Areas to be emptied (TICK if done)

a) Shelves

b) Cupboard

c) Trays

Areas to be Removed (TICK if done)

a) Food

b) Cutlery

c) Utensils

d) Clean Linen

Support required (TICK if done)

a) To switch off the Gas

b) To unplug the Electrical cables

c) To dispose of Garbage

d) Doors are kept Opened not Blocked

To be kept opened (TICK if done)

a) Grinder Machine

b) Coffee Machine

c) Other Machines (Pls. Specify)

2. F & B Counter

a) Ice box to move to front

b) Spillage of syrup to clean

c) Keep cutlery & Glass racks Open

d) Fridge moved front & De Plugged

e) Bain Marie – space behind is cleared

3. Dining

a) Chairs and tables to keep Upside down

b) Sofa cushion - removed

4. Dish Wash Area

a) Dish wash machine kept Opened + Unplugged

b) No materials stored under Sink+ Under wash tables

c) Tables are moved to front

5. Stores

a) Space provided for Insect Pest Trapping devices

b) space Provided surrounding racks

6. Office Areas

a) Bill machines are made available for treatment

b) Office table Drawers – Kept Opened

7. Others

a) Waste materials + Gunny bags removed

b) Old Cartons+ empty oil cans are cleared

c) Cartons + Tissue rolls+ Napkins stocks kept covered


Your Comments Please :

Assessor's Signature (Rentokil)
Area Incharge Signature (Client)
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.