SV. DIMDANG NYOS Form 1. SANITATION AUDIT FORM CATAT CATATAN AN AUDIT SANITASI
Date:Mont!:.Year:.. TIME #RE$ON #ASS%FAIL KONDISI SANIT SANITASI ASI
TIME #OST$O# #ASS%FAIL
"OMENTS% "ORE"TION
JAM ISTIRAHAT
JAM SELESAI
KETERANGAN/ KETERANGAN/
LULUS/GAGAL
LULUS/GAGAL
KOREKSI KOREKSI
JAM
TIME &REA' #ASS%FAIL
SEBELUM LULUS/GAGAL
SANITATION "ONDITION
1.EQU 1.EQUIPM IPMEN ENT T CLEA CLEANI NING NG AND AND SANITIZING KEBERSIHAN KEBERSIHAN DAN SANITASI SANITASI PERALATAN PERALATAN a. Equipm Equipment ent cleane cleaned d and saniti sanitied ed !e"#$e sta$%up. sta$%up. Peralatan Peralatan dalam keadaan keadaan bersih bersih dan disanitasi sebelum memulai produksi !. P$#duct $esidue $em#&e "$#m equipment du$in' !$ea( Pembersihan sisa-sisa produksi an! menempel pada peralatan selama istirahat istirahat ). EMPL*+E ATTI,E ATTI,E PERLEN"KAPAN PERLEN "KAPAN PAKAIAN KAR#A$AN KAR#A$AN Gl#&es and ap$#ns clean in '##d $epai$ Sarun! tan!an dan a%ron kara&an dalam keadaan bersih -. C,*SS C*NTAMINATI*N K'NTA(INASI SILAN" a. Empl#s /a / ands0 'l ' l#&es an a nd uten utensi sill t/at t/at c#nt c#ntac actt unsa unsani nita ta$ $ #!ects #!ects a$e 2as/ed and sanitie sanitied d !e"#$e c#ntactin' p$#duct. Tan!an) sarun! tan!an) peralatan kar kara& a&an an an! an! bers bersan an!k !kut utan an den!an benda an! tidak bersihkan harus di*u*i !. Empl#s #n $a2 side 2as/ and sanitie /and0 'l#&es0 equi equipm pmen entt and and ap$# ap$#ns ns !e"# !e"#$e $e ente$in' p$#cessin' a$ea. Kara&an dari ba!ian penan!anan bahan baku men*u*i tan!an) sarun! tan!an dan a%ron sebelum masuk dalam ruan!an pen!olahan++ 3.4AND 5AS4ING AND SANITIZING 6ACILIT+ ,ASILIT ,ASILITAS AS .I TAN"AN TAN"AN DAN DAN SANITASI
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a.
Adequate supplies #" s#ap at eac/ ent$ance t# p$#cessin' a$ea Persediaan sabun an! *ukup untuk setiap &asta/el di setiap pintu masuk ruan!an pen!olahan+ !. 4and 2as/in' usin' 8 9alcani#s 9alcani#s S6 ): Pen*u*ian tan!an men!!unakan men!!unakan air den!an 01 al*anios S, 23 c. 5as/in' as/in' ;as(et0 ;as(et0 !#<0 !#<0 ta!le ta!le usin' 89 alcani#s S6 ): Pencucian (e$anan'0 !#<0 mea men''una(an la$utan 89 alcani#s s" ):. 8. P,*TE P,*TECT CTI* I*N N 6,*M 6,*M ADULTE,ANS PERLIND.N"AN PERLIND.N"AN TERHADA TERHADAP P SALAH PAKAI a. Cleanin' Cleanin' c#mp#u c#mp#unds nds la!el la!eled ed and st#$a'e Pemberian label dan penimpanan bahan pembersih an! baik !. Lu!$icants la!eled la!eled and st#$ed p$#pe$l Pemberian label dan penimpanan bahan pelumas an! baik+ c. P$#duct P$#duct p$#tect p$#tected ed "$#m "$#m c#ndensate c#ndensate Pestisida diberi diberi label dan disimpan den!an baik d. Pesticide Pesticidess la!eled la!eled and st#$ed st#$ed p$#pe$l Pestisida diberi diberi label dan disimpan den!an baik e. P$#duct P$#duct p$#tec p$#tected ted "$#m "$#m "l##$ "l##$ splas/. Produk terhindar terhindar dari per*ikan per*ikan air air dari lantai =. C*LD ST*,AGE Pac(ed p$#duct sepa$ated "$#m $a2 mate$ial. Sebelum dipak) produk 4adi terpisah dari produk mentah+ >. EMPL*+E EMPL*+E 4EAL 4EALT4 KESEHATAN KAR#A$AN Empl#ees d# n#t s/#2 si'ns #" medical p$#!lems t/at c#uld c#mp$#mise p$#duct. Kara&an tidak tidak menun4ukan !e4ala !an!!uan kesehatan an! an! dapat mempen!aruhi produk ?. T*IL T*ILET ET 6ACILI ACILITI TIES ES ,ASILITAS T'ILET T#ilets a$e cleaned and p$#pe$l "uncti#n. Toilet dalam keadaan bersih dan ber/un!si den!an baik+ @. PEST SERAN""A 5BINATAN" PEN""AN"". PEN""AN"".
