Title Page

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

PEST CONTROL

  • Traps and bug lights properly positioned & in good condition

  • No evidence of animals waste (dogs, etc) structural infestation (insects), or pests in the area or around the equipment

  • 18" space around the walls & space is clear

  • Ingredients stored off the floor in closed bags

  • No presence of mold or decomposition

  • Openings in doors, floors, & walls are sealed

  • Perimeter control for rodent/insect/bird is in place

OPERATIONAL METHODS & PERSONAL PRACTICES

  • Equipment, cleaning utensils & chemicals are clean and stored in correct location

  • Cabinets are free of debris, clean and in good condition

  • Cleaning supplies/tools/ lubricants are stored properly ( ex: food grade stored separately from non-food grade lubricants)

  • No evidence of food, drink, tobacco in any area other than designated areas

  • No jewelry (earrings, necklaces, watches, rings, etc) worn in production areas

  • No evidence of spitting or foul personal habits

  • No chemicals stored near exposed product

  • No usage of raw or finished product packaging for trash or scrap

  • Hand washing practices are being followed

  • Uniforms are worn correctly and in good condition

  • No food containers are used for nonfood use

  • Doors are left closed when not in use

CROSS-CONTAMINATION

  • Footbath stations in acceptable condition

  • Cleaning tool stations are in acceptable condition

PPE

  • Hearing protection is being used

  • Bump caps/hard hats are being used

  • Safety glasses are being worn

  • Safety shoes are worn and in good condition

  • Goggles & face shields used when appropriate

  • Gloves, goggles & chemical safety suits in use while foaming

  • No unsafe behavior observed

KNIVES

  • Only site-issued knives are used

MAINTENANCE

  • No areas in need of painting

  • No cupped channel supports or other dust catchers

  • No equipment rusting out or leaking product ( creates additional cleaning required)

  • No badly stained equipment, floor, etc

  • No solid bottom guards or supports not accessible for cleaning

  • No damaged insulation or insulation covers

  • No oil or grease leaking into the product zone

  • There is proper maintenance of associates facilities (restroom, break room, locker room, etc)

  • No evidence of water leakage/oil leakage

  • No temporary repairs using tape, burlap or other materials

  • No water condensate in contact with product

  • No presence of broken glass

  • No equipment open to contaminants

BUILDING & GROUNDS/INSIDE AREAS

  • Proper waste-handling systems are installed (storage, etc)

  • Weed control is used

  • Ceilings are protected against potential for harborage

  • No standing water present

  • All exterior doors are locked

  • Perimeter fence is in good condition

  • Exterior walls are in good condition

  • Light fixtures are protected

  • Lighting is adequate in area

CHEMICALS

  • All containers are clearly labeled

  • Storage locations/cabinets are clean and in good condition

CONTRACTORS

  • Wearing correct PPE

  • No unsafe behavior observed

ENVIRONMENTAL

  • Hazardous waste are in good condition

  • Oil and petroleum sources in good condition (All labeled, no leaks, upright, and spill kits available)

  • No co-mingled trash/recyclable

COMPLETION

  • Full Name and Signature of Inspector

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