Central Area Internal Audit V1

• Conducted on

  Date

• Farm Name

• Location
  Address

General Farm Rules

• No other farms and game birds in 1 kilometer

  Yes

  No

  N/A

• Perimeter fence is available and effective

  Yes

  No

  N/A

• Clean, dirty, and restricted area barriers are available and effective

  Yes

  No

  N/A

• No entry points to clean area other than the decon room 1

  Yes

  No

  N/A

• No other animals seen inside farm premises

  Yes

  No

  N/A

• With designating smoking area and is well implemented and effective

  Yes

  No

  N/A

Farm Gate

• Farm gate is present and generally clean

  Yes

  No

  N/A

• Guard seeks ID on all visitors entering the farm

  Yes

  No

  N/A

• Farm gate always closed

  Yes

  No

  N/A

• Bio security posters for visitors instruction are available

  Yes

  No

  N/A

• Cleaning of FGE: Schedule, tools, and procedure available

  Yes

  No

  N/A

• How does FGE personnel receive allocation/vaccines? (wet disinfection vs fumigation)

  Yes

  No

  N/A

Designated Parking Area

• With parking area

  Yes

  No

  N/A

• Clean and well maintained

  Yes

  No

  N/A

• All farm visitors parked their vehicle here

  Yes

  No

  N/A

Vehicle Spray/ Truck Wash

• Available and functional and generally clean

  Yes

  No

  N/A

• Vehicle Wash Area with concrete pavement with good drainage going to the dirty area

  Yes

  No

  N/A

• Vehicle Spray- two plastic drums-plain water and disinfectant; covered and not exposed to direct sunlight

  Yes

  No

  N/A

• Proper vehicle spraying is observed i.e. water then spray with disinfectant

  Yes

  No

  N/A

• Schedule of replacement of disinfectant is followed

  Yes

  No

  N/A

• Mats and inside of the truck (dash board, seats) are sprayed with disinfectant solution using handheld sprayer

  Yes

  No

  N/A

Logbook

• Available with clock and calendar in the area

  Yes

  No

  N/A

• All information required are filled up

  Yes

  No

  N/A

• All visits recorded

  Yes

  No

  N/A

Visitor Information Sheet

• Available and previous records are filed

  Yes

  No

  N/A

• All information required are filled up

  Yes

  No

  N/A

• Downtime checked by FGE personnel and should be approved by officer

  Yes

  No

  N/A

Downtime Matrix

• Available and posted,

  Yes

  No

  N/A

• Guard on duty knows how to interpret/use the matrix

  Yes

  No

  N/A

Personal Hygiene Sheet

• Available and previous records are filed

  Yes

  No

  N/A

• All information required filled up

  Yes

  No

  N/A

Fumigation Box

• Available and functional

  Yes

  No

  N/A

• All person entering the farm fumigate their things

  Yes

  No

  N/A

• With small trays for gadgets, watches, etc.

  Yes

  No

  N/A

• Fumigation box are painted, air tight, and clean

  Yes

  No

  N/A

• Proper ratio of fumigants used and measuring tool present (6.4g/m3). indicate the amount being used

  Yes

  No

  N/A

• 15 min fumigation is followed

  Yes

  No

  N/A

• Fumigation box can be both accessed in dirty and clean area

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

Hand Sanitizer

• Available

  Yes

  No

  N/A

• Hand sanitizer container is clean and well maintained

  Yes

  No

  N/A

• All person entering the farm use hand sanitizer

  Yes

  No

  N/A

• Entire hand is wet after use

  Yes

  No

  N/A

Foot Bath

• Available

  Yes

  No

  N/A

• Proper dilution of disinfectant are observed

  Yes

  No

  N/A

• Measuring tool available

  Yes

  No

  N/A

• Daily replacement followed

  Yes

  No

  N/A

• Clean and protected from direct sunlight

  Yes

  No

  N/A

• Used by all person entering clean area

  Yes

  No

  N/A

Cabinet for outside clothes

• Cabinet cleaned and maintained

  Yes

  No

  N/A

• Cabinet labelled properly

  Yes

  No

  N/A

• All personal clothes left inside the cabinet

  Yes

  No

  N/A

Shower Cubicles

• At least three cubicles present with curtains or doors

  Yes

  No

  N/A

• Centralized water heater with high water pressure

  Yes

  No

  N/A

• With functional shower head and faucet

  Yes

  No

  N/A

• With tiled floors, good and rat proof drainage

  Yes

  No

  N/A

• With painted wall and ceilings

  Yes

  No

  N/A

• Well lighted

  Yes

  No

  N/A

• All person entering clean area takes a shower and follow 3-2 minutes rule, with functional timer

