Title Page

  • Area:

  • Conducted on

  • Prepared by

  • Shift

Building and interior

  • B&I - Are the walls, maintained, joints sealed and angles coved to prevent ingress from outside or contamination?

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  • B&I - Are the walls, maintained, joints sealed and angles coved to prevent ingress from outside or contamination?

  • B&I - Are ceilings and overhead structures maintained to prevent ingress from outside or contamination?

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  • B&I - Are ceilings and overhead structures maintained to prevent ingress from outside or contamination?

  • B&I - Are there any leaking pipes in the area?

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  • B&I - Are there any leaking pipes in the area?

  • B&I - Is there any damaged/missing pipe cladding or insulation in the area?

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  • B&I - Is there any damaged/missing pipe cladding or insulation in the area?

  • B&I - Are doors in good repair?

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  • B&I - Are doors in good repair?

  • B&I - Are all fire doors closed and ceramic tube in place where applicable?

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  • B&I - Are all fire doors closed and ceramic tube in place where applicable?

  • B&I - Are floors maintained/sloped to prevent accumulation of water/liquids?

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  • B&I - Are floors maintained/sloped to prevent accumulation of water/liquids?

  • B&I - Is the lighting sufficient and is all operational?

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  • B&I - Is the lighting sufficient and is all operational?

  • B&I - There is sufficient air exchange/ventilation/extraction in the area to prevent unacceptable accumulation of steam, condensation or dust?

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  • B&I - There is sufficient air exchange/ventilation/extraction in the area to prevent unacceptable accumulation of steam, condensation or dust?

Foreign body control

  • FBC - Are there any foreign body control/contamination issues in the area?

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  • FBC - Are there any foreign body control/contaminatoin issues in the area?

  • FBC - If there are any lubricants, are they labelled and food grade?

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  • FBC - If there are any lubricants, are they labelled and food grade?

  • FBC - Are there any temporary repair materials used for permanent repairs? i.e. tape, wire, string, cardboard, plastic etc.

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  • FBC - Are there any temporary repair materials used for permanent repairs? i.e. tape, wire, string, cardboard, plastic etc.

  • FBC - Are there any engineering/equipment parts stored in the area?

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  • FBC - Are there any engineering/equipment parts stored in the area?

  • FBC - Only factory issued pens, torches, calculators etc. are used and carried below the waist?

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  • FBC - Only factory issued pens, torches, calculators etc. are used and carried below the waist?

Equipment

  • EQMT - Is correct cleaning colour coded equipment used for the task/area?

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  • EQMT - Is correct cleaning colour coded equipment used for the task/area?

  • EQMT - Is the cleaning equipment stored clean and in designated area?

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  • EQMT - Is the cleaning equipment stored clean and in designated area?

  • EQMT - Is cleaning equipment free from damage?

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  • EQMT - Is cleaning equipment free from damage?

  • EQMT - Is food contact equipment free from damage and stored correctly?

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  • EQMT - Is food contact equipment free from damage and stored correctly?

  • EQMT - Is there any damage to the machinery, belts and framework?

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  • EQMT - Is there any damage to the machinery, belts and framework?

  • EQMT - Tool boxes in the area have inventory, locked and tools in good condition?

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  • EQMT - Tool boxes in the area have inventory, locked and tools in good condition?

  • EQMT - Are hose pipes stored on the brackets provided?

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  • EQMT - Are hose pipes stored on the brackets provided?

Pest control

  • PC - Are all traps tethered, locked and free from damage?

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  • PC - Are all traps tethered, locked and free from damage?

  • PC - Are all EFKs free from damage and fully operational?

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  • PC - Are all EFKs free from damage and fully operational?

  • PC - Are there any pest activities evident in the area?

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  • PC - Are there any pest activities evident in the area?

  • PC - Are there any fly activities evident in the area?

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  • PC - Are there any fly activities evident in the area?

  • PC - Are all external doors closed and have no gaps to prevent pest ingress?

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  • PC - Are all external doors closed and have no gaps to prevent pest ingress?

Staff practices

  • STAFF - Does the staff wearing correct PPE (including footwear) correctly?

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  • STAFF - Does the staff wearing correct PPE (including footwear) correctly?

  • STAFF - Does the staff practices a good personal hygiene? (nails, make-up, clean PPE)

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  • STAFF - Does the staff practices a good personal hygiene? (nails, make-up, clean PPE)

  • STAFF - Is jewellery policy adhered to?

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  • STAFF - Do any members of the team have skin lesions or boils??

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Documentation

  • DOC - Is correct version of areas' documentation (including standards) is used and printed from correct location?

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  • DOC - Is correct version of areas' documentation (including standards) is used and printed from correct location?

  • DOC - Checks (including on boards) completed on time, signed and dated?

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  • DOC - Checks (including on boards) completed on time, signed and dated?

Health and Safety

  • H&S - There are no chemicals/empty containers stored in the area?

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  • H&S - There are no chemicals/empty containers stored in the area?

  • H&S - Are all of the ladders in the area locked to restrict unauthorised access?

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  • H&S - Are all of the ladders in the area locked to restrict unauthorised access?

  • H&S - Are fire escape routes clear of any obstructions?

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  • H&S - Are fire escape routes clear of any obstructions?

  • H&S - Are there any slip or trip hazards?

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  • H&S - Are there any slip or trip hazards?

  • H&S - Is there any lose or insufficient guarding on the equipment?

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  • H&S - Is there any lose or insufficient guarding on the equipment?

  • H&S - Is the first aid box and eye wash available in the area?

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  • H&S - Is the first aid box and eye wash available in the area?

  • H&S - Are there any H&S issues that have not been mentioned above?

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  • H&S - Are there any H&S issues that have not been mentioned above?

Cleaning

  • CLN - Are there any debris on the floor?

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  • CLN - Are there any debris on the floor?

  • CLN - Are there any debris on the machinery/hang up points in the area?

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  • CLN - Are there any debris on the machinery/hang up points in the area?

  • CLN - Are the drains in the area clear of any debris?

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  • CLN - Are the drains in the area clear of any debris?

  • CLN - Are there any signs of mould/biofilm present in the area?

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  • CLN - Are there any signs of mould/biofilm present in the area?

  • CLN - Are waste bins/containers emptied regularly and not overflowing?

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  • CLN - Are waste bins/containers emptied regularly and not overflowing?

  • Audit completed.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.