Pest Control Checklist

• Client / Site

• Date and Time of Inspection

  Date

• Inspected by

• Location
  Address

Exterior, Grounds and Trash

• Exterior building and all exterior structures are clean and in good repair.

  Yes

  No

  N/A

• Landscaping i.e. plants, bushes and grass areas are well maintained and not over grown

  Yes

  No

  N/A

• Outside grounds, not maintained to prevent harborage e.g. accumulation of garbage.

  Yes

  No

  N/A

• The dumpster area is free of food debris and trash that is attractive to pests.

  Yes

  No

  N/A

• The dumpster is clean and neat and has no offensive odour

  Yes

  No

  N/A

• The dumpster lids/compactor are not closed, or visible trash is showing.

  Yes

  No

  N/A

• The gates and dumpster lids are closed and no visible trash is showing.

  Yes

  No

  N/A

• Old equipment is not stored in the dumpster area.

  Yes

  No

  N/A

• Exterior bait stations in place and functional/missing.

  Yes

  No

  N/A

• No evidnece of dirt buildup, cobwebs, mildew, algae on any part of building.

  Yes

  No

  N/A

Interior,Production and Service

• No gaps under or around doors and windows, holes in walls or ceiling, with no pooling water.

  Yes

  No

  N/A

• Hand sink caulk in poor repair/moldy.

  Yes

  No

  N/A

• Trash bin (leak proof/non-porous) is available, lined and not damaged (no holes, cracks or leaks).

  Yes

  No

  N/A

• Interior of bin has no buildup and is not overflowing

  Yes

  No

  N/A

• Grout or tiles are missing, or grout is worn away and has potential for water accumulation.

  Yes

  No

  N/A

• There are no gaps in the electrical conduit in or around the food production areas.

  Yes

  No

  N/A

• Evidence of food debris in any part of store.

  Yes

  No

  N/A

• Traps not located in proper position against walls or areas attractive to pest.

  Yes

  No

  N/A

• Type and number of bait stations correct for area as per pest map.

  Yes

  No

  N/A

• Floors, walls, ceilings and lights are clean and in good repair.

  Yes

  No

  N/A

• Equipment, packaging and ingredients not stored 15 cm (6 inches) off the floor.

  Yes

  No

  N/A

Pest Issues or Harborage

• Presence of any live of dead rodents outside of traps, 5 or more live or dead rodents inside of traps.

  Yes

  No

  N/A

• Evidence of gnawed products or packaging

  Yes

  No

  N/A

• Presence of more than 5 flies anywhere in the facility.

  Yes

  No

  N/A

• Presence of any insect residing in food i.e. ants, weevil,moths etc.

  Yes

  No

  N/A

• Presence of any pest indicative of poor sanitation, except for flies,roaches and ants.

  Yes

  No

  N/A

• Possible pest entry points sealed and harborage condition prevneted.

  Yes

  No

  N/A

Documentation

• Approved PMP provides services at frequency approved by MSGI.

  Yes

  No

  N/A

• Approved PMP service tickets are on file and up-to-date to reflect monthly service.

  Yes

  No

  N/A

• Approved PMP provides schematic map of trap and bait locations in the store.

  Yes

  No

  N/A

• Schematic map of trap and bait station for audited area not on file.

  Yes

  No

  N/A

• Weekly pest walk is completed and maintained with corrective actions.

  Yes

  No

  N/A

Completion

• Recommendations

• Inspector's Full Name and Signature

  Sign