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N# pest p$esent in t/e p$#cessin' a$ea Tidak ada seran!!a 5 binatan! pen!!an!u di area pen!olahan
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"V. DIMDANG NYOS Form 2. "(E"'ING NOTE OF E)UI#MENT%UTENSIL AND EM#LOYEES (EALT( CATATAN PERLENGKAPAN KERJA DAN KESEHATAN KARYAWAN
DATE:.Mont!:..Year: NO.
NAME OF EM#LOYEE
E)UI#MENT% UTENSIL
(EALT(
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"OMMENT "ORRE"TION
"V.DIMDANG NYOS Form *. RE"ORD OF RE"EIVING RA+ MATERIAL CATATAN PENERIMAAN BAHAN BAKU
Date In,etion time Su,,0ier
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S,e-ieSi/e Tonnage
NO. 1.
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STANDART
REMAR'S
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S,e-ieSi/e Tonnage
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DES"RI#TION
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: : : REMAR'S
"V. DIMDANG NYOS Form . RE"ORD OF #RO"ESS TEM#ERATURE CATATAN SUHU PROSES/PENGOLAHAN
DATE:. INS#E"TION TIME NO
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REMAR'S
"V. DIMDANG NYOS Form 5. FORM LETTER OF GUARANTEE CATATAN SURAT JAMINAN
5/# si'natu$e at !#tt#m 7 Name supplie$B
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Add$ess
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T# t/is 2it/ 2e /a&e a statement t/at s/$imp t# sale t# PT Uun' Timu$ 2it/ speci"icati#n as "#ll#2s7 Species
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"V. DIMDANG NYOS Form 6. RE"ORD OF "(E"'ING CATATAN CHECKING
DATE
S#ESIFI"ATION
SI7E
"OLOR
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GRADE
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REMAR'S
"V. DIMDANG NYOS Form 8. FORM FINAL +EIG(ING CATATAN PENIMBANGAN AKHIR
DATE
S#ESIFI"ATION
SI7E
LA&EL
+EIG(T%#AN
"E' SI7E
RESUT LULUS%GAGAL
"V. DIMDANG NYOS Form 4. RE"ORD OF FRO7EN #RODU"T CATATAN PRODUK BEKU
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REMAR'S
DATE
S#ESIFI"ATION
&LO"' S(A#E
GLA7ING
"V. DIMDANG NYOS Form 9. RE"ORD OF METAL DETE"TION CATATAN METAL DETEKTOR
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REMAR'S
DATE
S#ESIFI"ATION
METAL FILT( FOREIGN MATERIAL
SI7E
REMAR'S
"V. DIMDANG NYOS Form 13. RE"ORD OF #A"'ING AND LA&EL CATATAN PAKING DAN LABEL
DATE
#OLY&AG
INNER "ARTON
MASTER "ARTON
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LA&EL
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REMAR'S
"V. DIMDANG NYOS Form 11. RE"ORD OF DAILY T(A+ING CATATAN THAWING HARIAN
DATE: No
1.
ITEMS
1
2
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Name o< =u>er "ontrat or?er L%" Num=er Date o< 0oa?ing De-tination "ontainer num=er T>,e o< ,ro?ut
Gro-- @eig!t Net @eig!t Tem,erature =e
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"V. DIMDANG NYOS Form 1*. RE"ORD OF FREE7ING TEM#ERATURE CATATAN SUHU PEMBEKUAN
DATE
"#F
TIME LOADING UNLOADING
TEM#ERATURE LOADING
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UNLOADING
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"OMMENTS% "ORRE"TION
"V. DIMDANG NYOS Form 1. RE"ORD OF "OLD STORAGE TEM#ERATURE CATATAN TEMPERATUR COLDSTORAGE
DATE
TEM#ERATURE "S I "S II
TIME 38.33
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REMAR'S
34.33 39.33 13.33 11.33 12.33 1*.33 1.33 15.33 16.33 18.33 14.33 19.33 23.33 21.33 22.33 2*.33 2.33 31.33 32.33 3*.33 3.33 35.33 36.33
"V. DIMDANG NYOS Form 15. RE"ORD OF +ATER TREATMENT CATATAN PEN GOLAHAN AIR
Date
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,ema$(s
"V. DIMDANG NYOS Form 16. RE"ORD OF #EST "ONTROL CATATAN PENGAWASAN BINATANG PENGGANGGU
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"V. DIMDANG NYOS Form 18. (ARVESTING RE#ORT CATATAN PANEN TAMBAK
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Sie samplin' Time #" /a$&estin' Sstem #" /a$&estin' S#u$ce #" 2as/in' 2ate$ C/l#$ine 2ate$ Quantit ,ema$(
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"V. DIMDANG NYOS Form 14. T#" ANALYSIS RE#ORT CATATAN ANALISIS TPC
Date
*!ect Desc$ipti#n
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