CIP DATA QUESTIONNAIRE

COMPANY: _____________________________________

Page 1 of 4

CLEANING IN PLACE INSTALLATIONS

(If unsure of data please leave space blank) Contact detail: Date:

Address: _____________________________________________________________________________ Tel: _____________ Fax: _____________ E-mail: _____________ Web site: ____________________ Business type: Direct Public tender Restricted tender Other (indicate)

Project scheduling: Quotation date: ____________ Decision date: ____________ Begin date: ____________ End date: ____________ Who are the competitors? Concept Design CIP Station type: CIP equipment to clean mobile vessels / equipment inside only. CIP CABINET to clean vessels / equipment inside and outside. CIP equipment and distribution lines for a whole installation (vessels, lines, etc) Regulatory Framework to comply with: Validation required (VMP/DQ /IQ/OQ): ASME BPE Yes No

Maximum Daily CIP process execution: ____________ CIP/day Maximum CIP Flow rate : ____________ m3/hr Process Data Product Type Injectable Non Injectable It is Crystallized with Temperature It is dissolved with water No need clean solution Need clean solution Acid Acid Basic Basic The current procedure is _________________________________________________________________ Product Physical Data Phase Name / description (sol /liq)

Temp.. (C.)

Density (g/cm3)

Viscosity (CPS)

Comments

Biohazard mater contained in process:

Yes

No

CIP DATA QUESTIONNAIRE

COMPANY: _____________________________________

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Installation data Electric current Compressed Air Dry Tension ______________ V / Frequency ______________ Hz Dry & Free of Oil Sterile

Pure Steam Flow rate ______________ Pressure ______________ Available Underground Room for installation of CIP Out unit Drainage Net Lay Out Pipe Material AISI 316L Polypropylene Internal Isolation Other Allowed Dead Leg Distance 6 Diameters Others_________________ Drinking water available Pure Water Water for Injection Industrial Steam 0,6 m 0,8 m Valves Type Diaphragm Ball Yes No

CIP Pipes Orbital TIG welding Other _________________

Flow Rate _________________ Flow Rate _________________ Flow Rate _________________ Flow Rate _________________ Pressure _________________

CIP DATA QUESTIONNAIRE

COMPANY: _____________________________________

Page 3 of 4

CIP Procedure steps Phase 1 : First Rinse Drinking Water Water recovered from last CIP cycle / Last rinse Temperature Ambient 60 C 80 C Time duration __5 min__ (Recommended Standard) Phase 2 : Solution cleaning Kind of cleaning solution Acid Basic Temperature Ambient 60 C 80 C Time duration __10 min__ (Recommended Standard) Phase 3 : Second Rinse Type of water Pure Water Drinking Water Temperature Ambient 60 C Time duration ___________ Phase 4 : Last Rinse Type of water Pure Water Water for Injection Temperature Ambient 60 C Time duration ___________ Phase 5 : Drying YES NO Compressed sterile air Compressed filtered air Compressed air (industrial free of oil / water) Inhert gas Other: _______________ (Specify a fluid) Heating of compressed air is required for drying: Other data Recover last rinse for next CIP cycle Control of last rinse Required SIP Time Conductivity in CIP Out Centralized from CIP In unit Individually to each process equipment YES NO 80 C 80 C

CIP DATA QUESTIONNAIRE

COMPANY: _____________________________________

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Type of Control Local SCADA

In Touch Screen Online Monitorial data through paper register X CIP Out conductivity (Recommended Standard) CIP TOC X CIP IN Flow Rate X CIP IN Temperature (Recommended Standard) (Recommended Standard)

Accessories & Equipment. Branches & Model Required DESCRIPTION PLC Touch screen SCADA software SCADA Hardware (PC) Graphic Register Conductivity meter Manometers TOC Flow meter Level meter Pressure meter Control Panel Components Comments SUPPLIER MODEL