GDP - Pest Control (May & November)

• Warehouse Location ID

• Memco Inc. - Location

  Select

• Conducted on

  Date

• Prepared by

• Document No.

• Location
  Address

1.0 - Service

• 1.1 - There is a designated pest control company under contract?

  Yes

  No

  N/A

• 1.2 - Service is being performed at least monthly?

  Yes

  No

  N/A

• 1.3 - There is a facility specific pesticides list?

  Yes

  No

  N/A

• 1.4 - There is a device placement map?

  Yes

  No

  N/A

2.0 - Chemicals

• 2.1 - SDS for any chemicals being used are available?

  Yes

  No

  N/A

• 2.2 - Sample labels for any chemicals being used are available?

  Yes

  No

  N/A

• 2.3 - Any chemicals being used are approved by FDA/USDA for food facility?

  Yes

  No

  N/A

3.0 - Records

• 3.1 - Records of services performed are readily available?

  Yes

  No

  N/A

• 3.2 - List of chemicals being used are readily available and signed off for use by facility manager?

  Yes

  No

  N/A

• 3.3 - Signs of pest activity are documented?

  Yes

  No

  N/A

• 3.4 - Licensing is valid and available?

  Yes

  No

  N/A

• 3.5 - Is there a quarterly trend analysis for the last year?

  Yes

  No

  N/A

4.0 - Exterior Evidence

• 4.1 - No evidence of nesting within 20' of building?

  Yes

  No

  N/A

• 4.2 - No evidence of decomposed rodents or animals in bait stations or within 20' of building perimeter?

  Yes

  No

  N/A

5.0 - Interior Evidence

• 5.1 - No evidence of live animals (e.g., insects, spiders, rodents, lizards, ants, or birds)?

  Yes

  No

  N/A

• 5.2 - No evidence of rodent gnawing?

  Yes

  No

  N/A

• 5.3 - No evidence of pest or animal droppings?

  Yes

  No

  N/A

6.0 - Interior

• 6.1 - Traps interior are at 25'-50' intervals?

  Yes

  No

  N/A

• 6.2 - Traps are <10' of exterior doors on both sides?

  Yes

  No

  N/A

• 6.3 - Glue boards are maintained and dated?

  Yes

  No

  N/A

• 6.4 - Traps are functional?

  Yes

  No

  N/A

• 6.5 - Light attractant units at least 10' away from product?

  Yes

  No

  N/A

7.0 Exterior

• 7.1 - Bait stations at 30' - 75' intervals?

  Yes

  No

  N/A

• 7.2 - Bait stations are secured and tamper resistant?

  Yes

  No

  N/A

• 7.3 - No loose blocks or granular / pouched rodenticides?

  Yes

  No

  N/A

• 7.4 - No old or moldy bait?

  Yes

  No

  N/A

8.0 - Miscellaneous Notes

• 8.1 - Are their any Miscellaneous Notes and/or Pictures?

  Safe

  At Risk

  N/A

9.0 - Sign Off

• 9.1 - On Site Representative's Signature

  Sign

• 9.2 Auditor's Signature

  Sign