Information
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Document No.
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Audit Title
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Client / Site
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Location
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Prepared by
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Conducted on
Attendance Sheet
Attendees
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Add an attendee
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Name
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Company
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E-mail
Diner
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Cleanliness of Floors/Walls/Ceiling
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Electrical Outlets safe and meet NEC regulations
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Lighting/Ventilation a adequate
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Ice Machine/Filtered Water and cleanliness
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Ice Cream Machine if applicable meets sanitary expectations
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Drink Dispensers (soda machines) meets sanitary expectations
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Cups/Dishes/Utensils
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Fire Exit available and inspect/sufficient type
Kitchen
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Cleanliness of Floors/Walls/Ceiling
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Electrical Outlets safe and meet NEC regulations
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Lighting/Ventilation are adequate
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Refrigerator Clean and Temp (0 to +5 C)
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Freezer Clean and Temp (-17 to 0 C) and cleanliness
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Sinks/Drains Clean
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Water Temp Controlled and adequate/Relief Valve
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Grease Hood clean and filters changes/Fan working
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Grill Inspected
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Oven Inspected
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Shelves Inspected
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Cutting Boards clean and inspected
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Pots/Pans/Cooking Utensils Cleaned
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Can Opener clean
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Vector Control in place/Daily spraying
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Fire Extinguishers available and inspected/sufficient type
Pantry
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Cleanliness
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Ventilation/Lighting
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Electrical Outlets safe and meet NEC regulations
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Shelves
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All Foods Dated and within Use Dates
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Food Covered
Dry Storeroom
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General Cleanliness
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Ventilation/Lighting
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Electrical Outlets safe and meet NEC regulations
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Shelves Cleaned
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All Food within Use Dates
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Food Coved
Freezer Storage
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General Cleanliness
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Door Seals
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Items Properly Wrapped
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Meat Types Stored Separately
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Freezer Temp (-30 to 0 C)
Rest Room Facility
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General Cleanliness
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Floors/Walls/Ceiling
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Electrical Outlets safe and meet NEC regulations
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Lighting Ventilation
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Urinals
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Commodes
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Sinks Drains
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Showers and Drains
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Curtains and Partitions
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Water Heater/relief valve
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Disinfectant Used Daily
Laundry
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General Cleanliness
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Ventilation/Lighting
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Electrical Outlets safe and meet NEC regulations
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Washers
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Dryers
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Water Heater/Relief Valve
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Shelves
Environmental
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Potable water testing and analysis records available for review
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Secondary containment for fuel storage regularly inspected and records available
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LPG properly stored
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Noise levels at closest cabin perimeter <45 dB
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Suitable secondary containment and drip pans for all mobile equipment
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Spill kits available and regular inventories taken
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SDS (Safety Data Sheet) for all products available (e.g. detergents, water treatment products, pesticides, oils, greases, etc)
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Treated wastewater testing and analysis records available for review
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Drainage Pit
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Prevention of flies and rodents in camp areas
Waste Management
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Sufficient signed and labeled trash bins available
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Waste management signage in appropriate language for residents
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Waste collected on a regular basis
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Records of waste transportation
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Records of waste disposal within 30 days of transportation
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Waste disposal records stamped by RC
Living Quarters
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Cleanliness/Cleaned Daily
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Bed Linen Changed Weekly
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Minimum 4.6 m2 per occupant (6 person rooms > 27.2 m2)
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Suitable storage for each residents personal belongings
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Laundry Washed Daily
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Toilets/showers Disinfected
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Smoke Alarms Tested
Medical/First Aid
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Certified First Aider/ Male Nurse available
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First aid room/clinic with adequate lighting, sufficient ventilation and first aid equipment
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Proper disposal of clinical waste
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Sufficient supply of First Aid medicines
Security
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Personnel and vehicle security monitoring
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Vicinity surveillance/roving log.
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In/Out property register
Fatality Prevention Programs- Working at Height
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All working at height areas identified
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Risk assessments/management plans in place to address working at heights
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Stairways having four(4) or more risers have a hand rail on all open sides
Fatality Prevention Programs- Fire Prevention
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Fire management plan in place and posted
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Emergency evacuation routes & muster points easily identifiable
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Regular and routine inspection and maintenance of fire extinguishers. Appropriate inspection tagging system shall be visible.
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Regular and routine inspection and maintenance of smoke detection systems
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Smoke alarms are available and tested in kitchen/dining area/rooms.
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Means of egress signs conspicuously posted and well lit
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Emergency Contact Numbers are conspicuously posted
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Are exit doors clear of combustible or other hazardous materials
Fatality Prevention Programs- Electrical/Power Generators
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All generators shall be grounded twice
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All generators and fuel tanks are provided with spill bund
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Adequate distance required from generators/fuel tank to the building. Generators should be barricaded and sheltered.
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Signs and fire extinguishers available near the generator/fuel tank
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Leakage from generators
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All electrical appliances shall be grounded solidly and power shall be connected through approved grounding.
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Adequate distance required from generators/fuel tank to the building. Generators should be barricaded and sheltered.
Fatality Prevention Programs- Traffic Management
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Driveways, parking areas and access walkways suitably drained, paved and adequately illuminated are posted where required
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Pedestrian identified and segregated from traffic
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Traffic signs posted including speed limit