  Yes

  No

  N/A

• Shampoo/ body wash container available, filled, and functional

  Yes

  No

  N/A

• Basket for used towels and uniforms and farm slippers are present

  Yes

  No

  N/A

Dip Bath

• Available and with chlorinated water

  Yes

  No

  N/A

• Ensures full body dipping and with barrier and antislip present

  Yes

  No

  N/A

• Dip bath with chlorine tablet at >10ppm

  Yes

  No

  N/A

Towel Rack

• Towels are available for 1st and 2nd shower

  Yes

  No

  N/A

• Clean and organized

  Yes

  No

  N/A

Clean uniform

• Locker labelled properly (as per house/ designation)

  Yes

  No

  N/A

• Contains only clean uniform for clean area use only

  Yes

  No

  N/A

• Has provision for stock uniforms. What is the minimum number of uniforms? (5 sets minimum with clean, disposable underwear)

  Yes

  No

  N/A

• Clean and organize

  Yes

  No

  N/A

Farm Uniform

• Clean and in good condition

  Yes

  No

  N/A

• All person entering clean area wear proper uniform

  Yes

  No

  N/A

Hand Sanitizer

• Available and with enough supply

  Yes

  No

  N/A

• Hand sanitizer container is clean, filled, and well maintained

  Yes

  No

  N/A

Foot Wear Rack

• Available

  Yes

  No

  N/A

• Foot wear cabinet/ rack are labelled properly

  Yes

  No

  N/A

• Foot wear cabinet/ rack are clean and well maintained

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

Foot Wear for Clean Area

• Available and in good condition

  Yes

  No

  N/A

• No any other foot wear worn in the clean area except for farm slippers

  Yes

  No

  N/A

• Quantity of slippers the same or more than the number of farm personnel (minimum is 10 pairs)

  Yes

  No

  N/A

• Slippers are clean

  Yes

  No

  N/A

Container for used farm slippers

• Available

  Yes

  No

  N/A

• Disinfectant with proper dilution

  Yes

  No

  N/A

• Measuring tool available

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

• All personnel, placed used farm slippers inside the container

  Yes

  No

  N/A

Container for soaking of groceries, meat and fish

• Available

  Yes

  No

  N/A

• Disinfectant with proper dilution (detergent powder)

  Yes

  No

  N/A

• Measuring tool available

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

• All personnel is using these containers

  Yes

  No

  N/A

Container for soaking of outside clothes

• Available

  Yes

  No

  N/A

• Disinfectant with proper dilution (detergent powder)

  Yes

  No

  N/A

• Measuring tool available

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

• All personnel coming is placing their clothes to be brought inside the farm before washing

  Yes

  No

  N/A

Laundry and Drying Area

• With available functional washing machine and dryer

  Yes

  No

  N/A

• Drying facility has bird proofing

  Yes

  No

  N/A

Office

• Floor, wall, ceiling are clean

  Yes

  No

  N/A

• Dust on tables and equipment removed

  Yes

  No

  N/A

• All equipment functioning (Ventilating fans, aircondition unit, television, water dispenser, lighting fixtures)

  Yes

  No

  N/A

• Comfort room present and clean

  Yes

  No

  N/A

• Flush and/or faucet is working

  Yes

  No

  N/A

• Soap and paper towel available

  Yes

  No

  N/A

• Trash can is available and not full

  Yes

  No

  N/A

Medicine Room/Cabinet

• Available and with own room

  Yes

  No

  N/A

• Labelled properly (Vitamins, antibiotic, disinfectants, insecticide, etc.)

