Company Name
Form #: HR418600
Revision Date: 06/21/2002
Replaces: 03/27/2002
Page 1 of 2
GMP Checklist
Name (print): _______________________
Name (print): _______________________
Signature: ______________________
Signature: ______________________
Buildings & Grounds
Exterior
1. Exterior walls are free of high weeds, derelict equipment,
junk, trash, or objects that may harbor insects or animals.
2. Pallets near back warehouse are stacked neatly.
3. Propane Gas Shed is secure and neatly organized.
4. Exterior is free of roosting birds and excessive droppings.
5. Doors and windows are properly shut and/or screened.
6. Areas beneath dock plates are free of trash, spilled product,
broken product containers, etc..
7. Stairways and walkways are free of slip hazards and debris.
OK?
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes No
Yes No
Sugar Silos & Surrounding Areas
8. Areas (inside and out) are free of sugar piles.
9. Tools, parts, sleeves, etc. are stored neatly.
10. Areas are free of debris, trash, full barrels, etc..
11. Silo walls are free of mold, mildew, and dirt.
Yes
Yes
Yes
Yes
No
No
No
No
Warehouses
12. Overhead doors shut properly (with all sides sealed).
13. The entire 18” perimeter is clear and free of materials, etc..
14. There is sufficient lighting.
15. All lights are in working order.
16. Ventilation seems adequate.
17. Rows are neat, orderly, and well maintained.
18. Doors are properly rodent-proofed (traps on each side).
19. Insect-o-Cuters are operating and clean.
20. Ceilings and walls are free of leaks.
21. Climate controls (heat, AC, etc.) are working properly.
22. Trash/scrap receptacles are in place and checked regularly.
23. Floors are free of trash and debris.
24. Damaged goods are stored separately and clearly marked.
25. Signs of food, beverage, tobacco, or gum use are absent.
26. Forklifts are generally clean and in good, working order.
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Packaging Rooms, Spray Dryer, and Mixing Areas
27. There is sufficient lighting.
28. All lights are in working order.
29. Lights are shatterproof or covered.
30. Ventilation is adequate.
31. Climate controls (heat, AC, etc.) are working properly.
32. Areas are free of unnecessary glass and wood.
33. Ceilings and walls are free of leaks.
34. Trash/scrap receptacles are in place and checked regularly.
35. Scales, utensils, tools, & control panels are clean/working.
36. Areas are free of loose machine parts and supplies.
37. Signs of food, beverage, tobacco, or gum use are absent.
38. Powder/product are properly covered (rework, hoppers, etc.)
39. Containers, materials, and tools are stored properly.
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
Notes
Date: __________________
Building: _______________
Personnel
OK?
Attire & PPE
40. Employees are wearing their uniforms.
41. All persons in facilities are wearing hairnets.
42. Those with beards/goatees are wearing beard snoods.
43. Required personnel are wearing work boots (i.e., dryers,
shipping, mixing, maintenance, etc.)
44. All glass line workers are wearing Safety Glasses.
45. Employees are wearing ear protection in required areas.
46. Personnel working with food or food containers are wearing
latex gloves.
47. Areas are free of food, beverage, tobacco, or gum use.
48. Employees are not wearing jewelry.
49. Work areas are free of personal belongings.
50. Employees do not have loose clothing or loose hair.
Equipment, Utensils, & Housekeeping Issues
51. Tools and equipment are suitable for their intended use.
52. Tools and equipment are being cleaned as needed.
53. Tools and equipment are maintained as needed.
54. Tools and equipment are stored properly.
55. Tools and equipment that require sanitizing are properly
sanitized, handled, and stored.
56. Unused packing lines, mixers, equipment and tools are
clean, properly locked down, covered, etc.
57. Restrooms are clean (and cleaned regularly).
58. Restrooms are stocked (soap, tissue, towels).
59. Washroom is clean and orderly.
60. Trash area is clean and orderly.
61. Housekeeping sinks and closets are clean and orderly.
62. Rooms are generally neat and orderly.
63. Offices (especially labs) are clean.
64. Floors and walls are cleaned regularly.
65. Doors, windows, and hallways are clean.
66. There are suitable cleaning schedules for all of the above.
Process Controls
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
OK?
Yes
Yes
Yes
Yes
No
No
No
No
Yes No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
OK?
67. The GMP Program is adequately maintained.
68. Prior GMP violations have been addressed and corrected.
69. Records are being properly completed.
70. Pest Control program is maintained.
71. HACCP program is maintained.
72. Employees have access to all required PPE, information,
forms, and other things they need.
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes No
(Explain all “No” answers, referencing the #)
All items warranting
follow-up should be
recorded on backside
of this form.
Reviewed By: ___________________________________ Date: ______________________________
Company Name
Form #: HR418600
Revision Date: 06/21/2002
Replaces: 03/27/2002
Page 2 of 2
GMP Checklist
Problem/Condition
Department/
Area
Assigned To
Due By
Date: _________________
Extended
Until
Date Verified
& Initials
Reviewed By: ___________________________________ Date: ______________________________
Comments