Milking System Wash Checklist
Complete this checklist to record details of each milking system cleaning and wash cycle.
Date of Wash Event
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Name of Worker or Supervisor
*
First Name
Last Name
Equipment Cleaned
*
Bulk Tank
Milk Lines
Receiver Jar
Claws/Clusters
Wash Sink
Other
Chemicals Used
*
Alkaline Detergent
Acid Detergent
Sanitizer
Other
Wash Cycle Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Wash Cycle End Time
*
Hour Minutes
AM
PM
AM/PM Option
Water Temperature at Start (°C)
*
Water Temperature at End (°C)
*
Inspection Results
*
Pass
Fail
Issues Found During Inspection
Corrective Actions Taken
Completion Status
*
Completed
Incomplete
Additional Comments or Notes
Submit Checklist
Should be Empty: