Title Page
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Site conducted
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Conducted on
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Prepared by
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Shift observed
Staff Amenities (Lunch Room, Prayer Room, Toilets, Showers & Change Rooms)
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Corrective Action must be recorded in "notes" for any non-conformance raised in report.
Items observed
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Staff Lunch Room is clean, no build up of rubbish on tables or floors.
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No build up of food scraps in the sink, microwave or fridges.
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All food kept inside fridges or lunch bags.
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No build up of dust or rubbish on top or under the fridges or microwaves.
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Prayer Room is clean, no build up of rubbish.
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Toilets are clean, no build up of grime or stains in the toilets, no build up of waste paper or rubish on the floors.
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No uniforms stored in Change Rooms. No build up of rubbish in Change Rooms.
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Walls, floors and ceilings are in good condition.
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Showers are clean and in good condition.
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Free from pest activities, no signs of pests or droppings in the facilities.
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Chemical cage locked. SDS available and up to date.
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All bait stations are securely attached.
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No birds roosting or nesting observed at loading/ unloading areas.
Dry Store, Staff Carpark, Maintenance Workshop, Canola Oil Tank, Dry Store Transfer, Compactor Area, Receival Area
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No build up of rubbish under pallet rackings, allergens stored on the bottom rackings, no spillages in Dry Store and Dry Store Transfer.
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No build up of dirt, dust and debris on the floors at Dry Store and Workshop.
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No excessive cobwebs in Dry Store, Dry Store Transfer and Maintenance Workshop.
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No damaged bags in Dry Store and Dry Store Tranfer. No pallets of dry ingredients stacked on top of each other without pallet slip sheets in between.
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No build up of weeds or rubbish in the Staff Carpark.
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No build up of oil on the ground by Canola Oil Tank.
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Compactor area is clean and no rubbish overflowing.
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Receival area / loading area is clean, no build up of rubbish.
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Personnel are adhering to PPE requirements.
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Free from pest activities, no signs of pests or droppings inside the facilities. No damaged bait stations including toxic and non-toxic.
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Chemicals are stored separately. Chemical cages are locked.
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All bait stations are securely attached.