Monthly Internal Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

Building

• Clear of vegetation

  Yes

  No

  N/A

• Clear of Garbage

  Yes

  No

  N/A

• Locked door check (ensure to document which doors were checked)

  Yes

  No

  N/A

Parking Lot

• Clear of vegetation

  Yes

  No

  N/A

• Clear of garbage

  Yes

  No

  N/A

• Exterior Walls in good repair

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Pest traps are in good condition and in the proper locations

  Yes

  No

  N/A

• Lighting is operational

  Yes

  No

  N/A

Front Entrance

• Ceiling lighting

  Operational

  Not Operational

• Clean

  Yes

  No

  N/A

• Secure

  Yes

  No

  N/A

• Security Room Locked

  Yes

  No

  N/A

• Visitor log present

  Yes

  No

  N/A

• Bulletin board intact

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

Employee Entrance:

• Ceiling Lighting

  Operational

  Not Operational

• Clean

  Yes

  No

  N/A

• Secure

  Yes

  No

  N/A

• Emergency Exit Lights

  Operational

  Not Operational

• No Signs of pest activity

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

Driver Entrance

• Ceiling Lighting

  Operational

  Not Operational

• Clean

  Yes

  No

  N/A

• Secure

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

• Entrance Emergency Light

  Operational

  Not Operational

• Exit Sign

  Yes

  No

  N/A

• Signing station

  Yes

  No

  N/A

Front Office:

• Clean

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Ceiling Lighting

  Operational

  Not Operational

• Office Windows

  Safe

  At Risk

  N/A

• Clocks

  Safe

  At Risk

  N/A

• Sprinklers

  Yes

  No

  N/A

• Fire Extinguishers

  Yes

  No

  N/A

• Fire Alarm

  Yes

  No

  N/A

• Emergency Exit Signs/Lights

  Yes

  No

  N/A

Upstairs Offices:

• Clean

  Yes

  No

  N/A

• Ceiling Lighting

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Clocks

  Safe

  At Risk

  N/A

• Sprinklers

  Yes

  No

  N/A

• Fire Extinguishers

  Yes

  No

  N/A

• Fire Alarm

  Yes

  No

  N/A

• Emergency Exit Signs/Lights

  Yes

  No

  N/A

Maintenance Shops:

• Clean

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Outside door secure

  Yes

  No

  N/A

• Emergency Exit Signs/Lights

  Yes

  No

  N/A

• Wall clock

  Yes

  No

  N/A

• Metal Shavings

  Yes

  No

  N/A

• Parts Storage Orderly

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Food Grade Lubricant Storage Segregated

  Yes

  No

  N/A

• Non Food Grade Chemical cage secure

  Yes

  No

  N/A

• Safety concerns/observations

  Yes

  No

  N/A

Quality Lab Office:

• Clean

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

Breakroom

• Clean

  Yes

  No

  N/A

• Lights

  Operational

  Not Operational

• Emergency Lights

  Yes

  No

  N/A

• Mirrors

  Safe

  At Risk

  N/A

• Dispensers

  Yes

  No

  N/A

• Ceiling Lighting

  Operational

  Not Operational

• No Signs of pest activity

  Yes

  No

  N/A

• Food Dispensers

  Yes

  No

  N/A

Gown Room

• Clean

  Yes

  No

  N/A

• Stocked

  Yes

  No

  N/A

• Gowns separated by color

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

Locker Room

• Clean

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

Interior Perimeter Entrance into Facility

• Clean

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

• Time Clock

  Safe

  At Risk

  N/A

• Area segregation present and intact

  Yes

  No

  N/A

• Green floor tape present and intact

  Yes

  No

  N/A

• Primary Hand wash station stocked

  Yes

  No

  N/A

• Hand wash sign posted

  Yes

  No

  N/A

• DDS Boards intact

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Secondary Hand wash station stocked

