Locker Rooms - 019

• Person Conducting Audit:

• Conducted On:

  Date

• Department

  Select Viscera Side Health Services MTC - A MTC - B Management Procurement QC Safety Shipping Supply Wool side Viscera side

  • Viscera Side
  • Health Services
  • MTC - A
  • MTC - B
  • Management
  • Procurement
  • QC
  • Safety
  • Shipping
  • Supply
  • Wool side
  • Viscera side

• Area:

  Men's Locker Rooms

  Women's Locker Rooms

Performance Guideline

• For the locker rooms performance guideline, check the box

• 

Item:

• 1. Do all the selected rooms appear neat and ordery

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 2. Do all toilet facilities work properly

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 3. Do all facilities have adequate soap, tissue and paper towels

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 4. Is the locker room free from graffiti

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 5. Do all sinks have hot and cold running water

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 6. Is the locker room equipped with shower facilities

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 7. Is the locker room equipped with emergency lighting

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 8. Is at least one fire extinguisher provided in the locker room proximity

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 9. Is HACCP related information, procedures posted in the locker room

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 10. Smoking is prohibited in the locker room area

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 11. Eating of food is discouraged in the locker room

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 12. The locker room has been fumigated within the last 4 months

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 13. There is sufficient locker space for employees assigned to this locker room

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 14. A locker assignment sheet is available to identify employees in each locker

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

• 15. Verify that all required employee notices are posted in a conspicuous location

  Pass

  Fail

  N/A

• Photo:

  Media

• Explanation:

Additional Comments:

• Please enter any additional comments, remarks or photos etc.

Sign off:

• Auditor's Signature:

  Sign

• Select date

  Date