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How Records Connect

Safety, quality, maintenance and training are usually four systems that cannot see each other. Here they are one record set. Every record in a chain carries the same Case ID, so a single value retrieves the incident, the statements, the investigation, every action and the effectiveness check.

cases
3
linked records
18
workspaces joined
4
standalone records
8

Case CASE-2026-00147

Slip on wet floor, Cutting Room, Abbotsford

10 recordsClosed, effectiveness verified

  1. Incident Report

    CASE-2026-00147KnowSafe2026-07-14 06:42M. Sandhu

    Sanitation technician slipped on standing water beside Bandsaw 4 during shift changeover. Sprained ankle, treated off site, four days modified duty.

    Actual: Medical treatment | Potential: SeriousOpen the SAF-001 template
    Site
    Abbotsford Meat Plant
    Area
    Cutting Room
    Anyone Injured
    Yes
    Injured Person
    J. Okafor
    Injured Person ID
    PER-0207
    Body Part
    Ankle
    Treatment Given
    Medical treatment off site
    Actual Severity
    Medical treatment
    Maximum Potential Loss
    Serious
    Investigation Level Indicated
    Level 3, ICAM
    Reportable To Regulator
    No
    Asset ID
    AST-0112
  2. Ella

    Witness Statement

    WIT-2026-00061General2026-07-14 07:20M. Sandhu

    Line lead witnessed the fall from four metres away. Confirms the hose had been left running during changeover and the wet floor sign was still in the store cupboard.

    Not scoredOpen the FDN-019 template
    Witness Name
    M. Sandhu
    Person ID
    PER-0114
    Position When Event Occurred
    At the portioning bench, clear view of the saw bay
    Statement Read Back
    Yes
    Witness Confirms Accurate
    Yes
  3. Ella

    Root Cause Analysis

    RCA-2026-00089General2026-07-16R. Halvorsen

    Changeover procedure allows wash down to begin before the previous crew has cleared the area. Drainage in the saw bay is undersized for the wash volume. Wet floor signage is stored 40 metres away.

    Level 3, ICAM. 4 causes codedOpen the FDN-013 template
    Maximum Potential Loss
    Serious
    Investigation Level
    Level 3
    Method Required
    ICAM
    Recurrence In Last 24 Months
    Yes, two similar events
    Lead Trained In Method
    Yes
    Root Cause Statement
    Changeover sequencing permits wash down to overlap with production crew presence, and drainage capacity in the saw bay cannot clear the volume produced.
    Systemic Issue
    Yes
    Extent of Condition ID
    EOC-2026-00022
    Actions Raised
    3
  4. Ella

    Just Culture Determination

    JCD-2026-00014General2026-07-16R. Halvorsen

    Substitution test confirms other technicians follow the same changeover practice. Determination is system induced, so the response is to fix the sequencing rather than address the individual.

    System inducedOpen the FDN-017 template
    Substitution Test
    Yes, most would have acted the same
    Foresight Test
    No, risk was not reasonably foreseeable to the individual
    Behaviour Normalised In Team
    Yes
    Determination
    System induced
    Response
    Console
    HR Reviewed
    Yes
  5. Ella

    Extent of Condition Review

    EOC-2026-00022General2026-07-17R. Halvorsen

    The same changeover overlap exists on six of nine wet processing areas across both sites. Drainage undersizing is specific to the Abbotsford saw bay.

    6 of 9 areas affectedOpen the FDN-018 template
    Number Checked
    9
    Number Found With Condition
    6
    Percent Affected
    67
    Cause Found Elsewhere
    Yes
    Scope Of Action Required
    Business wide
  6. Ella

    CAPA, changeover sequencing

    CAPA-2026-00612General2026-07-17R. Halvorsen

    Rewrite the changeover standard so wash down cannot begin until the production crew has physically cleared the area, enforced by a shift handover gate.

    Strength: Medium | Closed on timeOpen the FDN-014 template
    Action Class
    Corrective action
    Action Strength
    Medium
    Hierarchy Level
    Administrative
    Priority
    High
    Action Owner
    R. Halvorsen
    Due Date
    2026-08-15
    Triggers Document Change
    Yes
    Related Document ID
    DOC-0341
    Status
    Closed
  7. Ella

    CAPA, saw bay drainage

    CAPA-2026-00613General2026-07-17D. Rioux

    Install additional channel drain and regrade the saw bay floor so wash volume clears within the changeover window.