  Yes

  No

  N/A

• Cleaned daily

  Yes

  No

  N/A

• Medicine, disinfectant inventory available and updated

  Yes

  No

  N/A

• Rat proof and rat baits present

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

Refrigerator for Vaccine

• Available

  Yes

  No

  N/A

• Functioning well

  Yes

  No

  N/A

• Thermometer available and functional

  Yes

  No

  N/A

• Temperature monitoring available and updated? 2-8°C

  Yes

  No

  N/A

• No food at vaccine refrigerator

  Yes

  No

  N/A

• Vaccine inventory including expiration date available and updated

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

Officers Quarters

• Rooms and other bedding materials are available

  Yes

  No

  N/A

• Rooms are generally clean and well maintained

  Yes

  No

  N/A

• Equipment such as lighting, cabinets are available and functional

  Yes

  No

  N/A

• Ventilating fan or AC unit available and functional

  Yes

  No

  N/A

• Ventilating fan or AC unit clean

  Yes

  No

  N/A

• Lighting fixture is available and functional

  Yes

  No

  N/A

• Lighting fixture is clean

  Yes

  No

  N/A

• Comfort room present and clean

  Yes

  No

  N/A

• Shower or faucets available and functioning well

  Yes

  No

  N/A

• Pail and dipper available

  Yes

  No

  N/A

• Trash can is available and not full

  Yes

  No

  N/A

• With available functional washing machine and dryer

  Yes

  No

  N/A

Farm Aide Quarters

• Rooms and other bedding materials are available (1:1 ratio)

  Yes

  No

  N/A

• Rooms are generally clean and well maintained

  Yes

  No

  N/A

• Equipment such as lighting, cabinets are available and functional

  Yes

  No

  N/A

• Ventilating fan or AC unit available and functional

  Yes

  No

  N/A

• Ventilating fan or AC unit clean

  Yes

  No

  N/A

• Lighting fixture is available and functional

  Yes

  No

  N/A

• Lighting fixture is clean

  Yes

  No

  N/A

• Comfort room present and clean

  Yes

  No

  N/A

• Shower or faucets available and functioning well

  Yes

  No

  N/A

• Pail and dipper available

  Yes

  No

  N/A

• Trash can is available and not full

  Yes

  No

  N/A

• With available functional washing machine and dryer

  Yes

  No

  N/A

Fumigation Box

• Available and functional

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• All person entering restricted area fumigate their things

  Yes

  No

  N/A

• All things to be brought inside is fumigated

  Yes

  No

  N/A

• With small trays for gadgets, etc.

  Yes

  No

  N/A

• Fumigation box airtight and painted

  Yes

  No

  N/A

• Proper ratio of fumigants used and measuring tool present (6.4g/m3). indicate the amount being used

  Yes

  No

  N/A

• 15 mins fumigation is followed

  Yes

  No

  N/A

• One way flow for fumigation process

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

Slipper Rack

• Available

  Yes

  No

  N/A

• Cleaned and well maintained

  Yes

  No

  N/A

• All footwear left in the rack

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

Cabinet

• Available

  Yes

  No

  N/A

• Cabinet labelled properly

  Yes

  No

  N/A

• All personal clothes left inside the cabinet

  Yes

  No

  N/A

• Cabinet cleaned and maintained

  Yes

  No

  N/A

Shower Cubicle

• No entry points going to the restricted area other than decon 2

  Yes

  No

  N/A

• Correct cleaning procedures done

  Yes

  No

  N/A

• At least three cubicles present with curtains or doors

  Yes

  No

  N/A

• Centralized water heater with high water pressure

  Yes

  No

  N/A

• With functional shower head and faucet

  Yes

  No

  N/A

• With tiled floors, good and rat proof drainage

  Yes

  No

  N/A

• All person entering clean area takes a shower and follow 3-2 minutes rule, with functional timer

  Yes

  No

  N/A

• Shampoo/ body wash container available, filled, and functional

  Yes

  No

  N/A

• Basket for used towels and uniforms and boots are present

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

Dip Bath

• Available and with chlorinated water

  Yes

  No

  N/A

• Ensures full body dipping and with barrier and anti slip present

  Yes

  No

  N/A

• Dip bath with chlorine tablet at >10ppm

  Yes

  No

  N/A

• Dip bath is clean and water replaced daily

  Yes

  No

  N/A

Towel Rack

• Towels are available for 1st and 2nd shower

  Yes

  No

  N/A

• Clean and organized

  Yes

  No

  N/A

Locker

• Locker labelled properly (as per house/ designation)

