GMP Audit - Pantries - duplicate

• Site conducted

  Select

undefined

• Yes

  No

  N/A

• Conducted on

  Date

• Prepared by

• Floor/Ward:
  Address

• Are the walls, floors, ceilings, doors, windows clean and in good working order? eg- no mould, cracks, damage

  Good

  Fair

  Poor

  N/A

• Are the lights, covings, shelving, electrical conduits, air vents, air curtains clean and in good working order? eg- no mould, cracks, damage

  Good

  Fair

  Poor

  N/A

• Is the general area cleaned & maintained? eg- evidence of housekeeping - floors and surfaces cleaned & dust free? eg. window seals, top/under fridge etc

  Good

  Fair

  Poor

  N/A

• Is the dishwasher in good working order?

  Yes

  No

  N/A

• Is the dishwasher clean? Eg. No calcium or rust lift grates inside dishwasher to check

  Yes

  No

  N/A

• Is the area around dishwasher clean? Eg. basket shelf, sink

  Yes

  No

  N/A

• Are all chemicals stored correctly?

  Yes

  No

  N/A

• Is all food in the pantries protected from the possibility of contamination?

  Yes

  No

  N/A

• Are trays, tubs, lids and other equipment suitable for the task and in good working order? Confirm there are no wooden items in use

  Yes

  No

  N/A

• Is all food in the pantries labelled appropriately for identification purposes? eg- use by dates, open dates, product name

  Yes

  No

  N/A

• Is stock rotation taking place?

  Yes

  No

  N/A

• Are perishable foods stored in the fridge when not being used or during breaks?

  Yes

  No

  N/A

• Are the fridge seals clean and in good working order?

  Yes

  No

  N/A

• Is the fridge clean and in good working order?

  Yes

  No

  N/A

• Do all the food items stored originate from the Catering Department? eg- no staff or patient food

  Yes

  No

  N/A

• Is there any potential foreign object contamination? eg- pins, broken equipment in use, rivets/bolts

  Safe

  At Risk

  N/A

• Are cleaning schedules available and completed? Verify cleaning against completed schedule.

  Yes

  No

  N/A

• Are the beverage trolleys clean and in good working order?

  Yes

  No

  N/A

• Is the ice machine clean and in good working order?

  Yes

  No

  N/A

• Are there any pest sightings?

  Safe

  At Risk

  N/A

• Are the hand washing basins easily accessible, operating and have soap, paper towel & a bin at them?

  Yes

  No

  N/A

• Are there any personal items being stored outside designated areas?

  Safe

  At Risk

  N/A

• Are any staff observed wearing jewellery other than the permitted plain<br>wedding band and sleeper ear rings? Are any false nails / nail polish<br>observed?

  Safe

  At Risk

  N/A

• Are there any items that require maintenance?

  Safe

  At Risk

  N/A

• Has an EMPAC been logged? What is the EMPAC number.