PEST CONTROL CHECKLIST

• Site

• Date and Time of Inspection

  Date

• Inspected by

• Location
  Address

Management of Physical Facility

• Is there debris or garbage accumulation around outside of the building?

  Yes

  No

  N/A

• Are outside garbage containers clean and properly covered?

  Yes

  No

  N/A

• Are the doors or other openings to the outside of the building tightly fitted (no visible light showing through)?

  Yes

  No

  N/A

• Are all screens for windows and doors in place and tightly fitted and in good repair?

  Yes

  No

  N/A

• Is there an accumulation of spilled food, liquid, or dust?

  Yes

  No

  N/A

• Do all food containers have lids?

  Yes

  No

  N/A

• Are all food products stored off the floor?

  Yes

  No

  N/A

• Are all interior garbage’s being emptied and removed from the facility daily?

  Yes

  No

  N/A

• Are dirty dishes being cleaned prior to closing the facility at night?

  Yes

  No

  N/A

• Are all hard to reach areas of the facility (under grill lines, prep tables, and shelving units) being cleaned on a frequent enough basis to prevent build up?

  Yes

  No

  N/A

Investigating for Evidence of Pests

• Is there any evidence of mouse droppings or mouse urine staining?

  Yes

  No

  N/A

• Are chew marks visible on any boxes or materials in the facility?

  Yes

  No

  N/A

• Are there insects present on sticky traps throughout the facility?

  Yes

  No

  N/A

• Is there evidence of nesting (piles of dust, debris, insulation etc in quiet areas)?

  Yes

  No

  N/A

• What kind of pest are there?

  Select Ants Cockroaches Moths Pigeons Rodents Spiders

  • Ants
  • Cockroaches
  • Moths
  • Pigeons
  • Rodents
  • Spiders

• Where they are coming from ?

• Are there self closing system for doors?

  Yes

  No

  N/A

• Are there weather strip Doors?

  Yes

  No

  N/A

Completion

• Recommendations

• Inspector's Full Name and Signature

  Sign

• Yes

  No

  N/A