  Yes

  No

  N/A

• Hand wash sign posted

  Yes

  No

  N/A

Women's Restroom: Front Office

• Clean

  Yes

  No

  N/A

• Stocked

  Yes

  No

  N/A

• Hand wash signs posted

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Mirrors intact

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

Men's Restroom: Front Office

• Clean

  Yes

  No

  N/A

• Hand wash signs posted

  Yes

  No

  N/A

• Stocked

  Yes

  No

  N/A

• Mirrors intact

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

• No Signs of pest activity

  Yes

  No

  N/A

Women's Restroom: Employee Entrance

• Clean

  Yes

  No

  N/A

• Stocked

  Yes

  No

  N/A

• Hand wash signs on all Exit Signs and by the sink area

  Yes

  No

  N/A

• Mirrors intact

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

Men's Restroom: Employee Entrance

• Clean

  Yes

  No

  N/A

• Stocked

  Yes

  No

  N/A

• Hand wash signs on all Exit Signs and by the sink area

  Yes

  No

  N/A

• Mirrors intact

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

• No Signs of pest activity

  Yes

  No

  N/A

• Emergency Lights Outside Men/Women Restroom

  Yes

  No

  N/A

Restroom: Supervisors office

• Clean

  Yes

  No

  N/A

• Stocked

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Hand wash signs posted

  Yes

  No

  N/A

• Mirrors intact

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

Women's Restroom: Annex

• Clean

  Yes

  No

  N/A

• Stocked

  Yes

  No

  N/A

• Hand wash signs on all Exit Signs and by the sink area

  Yes

  No

  N/A

• Mirrors intact

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

Men's Restroom: Annex

• Clean

  Yes

  No

  N/A

• Stocked

  Yes

  No

  N/A

• Hand wash signs on all Exit Signs and by the sink area

  Yes

  No

  N/A

• Mirrors intact

  Yes

  No

  N/A

• Lighting

  Operational

  Not Operational

• No Signs of pest activity

  Yes

  No

  N/A

H Line

• Clean

  Yes

  No

  N/A

• Lights

  Operational

  Not Operational

• Equipment Panels

  Yes

  No

  N/A

• Equipment Lights Towers

  Yes

  No

  N/A

• Equipment Guards Intact

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Bucket Scales

  Yes

  No

  N/A

• No bags touching floor

  Yes

  No

  N/A

• Labeled Reject Bins for Defective Items

  Yes

  No

  N/A

• Metal Detector Shielding

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Safety concerns/ observations

  Complaint

  Non-Complaint

• GMP Personnel

  Yes

  No

  N/A

C Line

• Clean

  Yes

  No

  N/A

• Lights

  Operational

  Not Operational

• Equipment Panels

  Yes

  No

  N/A

• Equipment Lights Towers

  Yes

  No

  N/A

• Equipment Guards Intact

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Bucket Scales

  Yes

  No

  N/A

• No bags touching floor

  Yes

  No

  N/A

• Labeled Reject Bins for Defective Items

  Yes

  No

  N/A

• Metal Detector Shielding

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Safety concerns/ observations

  Complaint

  Non-Complaint

• GMP Personnel

  Yes

  No

  N/A

A Line

• Clean

  Yes

  No

  N/A

• Lights

  Operational

  Not Operational

• Equipment Panels

  Yes

  No

  N/A

• Equipment Lights Towers

  Yes

  No

  N/A

• Equipment Guards Intact

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Bucket Scales

  Yes

  No

  N/A

• No bags touching floor

  Yes

  No

  N/A

• Labeled Reject Bins for Defective Items

  Yes

  No

  N/A

• Metal Detector Shielding

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Safety concerns/ observations

  Complaint

  Non-Complaint

• GMP Personnel

  Yes

  No

  N/A

B Line

• Clean

  Yes

  No

  N/A

• Lights

  Operational

  Not Operational

• Equipment Panels

  Yes

  No

  N/A

• Equipment Lights Towers

  Yes

  No

  N/A

• Equipment Guards Intact

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Bucket Scales

  Yes

  No

  N/A

• No bags touching floor

  Yes

  No

  N/A

• Labeled Reject Bins for Defective Items

  Yes

  No

  N/A

• Metal Detector Shielding

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Safety concerns/ observations

  Complaint

  Non-Complaint

• GMP Personnel

  Yes

  No

  N/A

D Line

• Clean

  Yes

  No

  N/A

• Lights

  Operational

  Not Operational

• Equipment Panels

  Yes

  No

  N/A

• Equipment Lights Towers

  Yes

  No

  N/A

• Equipment Guards Intact

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Bucket Scales

  Yes

  No

  N/A

• No bags touching floor

  Yes

  No

  N/A

• Labeled Reject Bins for Defective Items

  Yes

  No

  N/A

• Metal Detector Shielding

  Yes

  No

  N/A

• No Signs of pest activity

  Yes

  No

  N/A

• Safety concerns/ observations

  Complaint

  Non-Complaint

• GMP Personnel

  Yes

  No

  N/A

WIP 1

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock intact

  Yes

  No

  N/A

• Windows intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

WIP 6

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock Intact

  Yes

  No

  N/A

• Windows Intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

WIP 6

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock Intact

  Yes

  No

  N/A

• Windows Intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

WIP 3

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock Intact

  Yes

  No

  N/A

• Windows Intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• Correct allergen gowns are being used

  Yes

  No

  N/A

• Foot sanitizer in present

  Yes

  No

  N/A

WIP 4

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock intact

  Yes

  No

  N/A

• Windows Intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

USDA WIP 5

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock Intact

  Yes

  No

  N/A

• Windows Intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• USDA Gowns being used

  Yes

  No

  N/A

• Foot sanitizer present

  Yes

  No

  N/A

• Employees are wearing Booties

  Yes

  No

  N/A

• No condensation from air units

  Yes

  No

  N/A

USDA WIP 7

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock Intact

  Yes

  No

  N/A

• Windows Intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• USDA Gowns being used