  Yes

  No

  N/A

• Contains only clean uniform for RESTRICTED area use only

  Yes

  No

  N/A

• Clean uniforms properly labelled (as per house/ designation)

  Yes

  No

  N/A

• Clean and organized

  Yes

  No

  N/A

Uniform

• Enough sets of uniform for visitors and personnel. What is the minimum number of uniforms? (minimu of 10 pairs, 2-3 sets/FA)

  Yes

  No

  N/A

• Clean and in good condition

  Yes

  No

  N/A

• All person entering clean area wear proper uniform

  Yes

  No

  N/A

Hand Sanitizer

• Available and with enough supply

  Yes

  No

  N/A

• Hand sanitizer container is clean, filled, and well maintained

  Yes

  No

  N/A

Boot Rack

• Contains only black boots for restricted area use

  Yes

  No

  N/A

• All black boots labelled properly (as per house/ designation)

  Yes

  No

  N/A

• All person in restricted area grounds use black boots

  Yes

  No

  N/A

Foot Bath

• Proper dilution of disinfectant are observed

  Yes

  No

  N/A

• Measuring tool available

  Yes

  No

  N/A

• Clean and protected from direct sunlight

  Yes

  No

  N/A

• Used by all person entering clean area

  Yes

  No

  N/A

Foot Bath

• Proper dilution of disinfectant are observed

  Yes

  No

  N/A

• Measuring tool available

  Yes

  No

  N/A

• Clean and protected from direct sunlight

  Yes

  No

  N/A

• 4-inch deep or ankle level

  Yes

  No

  N/A

Hand Sanitizer

• Available and with enough supply

  Yes

  No

  N/A

• Hand sanitizer container is clean, filled, and well maintained

  Yes

  No

  N/A

White boots/Rack

• With enough allocated white boots per house (minimum of 10 pairs for internal, contract farms- 5 pairs)

  Yes

  No

  N/A

• White boots properly labelled (With house number)

  Yes

  No

  N/A

• No other white boots transferred from other house

  Yes

  No

  N/A

• White boots with no contact to black boots

  Yes

  No

  N/A

• Used white boots cleaned and disinfected daily

  Yes

  No

  N/A

• All person entering poultry building use white boots only

  Yes

  No

  N/A

Bird Proofing

• Proper bird proofing , no birds and birds'droppings in service pen, inside the house

  Yes

  No

  N/A

Rat, Weed, Pest Control

• Rat guards (posts, doors, water lines, electrical wirings)

  Yes

  No

  N/A

• Grasses are regularly trimmed, height is maximum of 2 inches

  Yes

  No

  N/A

• No tree branches or objects near building wherein rats can gain access

  Yes

  No

  N/A

• Rat bait stations on poultry perimeter (every 30ft and at service area)

  Yes

  No

  N/A

• Rat baits are replenished and monitored once a week, stations are cleaned weekly

  Yes

  No

  N/A

• Rat baits properly placed (gloves used when handling baits)

  Yes

  No

  N/A

Rat/Pest Control

• No clutters outside the poultry buildings

  Yes

  No

  N/A

Insect Control

• No nearby bodies of water/ stagnant water

  Yes

  No

  N/A

• Used rice hulls dispose within 3 days after change litter outside the farm or the designated disposal area.

  Yes

  No

  N/A

• With fly control program (once a week spraying of fly repellant/ attractant depending on severity of fly)

  Yes

  No

  N/A

• Working drainage canals

  Yes

  No

  N/A

Mortality Box and Garbage Bin

• Separate mortality box and garbage bin available

  Yes

  No

  N/A

• Mortality box and garbage bin always covered

  Yes

  No

  N/A

• All mortalities placed inside mortality box.

