Data collection sheet
Date: Shift:
06:00 am - 14:00 pm
Forms Person Responsible Sign off when done Time
Reception log Isaac/Derrick
Pre-production checklist Shadia/Juliet
Production log Shadia/Isaac
Boiler form Sadam
Sharp equipment log Esther
Cleaning records Sophie/Shadia
Transfer data to book Shadia/Esther
Hand cleaning monitoring form Team leaders
Residual chlorine form Esther/Monica
Dryer monitoring form Dryer opperator
Water pumps are started and running
Equipment maintenance
14:00 pm - 22:00 pm
Forms Person Responsible Sign off when done Time
Reception log Liz/Phiona
Pre-production checklist Maryl/Irene
Production log Maryl/Irene
Boiler form Ashraf
Sharp equipment log Maryl/Irene
Cleaning records Mary/Irene
Transfer data to book Ashraf
Hand cleaning monitoring form Team leaders
Residual chlorine form
Dryer monitoring form Dryer opperator
Water pumps are started and running
Equipment maintenance
22:00 pm : 06:00 am
Forms Person Responsible Sign off when done Time
Reception log
Pre-production checklist
Production log
Boiler form
Sharp equipment log
Cleaning records
Transfer data to book
Hand cleaning monitoring form Team leaders Hand cleaning Team leaders
monitoring form
Residual chlorine form
Dryer monitoring form Dryer opperator
Water pumps are started and running
Equipment maintenance
Data collection sheet
Date: Shift: