GSA Compliance Check List V2

• Document No.

• Completed By:

• Date of Assessment:

  Date

• Contractor/Store:

• Type of Facility/Store:

• Store Number:

• Address:
  Address

• Name of Contact/s:

TSL/FSC Questions

• Are fridge cleaning records completed for all relevant activities and reviewed by contractor management in line with the fridge cleaning rota?

  Compliant

  Minor

  Moderate

  Major

• Definition required:

  Off

  On

• COMPLIANT
  - Fridge cleaning records are being completed for all relevant activities and reviewed by contractor management in line with the fridge cleaning rota.
  
  MINOR
  - During 1 week only gaps are present in fridge cleaning records, where activities have not been signed off as completed or 1 fridge has not been cleaned/rescheduled within 2 weeks.
  
  MODERATE
  - Not all fridges in the food section and cold rooms are listed on the rota/the rota is incorrect.
  - Gaps are present in fridge cleaning records where activities have not been signed off as completed on more than one week.
  - More than 1 fridge has not been cleaned /rescheduled within two weeks.
  
  MAJOR
  - There is no rota in place to show that fridge cleaning is carried out to the correct frequency.
  - Fridge cleaning records for 3 or more weeks have not been reviewed/signed off by the contractor manager/supervisor.

• Are the contractor cleaning standards for fridge cleaning and food hall areas as listed in Zone A and food storage areas of the cleaning specification acceptable?<br><br>Pictures required for fridges - Fans front and back, fins, front and back of base Shelv, the floor behind the kick plate.

  Compliant

  Minor

  Moderate

  Major

• Definition required:

  Off

  On

• COMPLIANT
  - The standards of fridge cleaning, cleaning of the food hall as listed in zone A and food storage areas of the cleaning specification are acceptable.
  
  MINOR
  - Contractor cleaning standards on non food contact surfaces require improvement i.e. ledges, floors and under till shelves/belts/scales.
  - During week 1 only gaps are present in food till cleaning records where activities have not been signed off as completed.
  
  MODERATE
  - Contractor cleaning standards for fridge cleaning, food hall as listed in zone A and food storage areas of the cleaning specification require improvement i.e. dust, staining and soiling is present on a recently cleaned unit.
  - Stockroom floors have a build up of dust and debris.
  - Gaps are present for more than 1 week in food till cleaning records where activities have not been signed off as completed.
  
  MAJOR
  - Cleaning: heavy soiling/debris is present on at least 2 fridges inspected suggesting units have not been cleaned as scheduled but signed as cleaned.
  - Heavy food build-up is present in food hall areas of zone A.

Tsl

• Are the contractor cleaning standards in ISB acceptable .<br><br>Pictures required of - Shelv lip, Under wooden boxes, under ovens, Behind fridges and under fridges, Cooling trolley wheels and the inside of cooling trolley.

  Compliant

  Minor

  Moderate

  Major

• Are the contract cleaning standards in M&S cafe acceptable ?<br><br>Pictures required- Behind and under ovens,Behind and under fridges,floor under sink units and fixed units

  Yes

  No

  N/A

• Are the contract Cleaning standards in Staff catering areas Acceptable?<br><br>Pictures required- Under and behind fridges,Under sink area and fixed units <br>

  Yes

  No

  N/A

• Are the contract cleaning standards in Deli counter acceptable ? <br><br>Pictures required - Behind and under fridges,Under sink area and fixed units

  Yes

  No

  N/A

  Not Inspected

• Are the correct cleaning materials, colour coding system and chemicals in use by the contractor in all areas of the store? Are they correctly labelled and held in cleaning contractor designated areas? Is the contractor cleaning equipment left in a clean condition after use?

  Compliant

  Minor

  Moderate

  Major

• Definition required:

  Off

  On

• COMPLIANT
  - The correct cleaning and chemicals, as listed on the contractor Approved Products To Use list are in use by the contractor in all areas of the store. They are correctly labelled and held in cleaning contractor designated areas.
  - The correct colour coding system is in operation for cleaning equipment used by the contractor in all areas of the store.
  - All equipment and machinery used to clean are stored in a clean and dry condition.
  
  MINOR
  - Cleaning contractor chemicals are not being used in their designated areas.
  - Bristles of brushes seen are filled with dirt/debris.
  - Dirty disposable cloths are left lying around.
  - Cleaning equipment is not left in a clean condition after use; mops are stored away damp and odorous.
  
  MODERATE
  - One or more chemical containers in use by the cleaning contractor are not labelled or incorrectly labelled to identify their content.
  - Equipment is present with handles of a different colour to the head.
  - Mops left standing in buckets or dirty water.
  - Contractor storage area is not left in a clean and dry condition.
  - Green/yellow/blue/white colour coded equipment are stored together.
  
  MAJOR
  - A chemical not listed on the contractor Approved Product To Use list is in use by the contractor in areas of the store or stored in the contractor storage areas.
  - Chemicals listed for use in specific areas are being used elsewhere.
  - Coloured cleaning equipment and cloths (toilet areas only) are in use in food areas (including the food section)
  - Non red coloured cleaning equipment and cloths are in use in the toilets areas.
  - Red cleaning equipment is stored together with other colour coded equipment resulting in direct cross contamination e.g. red mop in yellow bucket.
  

