dylgri27912

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Deli and retail

• Are main doors into restaurant rodent proof

  Yes

  No

  N/A

• Shop wall floor junctions - is there a gap between skirting boards and floor

  Yes

  No

  N/A

• Do display units conceal wall voids

  Yes

  No

  N/A

• Is floor raised behind deli counter

  Yes

  No

  N/A

• Do bases of deli units lift

  Yes

  No

  N/A

• Are there any pipe / cable runs under / behind deli units

  Yes

  No

  N/A

• Are there any lift off panels to front of deli bar

  Yes

  No

  N/A

• Are there pipe / cable runs behind lift off panels

  Yes

  No

  N/A

• How is deli chiller unit supplied and fitted - does it have proofing

  Yes

  No

  N/A

• Is there ceiling or wall voids access to shop deli counter area

  Yes

  No

  N/A

Dining - seating area

• Bench seating / does it conceal plaster boarded wall voids or support risers

  Yes

  No

  N/A

• Are there any cable / pipe runs concealed by bench seats

  Yes

  No

  N/A

• As there any access panels to wall / ceiling voids in dinning area

  Yes

  No

  N/A

Kitchens

• Are there any pipes and cable services to range sealed

  Yes

  No

  N/A

• Wash up pipes runs are they sealed

  Yes

  No

  N/A

• Are there any pipes and cable risers concealed within supports or stainless steal unit risers

  Yes

  No

  N/A

• Kitchen walls does stainless steel or tile wall coverings meet wall or floor junctions

  Yes

  No

  N/A

• Is there access to kitchen wall / ceiling voids

  Yes

  No

  N/A

• Are service runs in wall and ceiling voids sealed

  Yes

  No

  N/A

Food - dry goods storage

• Wall construction material does it need weld mesh

  Yes

  No

  N/A

• High low level pipe / cable services

  Yes

  No

  N/A

• Is there access to wall / ceiling voids

  Yes

  No

  N/A

Toilets

• Are staff / customer toilet pipe services sealed where they pass through wall floors or ceilings

  Yes

  No

  N/A

• Is there access to toilet wall / ceiling voids

  Yes

  No

  N/A

Staff rooms

• Any gaps at wall / floor junctions

  Yes

  No

  N/A

• Are pipes and cable services serviced at high low level

  Yes

  No

  N/A

• Is there access to wall / ceiling voids

  Yes

  No

  N/A

• Are pipes / cable services sealed within there voids

  Yes

  No

  N/A

Rear entrance

• Are external rear doors mouse proof

  Yes

  No

  N/A

• Is bin store entrance internal / external

  Yes

  No

  N/A

• Are the doors mouse proof are there any pipe services sealed at higher level

  Yes

  No

  N/A

• Are any pipe / cable services at high low level

  Yes

  No

  N/A

• Are there any wall or ceiling voids

  Yes

  No

  N/A

• Are pipe and cable services sealed within voids areas

  Yes

  No

  N/A

Plant areas

• Pipe cable extractor systems sealed where they pass through wall ceiling and floors high at high low level and in ceiling and wall voids

  Yes

  No

  N/A

External areas

• Are weep joints evident

  Yes

  No

  N/A

• Are weep joints proofed

  Yes

  No

  N/A

• Are there any external wall louvres or vents

  Yes

  No

  N/A

• Are they mouse proof

  Yes

  No

  N/A

• Are there any external pipe / cable service sealed where they enter premises

  Yes

  No

  N/A

Other

• Space for situation specific to particular premises

  Yes

  No

  N/A

• Add signature

  Sign