    Strength: Strong | Closed 6 days lateOpen the FDN-014 template
    Action Class
    Corrective action
    Action Strength
    Strong
    Hierarchy Level
    Engineering
    Priority
    High
    Action Owner
    D. Rioux
    Due Date
    2026-09-30
    Triggers MOC
    Yes
    Related MOC ID
    MOC-2026-00038
    Status
    Closed
  8. Ella

    CAPA, signage placement

    CAPA-2026-00614General2026-07-17J. Okafor

    Mount wet floor signage at each wash point rather than in a central store. Flagged weak on its own, accepted only alongside the two stronger actions.

    Strength: Weak | Closed on timeOpen the FDN-014 template
    Action Class
    Correction
    Action Strength
    Weak
    Hierarchy Level
    Administrative
    Strength Justification
    Weak on its own. Accepted because two stronger actions address the cause.
    Priority
    Medium
    Status
    Closed
  9. Ella

    Management of Change

    MOC-2026-00038General2026-07-24D. Rioux

    Drainage modification in the saw bay. Assessed for hygienic design, floor slip resistance and effect on cleaning routes.

    Change risk: LowOpen the FDN-020 template
    Change Type
    Equipment
    Change Category
    Permanent
    Like For Like Replacement
    No
    Risk Assessment Required
    Yes
    Risk ID
    RSK-2026-00204
    Change Risk Band
    Low
    Approval Status
    Approved
    All Requirements Complete
    Yes
  10. Ella

    Effectiveness Verification

    EFV-2026-00098General2026-11-12S. Nakamura

    118 days after implementation. Zero slip events in the saw bay, wash down clearance measured at under four minutes against a nine minute changeover window.

    EffectiveOpen the FDN-016 template
    Time Since Implementation
    118
    Verification Method
    Measurement and observation
    Independence Confirmed
    Yes
    Baseline Value
    3 slips in 24 months
    Current Value
    0 slips in 4 months
    Target Met
    Yes
    Verification Result
    Effective

Case CASE-2026-00152

Metal detection test failure, Line 3, Chilliwack

6 recordsOpen, effectiveness check due

  1. Metal Detection Check

    CHK-2026-01884KnowQuality2026-07-29 14:10T. Bhullar

    Mid run check. Ferrous and non ferrous test pieces detected. Stainless steel 2.5 mm passed through undetected on three consecutive attempts.

    Failed, stainless testOpen the QUA-020 template
    Detector
    Metal Detector L3
    Asset ID
    AST-0203
    Check Point
    Interval
    Ferrous Test
    Pass
    Non Ferrous Test
    Pass
    Stainless Steel Test
    Fail
    Any Test Failed
    Yes
    Product Held From
    2026-07-29 09:15
    Quantity Held
    2,840 units
    Hold ID
    HOLD-2026-00311
    Engineering Called
    Yes
    Work Order ID
    WO-2026-04471

  2. Hold and Release Record

    HOLD-2026-00311KnowQuality2026-07-29 14:22A. Chen

    2,840 units of cultured yoghurt held back to the last passing check at 09:15. Released after reinspection through a verified detector.

    Not scoredOpen the QUA-003 template
    Quantity
    2,840 units
    Disposition
    Reinspect and release
    Approved By
    A. Chen
    Released
    Yes, 2026-07-30

  3. Work Order

    WO-2026-04471KnowMaintain2026-07-29 14:30D. Rioux

    Detector head found with moisture ingress behind the seal, reducing stainless sensitivity. Seal replaced and unit revalidated across all three test pieces.

    Emergency | 4.5 hours downtimeOpen the MNT-002 template
    Asset
    Metal Detector L3
    Asset ID
    AST-0203
    Work Type
    Emergency
    Priority
    Critical
    Permit Required
    No
    Food Contact Area
    Yes
    Post Work Sanitation Required
    Yes
    Actual Hours
    3.5
    Downtime Hours
    4.5
    Area Cleaned And Released
    Yes
    Status
    Closed
  4. Ella

    Root Cause Analysis

    RCA-2026-00094General2026-07-31A. Chen

    Detector seal degradation was not covered by any preventive task. Wash down pressure at this point exceeds the unit's ingress rating. Sensitivity checks did not include stainless until this year.