• Are the contract cleaning standards in HFOTM Acceptable ?<br><br>Pictures required- Under and behind Fridges,Under and behind ovens,Under sink area and fixed units

  Yes

  No

  N/A

  Not Inspected

• Are the cold room(s) cleaning standards acceptable and has the cold room(s) been cleaned in accordance with the required frequency?<br><br>Pictures required- Floor and walls. (Please put date in notes when the floor was cleaned)

  Compliant

  Minor

  Moderate

  Major

• Definition required:

  Off

  On

• Definition required:

  Off

  On

• COMPLIANT
  - Contractor cleaning standards in Hospitality, ISB and Staff Catering areas are acceptable.
  
  MINOR
  - Non-food debris is present in Hospitality, ISB and Staff Catering suggesting that they are not cleaned regularly.
  
  MODERATE
  - Soiling/odour or food debris present in Hospitality, ISB and Staff Catering suggesting that they are not cleaned regularly.
  
  MAJOR
  - Heavy food build up is present in Hospitality, ISB and Staff Catering units.

• Are the contractor cleaning standards in Hospitality, ISB and Staff Catering areas acceptable? - Pictures required for ISB Shelv lip, Under Wooden box, Under ovens, Wheels on ovens and trolleys, behind and under fridges.<br><br>Cafe pictures Required- Under ovens, Wheels on ovens and trolleys, behind and under fridges, Bottom of cooling trolleys and under sink area.<br><br>Staff catering Pictures required - Under ovens, behind and under fridges and under sink area

  Compliant

  Minor

  Moderate

  Major

• COMPLIANT
  - Cold room cleaning standards are acceptable and it/they have been cleaned in accordance with the required frequency.
  
  MINOR
  
  MODERATE
  - Staining/soiling is present in recently cleaned areas of the cold room(s). This includes walls, floors, door, ceilings, fans and under racking.
  
  MAJOR
  - Heavy food build up is present suggesting there is no cleaning taking place.

• Are the correct contractor due diligence cleaning records (for the relevant Hospitality, ISB and Staff Catering units) completed by contractor staff for all items cleaned and are they reviewed by contractor management in line with the cleaning instruction?

  Compliant

  Minor

  Moderate

  Major

• Definition required:

  Off

  On

• COMPLIANT
  - Contractor cleaning records (for the relevant Hospitality, ISB and Staff Catering units) have been fully completed by contractor staff for all items cleaned. Correct versions are in use.
  
  MINOR
  - The current versions of cleaning records are not in use.
  - Equipment is signed for that is not in use.
  
  MODERATE
  - Gaps are present in cleaning records, where specific activities have not been signed off as cleaned over recent weeks and have not been identified through management review.
  - Periodic cleaning activities have not been signed off.
  - Sample checks are being signed off by the cleaner.
  
  MAJOR
  - There are no records in place to show that specific Hospitality or Refresh units are being cleaned.

TSL/FSC Scoring

• Final score

  1 or more Major

  2 or more Moderate

  1 Moderate

  1-7 Minor

  Pass

Foodhall - Acceptable Cleaning Standards as stated in agreed Cleaning Specification

• Till points - belted, high activity and Scott <br><br><br>pictures required- Under scale pans, including Scott till<br><br>The rollers on high activity tills.

  Pass

  Fail

  N/A

  Not Inspected

Cleaning Contractor

• Is the current H&S Policy displayed?

  Yes

  No

  N/A

  Not Inspected

• Is the current Contract Specification displayed?

  Yes

  No

  N/A

  Not Inspected

• Are the current Contractor Approved Products To Use List/Contractor Approved Problem Solvers/Occasional Use Products List displayed?

  Yes

  No

  N/A

  Not Inspected

• Is the Colour Coding Chart displayed?

  Yes

  No

  N/A

  Not Inspected

• Are the Area/Regional Managers contact details correct and displayed?

  Yes

  No

  N/A

  Not Inspected

• Are the current A3 Due Diligence Sign Off Sheets displayed on site and in use?

  Yes

  No

  N/A

  Not Inspected

• Is the Certificate of Insurance up to date?

  Yes

  No

  N/A

  Not Inspected

• Is there an up to date training matrix available?

  Yes

  No

  N/A

  Not Inspected

• Are all operatives wearing correct uniforms and ID badges?

  Yes

  No

  N/A

  Not Inspected

• Is all machinery in a well maintained and acceptable condition? <br><br>Pictures required- All machines

  Yes

  No

  N/A

  Not Inspected

• Is the cleaning compound(s) clean and tidy?<br><br>Picture required of compound

  Yes

  No

  N/A

  Not Inspected

• Are they evidence that the Supervisor/Manager is completing the TSL daily check list ? Please take pictures of the working document for that week.

  Yes

  No

  N/A

  Not Inspected

Audit Summary

• Action summary:

• Any other comments:

• GSA Area Manager Signature

  Sign

• M&S store signature:

  Sign