CA Pest Control

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Scope

• Provide a brief description of the department, procedure, element, program, or area being audited.

Policy/Procedure

• Is there a policy that defines the integrated pest control system?

  Yes

  No

  N/A

• What documents contain that policy?

• Who manages the pest control system (all parties)?

• What pests are intended targets of pesticide application?

• What forms of pest control are utilized at the facility?

Physical Site

• No pest infestation was found at the facility?

  Yes

  No

  N/A

• What pests were observed and where?

• Is there any history of pest infestation according to pest control logs?

  Yes

  No

  N/A

• Explain

• Rat run is free of any obstructions?

  Yes

  No

  N/A

• Explain

• Are there any conditions present at the facility that could attract or harbor pests?

  Yes

  No

  N/A

• Explain

• Do all pest control devices appear to be in working order?

  Yes

  No

  N/A

• Explain

Responsibilities

• Who is responsible for ensuring pest control contractors are following appropriate protocols?

• Who performs inspections of pest control devices?

• With what frequency are pest control device inspections performed?

GMP

• Are pest control contractors trained on the company GMP policy?

  Yes

  No

  N/A

• How is the training documented?

Food Safety

• Our pest control devices do not contain hazardous (poisonous) material.

  Yes

  No

  N/A

• Where are such devices located?

• Are there SDS's on file for all poisons and pesticides used for pest control?

  Yes

  No

  N/A

• Why not?

• Are any methods employed to prevent pests from entering the facility instead of just controlling the ones that do?

  Yes

  No

  N/A

Quality

• What is the quality department's role in the pest control system?

Electronic Records

• Are any form or records stored electronically?

  Yes

  No

  N/A

• What are they?

• Are all electronic records stored in a secure location?

  Yes

  No

  N/A

Record Retention

• Where and how are physical records such as inspection reports and SDS's stored?

• Is the program up to date?

  Yes

  No

  N/A

Audit Details

• Documents reviewed:

• Evaluation Summary:

Findings

• Minor

Minor Finding

• Description of Finding

• Major

Major Finding

• Description of Finding

• Critical

Critical Finding

• Description of Finding

• Corrective actions from findings:

Follow-up

• Short term corrective actions completed?

  Yes

  No

  N/A

• Date short term corrective actions completed

  Date

• Long term corrective actions completed?

  Yes

  No

  N/A

• Date long term corrective actions completed

  Date

• Verifier of corrective action completion:

  Sign

Results

• Did the system being audited pass or fail?<br>Pass = <10 minor findings and no major or critical findings<br>Fail = >9 minor findings or any major or critical findings

  Pass

  Fail

• Results communicated to auditee?

  Yes

  No

  N/A

Signatures

Auditor

• Auditor Signature

  Sign

• Auditor Title

• Date of Signature

  Date