SHANTI ROLLER FLOUR Food Safety Management ISO 22000:2005
MILLS LTD. System
Document No.- Issue No.: 01 Issue Date: 01/01/2018
SRFML/FSMS/SSOP/F/10
VISITOR HEALTH CHECK
Visitor Name: ………………………………………………. Date: ………………..
Company Name: ………………………………Reason for Visit: ……… ……
In order to minimize the potential risks in the Processing and supply of our products, kindly complete
this questionnaire before entering our premises/ Processing area.
Are you at present or have you over the past 7 days suffered from any of the following symptoms?
(please Fill the check box)
Yes No
Diarrhea
Vomiting
Nausea
Fever
Ear/Nose infections
Throat infection/Cough
Heavy Cold
Sneezing
Open sores/boils
Skin infections / Eczema
Any other ailments?
Please follow these rules, designed to eliminate product contamination:
1. Please remove watches and any loose jewellery.
2. Please wear the protective clothing provided (Visitor Cap & Apron).
3. Please do not handle / Touch any products, unless invited to do so.
4. Please do not change any equipment settings, unless invited.
5. You are not allowed to eat, smoke or drink in Processing/ storage area
6. Spitting is totally forbidden.
7. Please wash & sanitize hands each time you enter the work areas,
Especially after visit to toilet.
I have read, understood and will comply with the company’s hygiene rules.
Visitor’s Signature: ……………………………Time: ……………………………...
Authorised to enter: …………………………...Time: …………………………….
Approved By: Issued By