    Level 3, ICAM. 3 causes codedOpen the FDN-013 template
    Maximum Potential Loss
    Serious, foreign body reaching consumer
    Investigation Level
    Level 3
    Recurrence In Last 24 Months
    No
    Root Cause Statement
    No preventive task existed for detector seal integrity, and local wash down pressure exceeds the equipment ingress rating specified at purchase.
    Systemic Issue
    Yes
    Actions Raised
    2
  5. Ella

    CAPA, detector seal PM

    CAPA-2026-00658General2026-07-31D. Rioux

    Add quarterly seal integrity task to the preventive plan for all six detectors across both sites, with an ingress rating check at the same visit.

    Strength: Medium | In progressOpen the FDN-014 template
    Action Class
    Preventive action
    Action Strength
    Medium
    Hierarchy Level
    Engineering
    Priority
    High
    Due Date
    2026-09-15
    Effectiveness Check Required
    Yes
    Effectiveness Metric
    Zero sensitivity failures attributable to seal condition over 6 months
    Verification Due Date
    2027-03-15
    Status
    Completed, verification pending
  6. Ella

    CAPA, wash down pressure

    CAPA-2026-00659General2026-07-31J. Okafor

    Fit pressure limiting nozzles at wash points adjacent to detection equipment so local pressure cannot exceed the equipment ingress rating.

    Strength: Strong | In progressOpen the FDN-014 template
    Action Class
    Corrective action
    Action Strength
    Strong
    Hierarchy Level
    Engineering
    Priority
    High
    Due Date
    2026-10-31
    Status
    In progress

Case CASE-2026-00161

Pre-operational sanitation failure, Line 5, Abbotsford

2 recordsClosed

  1. Pre-Operational Sanitation Inspection

    INSP-2026-08820KnowQuality2026-08-06 04:50J. Okafor

    Product residue found on the vacuum packer sealing bar and under the infeed conveyor. Line held, recleaned and passed on recheck at 06:15.

    72 percent | Line not releasedOpen the QUA-030 template
    Line
    Line 5
    Product To Run
    Sliced ham
    Previous Product
    Smoked turkey
    Allergen Changeover Required
    No
    Visual Cleanliness
    Fail
    Deficiency Detail
    Protein residue on sealing bar and conveyor underside
    Recleaned
    Yes
    Recheck Result
    Pass
    ATP Result RLU
    41
    Line Released For Production
    Yes, after reclean
    CAPA ID
    CAPA-2026-00671
  2. Ella

    CAPA, sanitation coverage

    CAPA-2026-00671General2026-08-06J. Okafor

    Add the sealing bar and conveyor underside to the master sanitation schedule as named items rather than leaving them inside a general clean instruction.

    Strength: Medium | Closed on timeOpen the FDN-014 template
    Action Class
    Corrective action
    Action Strength
    Medium
    Hierarchy Level
    Administrative
    Triggers Document Change
    Yes
    Related Document ID
    DOC-0288
    Status
    Closed

No case to join

Other submissions

8 records

Records that stand on their own — the same templates, raised outside an investigation.

Lifting Task Assessment

ERG-2026-00047KnowErgo2026-06-18S. Nakamura

Case handling from the vacuum packer outfeed to pallet. Cold environment, wet packaging, no aid in use despite a lift assist being available six metres away.

NIOSH LI 2.4 | REBA 9 | Band: HighOpen the ERG-007 template
Task
Case handling, packer outfeed to pallet
Job ID
JOB-041
Load Weight Kg
14.2
Lifts Per Hour
96
Lifting Aid Available
Yes
Aid Actually Used
No
Why Not Used
Aid is six metres from the outfeed and slows the line below target rate
Cold Environment
Yes
Temperature C
4
Grip Quality
Poor, wet film packaging
NIOSH Lifting Index
2.4
REBA Score
9
Worst Normalised Band
High
Action Required
Yes
CAPA ID
CAPA-2026-00520
Reassessment Due
2026-09-20

Lifting Task Assessment, reassessment

ERG-2026-00061KnowErgo2026-09-22S. Nakamura

Same task, same camera position, after the lift assist was relocated to the outfeed and grip gloves issued. Lifting index down from 2.4 to 0.9.