  Yes

  No

  N/A

• Sack is placed inside mortality box

  Yes

  No

  N/A

• Cleaned every replacement of sack

  Yes

  No

  N/A

• All mortalities of all houses are collected and disposed in mortality pit daily

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

Service Area

• Clean and organized

  Yes

  No

  N/A

• Unnecessary materials (busted bulb, damage tube feeder, unused sacks) are removed and kept in material warehouse

  Yes

  No

  N/A

• Small cabinets (for disinfectant, medicines, tools, cleaning materials etc.) provided

  Yes

  No

  N/A

• Bell drinkers cleaned daily

  Yes

  No

  N/A

• Tube feeders cleaned at least every 3 days

  Yes

  No

  N/A

• Cleaning materials available

  Yes

  No

  N/A

• Conducts weekly cobweb removal

  Yes

  No

  N/A

• Blower fans cleaned every two weeks

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

Chlorination and Water Management

• Filters available

  Yes

  No

  N/A

• Filters cleaned daily

  Yes

  No

  N/A

• Chlorine tablet available

  Yes

  No

  N/A

• 24 hour chlorination (except during live vaccine administration)

  Yes

  No

  N/A

• 3-5 ppm chlorine attained at end bell/nipple drinker

  Yes

  No

  N/A

• Select doser/medicating tanks are clean upon inspection

  Yes

  No

  N/A

• Daily flushing or waterlines using pressurized water

  Yes

  No

  N/A

• Doors closed at all times when not in use with functional lock

  Yes

  No

  N/A

• Clean and with minimal spillage

  Yes

  No

  N/A

• Feed bags on palettes

  Yes

  No

  N/A

• Feeds with 3 inches distance from the wall.

  Yes

  No

  N/A

• One way traffic flow followed (Dirty to clean)

  Yes

  No

  N/A

• No unnecessary materials (nets, woods, etc.) are removed and kept in bodega?

  Yes

  No

  N/A

• Cleaning materials available (short handled broom, long handled broom and dust pan)

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

• With bird proofing (screens on ceiling)

  Yes

  No

  N/A

• No bird or rat droppings

  Yes

  No

  N/A

• Rat baits present (doors, wirings connected to bodega)

  Yes

  No

  N/A

• No areas which allows rats to nest e.g. dark areas, pile of equipment

  Yes

  No

  N/A

• Rat baits replaced and monitored weekly

  Yes

  No

  N/A

• Available

  Yes

  No

  N/A

• Clean and with minimal spillage

  Yes

  No

  N/A

• Doors closed at all times when not in use with functional lock

  Yes

  No

  N/A

• Bags on palettes

  Yes

  No

  N/A

• One way traffic flow (Dirty to clean)

  Yes

  No

  N/A

• No unnecessary materials (nets, woods, etc.) are removed and kept in bodega?

  Yes

  No

  N/A

• With proper bird proofing (screens on ceiling)

  Yes

  No

  N/A

• Rat baits present (doors, wirings connected to bodega)

  Yes

  No

  N/A

• No fecal droppings from wild animals

  Yes

  No

  N/A

• No areas which allows rats to nest e.g. dark areas, pile of equipment

  Yes

  No

  N/A

• Rat baits are replenished and monitored once a week, stations are cleaned weekly

  Yes

  No

  N/A

• Warehouse was divided in three areas (electrical supplies, building maintenance and supplies, vehicle maintenance and supplies)

  Yes

  No

  N/A

• Cabinets or racks provided for each area

  Yes

  No

  N/A

• Clean and organized

  Yes

  No

  N/A

• With bird proofing (screens on ceiling)

  Yes

  No

  N/A

• No fecal droppings from wild animals

  Yes

  No

  N/A

• No areas which allows rats to nest e.g. dark areas, pile of equipment

  Yes

  No

  N/A

• Rat baits are replenished and monitored twice a week, stations are cleaned weekly

  Yes

  No

  N/A

• Egg room available and generally clean

  Yes

  No

  N/A

• Egg room floor is waxed or disinfected

  Yes

  No

  N/A

• Egg room temperature is 20-21 degree Celsius

  Yes

  No

  N/A

• Egg room temperature monitoring is present and updated

  Yes

  No

  N/A

• One way traffic flow followed

  Yes

  No

  N/A

• Doors and slit window with plastic barrier

  Yes

  No

  N/A

• Walls have insulation

  Yes

  No

  N/A

• With functional ventilating fan

  Yes

  No

  N/A

• Fogger machines available and functional (Can cover entire room)

  Yes

  No

  N/A

• Fogging done daily

  Yes

  No

  N/A

• Correct dose is followed with measuring tool available

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

• Fumigation box/chamber is available and functioning

  Yes

  No

  N/A

• Exhaust fan available

  Yes

  No

  N/A

• Fumigants with proper ratio are already prepared (6.4g/m3). Indicate the amount of fumigants beig used

