Equipment or Machinery Movement and Commissioning Form
Equipment or Machinery Movement and Commissioning Form
This sheet must be completed each time a piece of equipment or machinery is moved from one production area / department to
another, or a new piece of equipment or machinery is brought onsite for use in a production area.
TECHNICAL MANAGEMENT
Type of swabs / tests
Is cleaning required?
required?
Tech sign: Date:
HYGIENE MANAGEMENT
Equipment cleaned? sign: Date:
QA - TECHNICAL
Has swabbing Type of swabbing Visual
been carried out? carried out: inspection OK?
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Part Swabbed: Results Pass/Fail
Swab
Swabbed by - sign:
date:
Limits for ATP Swabs: High Care – 50 Stainless Steel, 80 Plastic. Low Care – 80 Stainless Steel, 150 Plastic
TECHNICAL MANAGEMENT
Is a re-clean /
Tech sign: Date:
re-swab required?
Has equipment been
Tech sign: Date:
released?
Once equipment has been passed onto the room does it need to be cleaned again
before use?
HYGIENE MANAGEMENT
Equipment re-cleaned in
sign: Date:
area before use?
Equipment / Machinery Movement / Commissioning Sheet
Sign: Date:
Comments: