get(s) broken in the plant.

Date: ______________________

Person doing clean-up: __________________________

Broken Item: ___________________________

Area of plant where broken glass/brittle plastic was found and/or where breakage occurred:
__________________________________

Clean-up procedure:

A. When broken glass/brittle plastic is/are found anywhere in the plant:


1. Put on HOLD all activities and all open, uncovered products, packaging
materials, etc. in the immediate area and conduct a thorough inspection of these.
2. Immediately inform the Production Supervisor or the Quality Assurance Manager.
3. Remove large pieces of glass/brittle plastic by hand (must wear gloves) and
place in the garbage bin.
4. Sweep up the rest of the glass/brittle plastic shards in the area.
5. Wash all affected areas thoroughly with water or with a damp wipe-all.
6. Area must be checked by Production Manager Quality Assurance before
resuming work in the area.

B. In case of glass breakage at any point during production, the following procedure must be
followed:
1. Stop the process (anybody can do this) and put on HOLD all activities and all open,
uncovered products, packaging materials, etc in the immediate area and conduct a
thorough inspection of these.
2. Immediately inform the Production Supervisor or the Quality Assurance Manager.
3. Remove large pieces of glass/brittle plastic by hand (must wear gloves) and place in the
garbage bin.
4. Sweep up the rest of the glass/brittle plastic shards in the area.
5. Wash all affected areas thoroughly with water or with a damp wipe-all.
6. Area must be checked by Production Manager Quality Assurance before resuming work
in the area.

Area is okay to continue food processing: ___________________________________


(Signature of QA Manager or
Production Supervisor)

You might also like