Title Page
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Document No.
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Conducted on
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Audit Title
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Client / Site
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Accompanying Personnel
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Prepared by
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Auditor's Signature
Outside Grounds
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Are weeds and shrubs at least 18" from the building? Are grounds maintained in good repair?
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Are the grounds free of litter/debris?
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Are the grounds free of standing water?
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Are premises free from harborages and breeding places for rodents, insects, etc.?
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Is there equipment or supplies stored permanently around the outside of the perimeter? Is any equipment outside placed at least 18" from the building?
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Is adequate drainage provided to avoid contamination of the facilities and products?
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Does water drain away from the building so it does not enter during heavy rainfall and contaminate ingredients or product?
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Are gutters free of debris and weeds?
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Are pipes stored at least 20' from the processing facility? Are the pipes capped?
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Is waste stored in appropriate containers and removed as scheduled? Is the trash compactor area maintained in good condition?
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Is the offal area maintained in a good, sanitary condition?
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Other miscellaneous items noted during audit, notate in this section. Mark any deviations/issues as non-compliant. If nothing was found, mark this section as non-applicable.