Title Page
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Site conducted
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Client / Site
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Location
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Conducted on
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Prepared by
PEST CONTROL
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No evidence of animal waste, structural infestation, or pests in the area or around the equipment.
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18" space around the walls & space is clear
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Ingredients stored off the floor in closed bags
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No presence of mold or decomposition
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Openings in doors, floors, & walls are sealed
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Is the work area constructed, equipped, and maintained to prevent the entrance or harbourage of rodents, insects, and other vermin?
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Perimeter control for rodent/insect/bird is in place
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Are internal/external bait stations clean, numbered & securely attached to fixtures?
OPERATIONAL METHODS & PERSONAL PRACTICES
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Equipment, cleaning utensils & chemicals are clean and stored in correct location
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Cabinets are free of debris, clean and in good condition
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Cleaning supplies/tools/ lubricants are stored properly ( ex: food grade stored separately from non-food grade lubricants)
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No evidence of food, drink, tobacco in any area other than designated areas
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No jewelry (earrings, necklaces, watches, rings, etc) worn in production areas
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No evidence of spitting or foul personal habits
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No chemicals stored near exposed product
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Hand washing practices are being followed
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Uniforms are worn correctly and in good condition
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No food containers are used for nonfood use
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Doors are left closed when not in use
CROSS-CONTAMINATION
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Cleaning tool stations are in acceptable condition
PPE
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Hearing protection is being used
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Bump caps/hard hats are being used
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Safety glasses are being worn
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Safety shoes are worn and in good condition
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Goggles & face shields used when appropriate
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Gloves, goggles & chemical safety suits in use while foaming
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No unsafe behavior observed
KNIVES
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Only site-issued knives are used
MAINTENANCE
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No areas in need of painting
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No cupped channel supports or other dust catchers
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No equipment rusting out or leaking product ( creates additional cleaning required)
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No badly stained equipment, floor, etc
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No solid bottom guards or supports not accessible for cleaning
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No damaged insulation or insulation covers
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No evidence of water leakage/oil leakage
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No temporary repairs using tape, burlap or other materials
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No presence of broken glass, soft or hard plastic.
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No equipment open to contaminants
BUILDING & GROUNDS/INSIDE AREAS
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Proper waste-handling systems are installed (storage, etc)
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Weed control is used
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Ceilings are protected against potential for harborage
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No standing water present
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All exterior doors are locked
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Perimeter fence is in good condition
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Exterior walls are in good condition
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Light fixtures are protected
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Lighting is adequate in area
CHEMICALS
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All containers are clearly labeled
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Storage locations/cabinets are clean and in good condition
ENVIRONMENTAL
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Hazardous waste are in good condition
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Oil and petroleum sources in good condition (All labeled, no leaks, upright, and spill kits available)
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No co-mingled trash/recyclable
SANITATION FACILITIES
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Is potable water in use?
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Are toilets clean, serviceable and adequate in number for the worksite?
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Is there a schedule for servicing, cleaning and supplying each facility in place?
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Is servicing, cleaning and supplying schedule being followed?
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Are toilets fitted with hands free taps/bins?
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Are handwashing facilities adjacent to each toilet amentity, & do they contain hot, cold, or lukewarm running water?
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Are toilets fitted with soap , or skin cleansing agents for washing hands?
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Are toilets fitted with either hands-free air blowers, and/or single use hand towels?
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Have waste-bins been emptied?
Sanitation / Hygiene
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All floors are clean and in good condition?
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All walls are clean and in good condition?
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All ceilings are clean and in good condition?
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All doors, windows and plastic curtains are clean and in good condition?
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All lighting fixtures are clean and in good condition?
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All benches/tables are clean and in good condition?
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All production machines and equipment are clean and in good condition?
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All production hand tools, utensils are clean and in good condition?
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All pallets and storage containers are clean and in good condition?
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All racks & cabinets are clean and in good condition?
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All cleaning chemical are prepared according to proper dilution and stored in the assigned area?
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Have waste-bins been emptied?
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Have all waste-bags been removed from area?
COMPLETION
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Full Name and Signature of Inspector
