Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
PEST CONTROL RECORD
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Written Pest Control Policy In Place.
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Contracted to Pest Control Company
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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
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
CHANGING - RAW CLEANING ROOM
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
PIE CORRIDOR
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
PIE PROCESSING ROOM
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
BAKING ROOM
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Bait One- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
PACKAGING CORRIDOR
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
PACKAGING ROOM
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
WASHING ROOM- PACKAGING
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
FACTORY OFFICE CORRIDOR
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Bait One- Empty
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Bait Two- Empty
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Bait Three- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
KITCHEN- COOKING AREA
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Bait One- Empty
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Bait Two- Empty
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Bait Three- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
POT WASHING AREA AND CORRIDOR
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Bait One- Empty
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Bait Two- Empty
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Bait Three- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
MEAT ROOM AREA
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
VEGETABLE SECTION
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
DRY STORAGE ROOM
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Bait One- Empty
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Bait Two- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
DRY STORAGE CORRIDOR
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Bait One- Empty
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Bait Two- Empty
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Bait Three- Empty
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Is there any evidence of mouse droppings or mouse urine staining?
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If yes, Attach media - Evidence
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Are chew marks visible on any boxes or materials in the facility?
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If yes, Attach media - Evidence
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Evidence of Pests.
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If yes, Attach media - Evidence
Management of Physical Facility
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Is there debris or garbage accumulation around outside of the building?
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Are outside garbage containers clean and properly covered?
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Are the doors or other openings to the outside of the building tightly fitted (no visible light showing through)?
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Are all screens for windows and doors in place and tightly fitted and in good repair?
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Is there an accumulation of spilled food, liquid, or dust?
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Do all food containers have lids?
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Are all food products stored off the floor?
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Are all interior garbage’s being emptied and removed from the facility daily?
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Are dirty dishes being cleaned prior to closing the facility at night?
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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
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RECOMMENDATIONS
CORRECTIVE ACTION
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ADD PHOTO OF MOST RECENT SERVICE REPORT
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Add media
Inspector's Full Name and Signature
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NAME
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Add signature
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Select date