  Yes

  No

  N/A

• 15 mins fumigation followed (timer attached on cabinet)

  Yes

  No

  N/A

• Personnel operating always wear mask when fumigating

  Yes

  No

  N/A

• Cleaned daily

  Yes

  No

  N/A

• Egg room is rodent and bird proofed

  Yes

  No

  N/A

• Hand sanitizer for egg room personnel

  Yes

  No

  N/A

• Floor is concrete and cleanliness is maintained

  Yes

  No

  N/A

• Crates drying area 3 inch elevated from the floor

  Yes

  No

  N/A

• With proper bird proofing

  Yes

  No

  N/A

• Trays drying facility are present

  Yes

  No

  N/A

• Power sprayer available and functioning

  Yes

  No

  N/A

• Crates and trays were cleaned and disinfected before use

  Yes

  No

  N/A

• Proper dilution of disinfectant (12ml Lastozide/ 1gal H20 or any disinfectant available, with measuring tool available). Indicate the amount in poster.

  Yes

  No

  N/A

• Available

  Yes

  No

  N/A

• Generally clean and well maintained

  Yes

  No

  N/A

• Mortality pit has cover

  Yes

  No

  N/A

• No presence of flies or nearby stagnant water (2-3 meters surrounding the pit)

  Yes

  No

  N/A

• Posters (instructions) available

  Yes

  No

  N/A

• Well maintained and generally clean canteen and kitchen

  Yes

  No

  N/A

• With provision of clean and dirty canteen

  Yes

  No

  N/A

• With slit window, with locks when not in use

  Yes

  No

  N/A

• Clean as you go (CLAYGO) is practiced, there is an assigned personnel to clean the dining area and kitchen

  Yes

  No

  N/A

• Cleaning materials available (broom, dust pan, rags)

  Yes

  No

  N/A

• With proper drainage canal, drainage away from restricted area

  Yes

  No

  N/A

• Food wastes are disposed properly, with proper waste segregation

  Yes

  No

  N/A

• Handwash facility and sink is available with soap and sanitizer

  Yes

  No

  N/A

• Room and CR of cook/kitchen personnel are organized and clean

  Yes

  No

  N/A

• Washing machine and dryer available

  Yes

  No

  N/A

• Laundry person present

  Yes

  No

  N/A

• With measuring tool for detergent

  Yes

  No

  N/A

• Drying facility has bird proofing

  Yes

  No

  N/A

• Drying facility has concrete flooring

  Yes

  No

  N/A

Silo

• Rat baits present and replenished weekly

  Yes

  No

  N/A

• With anti wild bird facilities

  Yes

  No

  N/A

Daybin

• Clean and with minimal spillage

  Yes

  No

  N/A

• Rat baits present and replenished weekly

  Yes

  No

  N/A

• With anti wild bird facilities

  Yes

  No

  N/A

Weigher Houses

• Clean and with minimal spillage

  Yes

  No

  N/A

• Rat baits present and replenished weekly

  Yes

  No

  N/A

• No unnecessary materials (nets, woods, etc.) inside

  Yes

  No

  N/A

• With bird proofing (screens on ceiling)

  Yes

  No

  N/A

• No present foreign birds nest inside

  Yes

  No

  N/A

• No fecal droppings from wild animals

  Yes

  No

  N/A

Powerhouse

• Clean and organized

  Yes

  No

  N/A

• Rat baits present and replenished weekly

  Yes

  No

  N/A

• With bird proofing (screens on doors,walls, ceiling)

  Yes

  No

  N/A

• No fecal droppings from wild animals

  Yes

  No

  N/A

CR in Restricted Area

• Comfort room present and clean, with tiled/concretefloor?

  Yes

  No

  N/A

• With water, soap and sanitizer

  Yes

  No

  N/A

Overhead/Maintank.Main Source

• With bird proofinf/anti wild bird facilities

  Yes

  No

  N/A

• Rat bait stations are present

  Yes

  No

  N/A

• With regular cleaning schedule (recommendations: backwashing is every 2 weeks, tank cleaning and disinfection is monthly)

  Yes

  No

  N/A

• Name and Signature

  Sign