Facility Assessment

• Site Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Evidence of pest activity?

  No

  Yes

  N/A

• Evidence of pest harborage areas?

  No

  Yes

  N/A

• Adequate trash handling?

  Yes

  No

  N/A

• Proper trash containers?

  Yes

  No

  N/A

• Proper storage of waste paper & cardboard?

  Yes

  No

  N/A

• Pavement areas in good repair and properly drained?

  Yes

  No

  N/A

• Adequate weed management adjacent to builing?

  Yes

  No

  N/A

• Adequate exterior rodent management plan?

  Yes

  No

  N/A

• Adequate exterior insect management program?

  Yes

  No

  N/A

• Building free of roosting birds?

  Yes

  No

  N/A

• Sufficient cleaning capabilities to prevent buildup of food which may attract pests?

  Good

  Fair

  Poor

  N/A

• Evidence of plumbing or sewer leaks?

  No

  Yes

  N/A

• Are open doors and windows screened?

  Yes

  No

  N/A

• Visible condensate lines clear and clean?

  Yes

  No

  N/A

Interior Areas

• Walls: Clean, proper materials, and in good repair?

  Yes

  No

  N/A

• Floors: Clean, proper materials, and in good repair?

  Yes

  No

  N/A

• Ceilings: Clean, proper materials, and in good repair?

  Yes

  No

  N/A

• Floor drains clean and secured with covers?

  Yes

  No

  N/A

• Plumbing in good repair as related to pest potential?

  Yes

  No

  N/A

• Visible condensate lines clear and no pooling of water?

  Yes

  No

  N/A

• Interior of the building free from pest activity?

  Yes

  No

  N/A

• Inspection aisles properly maintained?

  Yes

  No

  N/A

• Packaging materials properly stored?

  Yes

  No

  N/A

• Damaged/returned goods isolated?

  Yes

  No

  N/A

• Equipment clean and pest free?

  Yes

  No

  N/A

• Maintenance areas clean and no evidence of pests?

  Yes

  No

  N/A

• Sanitation area clean and no evidence of pests; mops and tools stored off floor?

  Yes

  No

  N/A

• Compliance with pest portion of GMPs?

  Yes

  No

  N/A

• Pest management equipment clean and maintained?

  Yes

  No

  N/A

Trending Risk Assessment

• Rodent activity decreasing (Low), remaining the same (Medium) or continuing to increase (High)?

  Low

  Medium

  High

  N/A

• Insect and other arthropod pest activities decreasing (Low), remaining the same (Medium), or continuing to increase (High)?

  Low

  Medium

  High

  N/A

Exterior Risk Assessment

• Is there risk of unmaintained weeds, grass and brush around facility to harbor pests?

  Low

  Medium

  High

  N/A

• Is there risk of weeds or other material along the fence line permitting rodent harborage?

  Low

  Medium

  High

  N/A

• Is there risk of rodents burrowing around the perimeter of the building?

  Low

  Medium

  High

  N/A

• Is there a risk of standing water on the building grounds to attract pests?

  Low

  Medium

  High

  N/A

• Is there a risk of spillage, exposure or accumulation of waste in the garbage containment area?

  Low

  Medium

  High

  N/A

• Is there a risk of fly infestations in the garbage containment area?

  Low

  Medium

  High

  N/A

• Is there a risk of pest entry through gaps under or around exit doors?

  Low

  Medium

  High

  N/A

• Is there a risk of pest entry through broken, open or unscreened windows/vents?

  Low

  Medium

  High

  N/A

• Is there risk of pest entry through holes, cracks, or crevices around windows or doors?

  Low

  Medium

  High

  N/A

• Is there risk of pest entry around plumbing and electrical service pipes & lines?

  Low

  Medium

  High

  N/A

• Is there risk of pests hiding in holes, cracks and crevices in exterior walls?

  Low

  Medium

  High

  N/A

• Is there risk of rodent harborage on the building grounds?

  Low

  Medium

  High

  N/A

• Is there risk of birds nesting or roosting on or around the building?

  Low

  Medium

  High

  N/A

• Is there risk of feeding or nesting Geese on the exterior of the building?

  Low

  Medium

  High

  N/A

• Is there a risk of equipment and material stored near the building to provide harborage for pests?

  Low

  Medium

  High

  N/A

• Is there a risk of fluorescent lights used on or near the building to attract night-flying insects?

  Low

  Medium

  High

  N/A

• Is there a risk of inadequate number of perimeter rodent stations to ensure control of rodents?

  Low

  Medium

  High

  N/A

Current Device Counts

• Rodent Traps

• Rodent Bait Stations

• Insect Light Traps

• Pheromone Monitors

• Insect Monitors

• Other

Suggested Device Counts (Based on assessment & trending)

• Rodent Traps

• Rodent Bait Stations

• Insect Light Traps

• Pheromone Monitors

• Insect Monitors

• Other

Threshold Levels

• Mice

• Rats

• Cockroaches

• Flies

• Stored Product Pests

• Birds

• Occasional Invaders

Comments & Corrective Actions

• undefined

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