NIOSH LI 0.9 | REBA 4 | Band: LowOpen the ERG-007 template
Task
Case handling, packer outfeed to pallet
Job ID
JOB-041
Assessment Trigger
Post control reassessment
Aid Actually Used
Yes
Grip Quality
Good, textured grip gloves issued
NIOSH Lifting Index
0.9
REBA Score
4
Worst Normalised Band
Low
Action Required
No

Confined Space Entry Permit

PTW-2026-00219KnowSafe2026-08-02D. Rioux

Entry into Blend Tank 6 for agitator seal replacement. Nitrogen residual required extended purging, initial atmosphere test failed and entry was delayed 90 minutes.

All gates passed | Cancelled 16:40Open the SAF-049 template
Confined Space
Blend Tank 6
Space ID
CSP-006
Space Isolated
Yes
Agitators Locked Out
Yes
Isolation Permit ID
PTW-2026-00218
Oxygen Percent
20.8
Flammable Percent LEL
0
Atmosphere Acceptable
Yes, after second test
Continuous Monitoring In Place
Yes
Attendant Trained
Yes
Rescue Plan ID
RESC-004
All Gates Passed
Yes
All Persons Out
Yes
Headcount Verified
Yes

Forklift Pre-Use Inspection

INSP-2026-09102KnowSafe2026-08-14 05:58L. Moreau

Hydraulic weep at the mast base and condensation on the control panel after cold store work. Truck tagged out and a work order raised before the shift started.

Defect found | Truck tagged outOpen the SAF-028 template
Forklift
Forklift 3
Asset ID
AST-0402
Hour Meter Reading
4,812
Hydraulic Leaks
Fail
Used In Cold Store
Yes
Condensation On Controls
Fail
Any Defects Found
Yes
Defect Severity
Critical
Truck Tagged Out
Yes
Work Order ID
WO-2026-04588
Safe To Operate
No

CCP Monitoring Log

CCP-2026-03340KnowQuality2026-08-13T. Bhullar

Pasteuriser 1, cultured milk run. Eight readings across the shift, all within the 72 degree critical limit with a minimum recorded of 72.4.

All readings within limitsOpen the QUA-048 template
HACCP Plan
Cultured Products HACCP
Line
Line 1
Batch Number
884201
Product
Cultured milk 2 percent
All Readings Within Limits
Yes
Verified By
A. Chen

Slips Trips and Falls Talk

TT-2026-00744KnowTrain2026-07-21M. Sandhu

Delivered to the cutting room crew a week after the saw bay slip. Two concerns raised about hose storage, one raised as a hazard report on the spot.

11 attendees | 100 percent understoodOpen the TRN-009 template
Site
Abbotsford Meat Plant
Recent Incidents Discussed
Yes
Case ID Discussed
CASE-2026-00147
Concerns Raised
Yes
Concern Detail
Hoses stored across the walkway between the saw bay and the wash point
Hazard Report Raised
Yes
Hazard Case ID
CASE-2026-00149

Allergen Changeover Check

CHK-2026-02015KnowQuality2026-08-11A. Chen

Changeover from a dairy containing dressing to a dairy free line. Full wet clean, allergen swab negative, label check completed and double signed.

Released | Double signedOpen the QUA-051 template
Previous Product
Ranch dressing
Previous Allergens
Milk, Egg
Next Product
Vinaigrette
Next Allergens
None
Allergen Removal Required
Yes
Full Wet Clean Completed
Yes
Allergen Swab Taken
Yes
Swab Result
Negative
Label Check Completed
Yes
Line Released
Yes

Environmental Swab Record

SWAB-2026-00588KnowQuality2026-08-04A. Chen

Routine monitoring round, 18 points. One Listeria indicator positive at a floor drain in the packing corridor, zone 3. Vector swabbing negative, no product at risk.

1 positive, Zone 3Open the QUA-035 template
Monitoring Plan ID
EMP-002
Any Positive Results
Yes
Positive Points
Floor drain, packing corridor east
Highest Zone Affected
Zone 3
Product At Risk
No
Expanded Swabbing Done
Yes
Corrective Record ID
SCR2-2026-00119
CAPA ID
CAPA-2026-00664
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