  Yes

  No

  N/A

• Foot sanitizer present

  Yes

  No

  N/A

• Employees are wearing Booties

  Yes

  No

  N/A

• No condensation from air units

  Yes

  No

  N/A

WIP 8

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock intact

  Yes

  No

  N/A

• Windows Intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

WIP 9

• Clean

  Yes

  No

  N/A

• Machine Guards Intact

  Yes

  No

  N/A

• Machine Buttons Intact

  Yes

  No

  N/A

• Machine Screens Intact

  Yes

  No

  N/A

• Conveyor belt in good condition

  Yes

  No

  N/A

• Bucket elevator covers

  Yes

  No

  N/A

• Film station

  Yes

  No

  N/A

• Hand washing station

  Yes

  No

  N/A

• Paperwork Completion

  Yes

  No

  N/A

• Color code being followed

  Yes

  No

  N/A

• Fire sprinklers

  Yes

  No

  N/A

• Clock intact

  Yes

  No

  N/A

• Windows Intact

  Yes

  No

  N/A

• Entrance door in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Emergency Alarm present

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

Dry Storage

• Racks are in good condition

  Yes

  No

  N/A

• Exit Signs to outside

  Yes

  No

  N/A

• Roof top access controlled

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• Lights

  Yes

  No

  N/A

• Product on hold is in the proper location

  Yes

  No

  N/A

• Exit signs to component cooler

  Yes

  No

  N/A

• Rollup Doors operational

  Yes

  No

  N/A

• Rollup Door Control Panels intact

  Yes

  No

  N/A

• Hanging Mirrors intact

  Yes

  No

  N/A

• Man doors to component cooler operational

  Yes

  No

  N/A

• Dock Doors - seals/ no daylight

  Yes

  No

  N/A

• Dock Leveler Control Panels

  Yes

  No

  N/A

• Docks - levelers operational / clean

  Yes

  No

  N/A

• Dock Lights- operational/ shatter proof

  Yes

  No

  N/A

• Stock setup area tape intact

  Yes

  No

  N/A

• Stock setup area tape intact

  Yes

  No

  N/A

• Airsystems area - tape on floor intact

  Yes

  No

  N/A

• Air System area segregation intact

  Yes

  No

  N/A

• Fire Extinguishers

  Yes

  No

  N/A

• Sprinklers

  Yes

  No

  N/A

• No signs of pest activity

  Yes

  No

  N/A

• Pest traps are in correct location, blocked, and/or damaged

  Yes

  No

  N/A

• Insect lights are operational

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• Allergen storage segregated and not above non-allergen products

  Yes

  No

  N/A

• WIP performance boards intact

  Yes

  No

  N/A

• No standing water migration from tote wash

  Yes

  No

  N/A

Component Cooler

• Clean

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• Man Door Windows Intact

  Yes

  No

  N/A

• Temperture control panels are operational

  Yes

  No

  N/A

• Roll Up Door Functioning

  Yes

  No

  N/A

• Refrigeration System- Fan Motor Functioning

  Yes

  No

  N/A

• No condensation present from refrigeration unit

  Yes

  No

  N/A

• Racks in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

Finished Goods Cooler

• Clean

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• Man Door Windows Intact

  Yes

  No

  N/A

• Temperture control panels are operational

  Yes

  No

  N/A

• Product on hold is in proper location

  Yes

  No

  N/A

• Roll Up Door Functioning

  Yes

  No

  N/A

• Refrigeration System- Fan Motor Functioning

  Yes

  No

  N/A

• No condensation present from refrigeration unit

  Yes

  No

  N/A

• Racks in good condition

  Yes

  No

  N/A

• Exit Signs present

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

Freezer

• Clean

  Yes

  No

  N/A

• Lights

  Yes

  No

  N/A

• Sprinkler

  Yes

  No

  N/A

• Temperature display operational

  Yes

  No

  N/A

• Door seals in good condition

  Yes

  No

  N/A

Shipping/ Receiving and labeling Areas

• Exit Signs

  Yes

  No

  N/A

• Dock Doors - seals/ no daylight

  Yes

  No

  N/A

• Dock Leveler Control Panels

  Yes

  No

  N/A

• Docks - levelers operational / clean

  Yes

  No

  N/A

• Dock Lights- operational/ shatter proof

  Yes

  No

  N/A

• Lights

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• Supplies orderly

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• Lights

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• Exit Sign Present

  Yes

  No

  N/A

• Dishwasher control panels intact

  Yes

  No

  N/A

• Chemical cage locked

  Yes

  No

  N/A

• No standing water

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• Roll Up Door operational

  Yes

  No

  N/A

• Compactor Control Panel intact

  Yes

  No

  N/A

• Hand sanitizing station stocked

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A

• GMP Personnel

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• Lights Operational

  Yes

  No

  N/A

• Fence Intact

  Yes

  No

  N/A

• Door locked and secure

  Yes

  No

  N/A

• No signs of pest

  Yes

  No

  N/A

• Safety concerns/ observations

  Yes

  No

  N/A