Title Page

  • Date

  • Location
  • HAACP Coordinator Sigmature

Management of Physical Facility

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

  • Are outside garbage containers clean and properly covered?

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

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

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

  • Do all food containers have lids?

  • Are all food products stored off the floor?

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

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

  • 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?

Investigating for Evidence of Pests in Unit 1

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

  • Are all mouse traps and fly traps free of pests and in good working order?

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

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

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

FizLig Modern Mouse Trap Identification and Inspection Unit 1

  • Any rodents detected in MT1-1?

  • Any rodents detected in MT1-2?

  • Any rodents detected in MT1-3?

  • Any rodents detected in MT1-4?

  • Any rodents detected in MT1-5 ?

  • Any rodents detected in MT1-6 ?

  • Any rodents detected in MT1-7 ?

  • Any rodents detected in MT1-8 ?

  • Any rodents detected in MT1-9 ?

  • Any rodents detected in MT1-10?

  • Any rodents detected in MT1-11 ?

  • Any rodents detected in MT1-12 ?

  • Any rodents detected in MT1-13 ?

  • Any rodents detected in MT1-14 ?

  • Any rodents detected in MT1-15 ?

  • If Rodent found, what location and what's the corrective action to mitigate activity?

GeeRic Fly Paper Strips Fly Catcher Identification and Inspection Unit 1

  • Any insects detected in FT1-1 ?

  • Any insects detected in FT1-2 ?

  • Any insects detected in FT1-3?

  • Any insects detected in FT1-4 ?

  • Any insects detected in FT1-5 ?

  • Any insects detected in FT1-6 ?

  • Any insects detected in FT1-7 ?

  • Any insects detected in FT1-8 ?

  • Any insects detected in FT1-9 ?

  • Any insects detected in FT1-10 ?

  • If irregular amount of insects found, what location and what's the corrective action to mitigate activity?

Investigation for Evidence of Pests in Unit 2

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

  • Are all mouse traps and fly traps free of pests and in good working order?

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

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

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

FizLig Modern Mouse Trap Identification and Inspection Unit 2

  • Any rodents detected in MT2-1 ?

  • Any rodents detected in MT2-2 ?

  • Any rodents detected in MT2-3?

  • Any rodents detected in MT2-4 ?

  • Any rodents detected in MT2-5 ?

  • Any rodents detected in MT2-6?

  • Any rodents detected in MT2-7 ?

  • Any rodents detected in MT2-8?

  • Any rodents detected in MT2-9?

  • Any rodents detected in MT2-10?

  • Any rodents detected in MT2-11?

  • Any rodents detected in MT2-12?

  • Any rodents detected in MT2-13?

  • Any rodents detected in MT2-14?

  • Any rodents detected in MT2-15?

  • If Rodent found, what location and what's the corrective action to mitigate activity?

GeeRic Fly Paper Strips Fly Catcher Identification and Inspection Unit 1

  • Any insects detected in FT 2-1?

  • Any insects detected in FT 2-2?

  • Any insects detected in FT 2-3?

  • Any insects detected in FT 2-4?

  • Any insects detected in FT 2-5?

  • Any insects detected in FT 2-6?

  • Any insects detected in FT 2-7?

  • Any insects detected in FT 2-8?

  • Any insects detected in FT 2-9?

  • Any insects detected in FT 2-10?

  • If irregular amount of insects found, what location and what's the corrective action to mitigate activity?

Completion

  • Recommendations?

  • Do we need to contact a professional pest control service

  • HACCP Coordinator signature

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