Title Page
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Date
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Location
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HAACP Coordinator Sigmature
Management of Physical Facility
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Is there debris or garbage accumulation around outside of the building?
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Are outside garbage containers clean and properly covered?
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Are the doors or other openings to the outside of the building tightly fitted (no visible light showing through)?
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Are all screens for windows and doors in place and tightly fitted and in good repair?
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Is there an accumulation of spilled food, liquid, or dust?
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Do all food containers have lids?
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Are all food products stored off the floor?
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Are all interior garbage’s being emptied and removed from the facility daily?
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Are dirty dishes being cleaned prior to closing the facility at night?
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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
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Is there any evidence of mouse droppings or mouse urine staining?
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Are all mouse traps and fly traps free of pests and in good working order?
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Are chew marks visible on any boxes or materials in the facility?
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Are there insects present on sticky traps throughout the facility?
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Is there evidence of nesting (piles of dust, debris, insulation etc in quiet areas)?
FizLig Modern Mouse Trap Identification and Inspection Unit 1
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Any rodents detected in MT1-1?
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Any rodents detected in MT1-2?
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Any rodents detected in MT1-3?
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Any rodents detected in MT1-4?
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Any rodents detected in MT1-5 ?
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Any rodents detected in MT1-6 ?
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Any rodents detected in MT1-7 ?
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Any rodents detected in MT1-8 ?
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Any rodents detected in MT1-9 ?
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Any rodents detected in MT1-10?
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Any rodents detected in MT1-11 ?
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Any rodents detected in MT1-12 ?
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Any rodents detected in MT1-13 ?
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Any rodents detected in MT1-14 ?
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Any rodents detected in MT1-15 ?
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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
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Any insects detected in FT1-1 ?
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Any insects detected in FT1-2 ?
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Any insects detected in FT1-3?
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Any insects detected in FT1-4 ?
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Any insects detected in FT1-5 ?
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Any insects detected in FT1-6 ?
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Any insects detected in FT1-7 ?
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Any insects detected in FT1-8 ?
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Any insects detected in FT1-9 ?
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Any insects detected in FT1-10 ?
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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
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Is there any evidence of mouse droppings or mouse urine staining?
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Are all mouse traps and fly traps free of pests and in good working order?
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Are chew marks visible on any boxes or materials in the facility?
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Are there insects present on sticky traps throughout the facility?
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Is there evidence of nesting (piles of dust, debris, insulation etc in quiet areas)?
FizLig Modern Mouse Trap Identification and Inspection Unit 2
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Any rodents detected in MT2-1 ?
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Any rodents detected in MT2-2 ?
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Any rodents detected in MT2-3?
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Any rodents detected in MT2-4 ?
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Any rodents detected in MT2-5 ?
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Any rodents detected in MT2-6?
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Any rodents detected in MT2-7 ?
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Any rodents detected in MT2-8?
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Any rodents detected in MT2-9?
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Any rodents detected in MT2-10?
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Any rodents detected in MT2-11?
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Any rodents detected in MT2-12?
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Any rodents detected in MT2-13?
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Any rodents detected in MT2-14?
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Any rodents detected in MT2-15?
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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
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Any insects detected in FT 2-1?
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Any insects detected in FT 2-2?
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Any insects detected in FT 2-3?
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Any insects detected in FT 2-4?
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Any insects detected in FT 2-5?
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Any insects detected in FT 2-6?
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Any insects detected in FT 2-7?
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Any insects detected in FT 2-8?
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Any insects detected in FT 2-9?
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Any insects detected in FT 2-10?
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If irregular amount of insects found, what location and what's the corrective action to mitigate activity?
Completion
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Recommendations?
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Do we need to contact a professional pest control service
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HACCP Coordinator signature