Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

PEST CONTROL RECORD

  • Written Pest Control Policy In Place.

  • Contracted to Pest Control Company

  • Name of the Pest Control Company & Contact: Crystalkil Pest Control Service www.crystal-group.co.uk 020 8503 3380

Investigating and Inspecting for Evidence of Pests

CHANGING - COOKED CLEANING ROOM

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

CHANGING - RAW CLEANING ROOM

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

PIE CORRIDOR

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

PIE PROCESSING ROOM

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

BAKING ROOM

  • Bait One- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

PACKAGING CORRIDOR

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

PACKAGING ROOM

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

WASHING ROOM- PACKAGING

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

FACTORY OFFICE CORRIDOR

  • Bait One- Empty

  • Bait Two- Empty

  • Bait Three- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

KITCHEN- COOKING AREA

  • Bait One- Empty

  • Bait Two- Empty

  • Bait Three- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

POT WASHING AREA AND CORRIDOR

  • Bait One- Empty

  • Bait Two- Empty

  • Bait Three- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

MEAT ROOM AREA

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

VEGETABLE SECTION

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

DRY STORAGE ROOM

  • Bait One- Empty

  • Bait Two- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

DRY STORAGE CORRIDOR

  • Bait One- Empty

  • Bait Two- Empty

  • Bait Three- Empty

  • Is there any evidence of mouse droppings or mouse urine staining?

  • If yes, Attach media - Evidence

  • Are chew marks visible on any boxes or materials in the facility?

  • If yes, Attach media - Evidence

  • Evidence of Pests.

  • If yes, Attach media - Evidence

Management of Physical Facility

  • Is there debris or garbage accumulation around outside of the building?

  • Are outside garbage containers clean and properly covered?

  • Are the doors or other openings to the outside of the building tightly fitted (no visible light showing through)?

  • Are all screens for windows and doors in place and tightly fitted and in good repair?

  • Is there an accumulation of spilled food, liquid, or dust?

  • Do all food containers have lids?

  • Are all food products stored off the floor?

  • Are all interior garbage’s being emptied and removed from the facility daily?

  • Are dirty dishes being cleaned prior to closing the facility at night?

  • Are all hard to reach areas of the facility (under grill lines, prep tables, and shelving units) being cleaned on a frequent enough basis to prevent build up?

COMPLETION

  • RECOMMENDATIONS

CORRECTIVE ACTION

  • undefined

ADD PHOTO OF MOST RECENT SERVICE REPORT

  • Add media

Inspector's Full Name and Signature

  • NAME

  • Add signature

  • Select date

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