Title Page
-
Document No.
-
Conducted on
-
Customer Name
-
Premise Address
-
Location
-
Report Submitted To:
-
Prepared by
Pest Control Coverage
-
Current Service Frequency
-
Last Service Visit
Structural & Pest Risk Assessment
A. Building Integrity & Pest Proofing
-
Are the doors or other openings to the outside of the building tightly fitted (no gaps, no deteriorated sealants, no visible light showing through)?
-
Are all screens for windows and doors in place and tightly fitted and in good repair?
-
Are all sewers, drainage with cover and tightly sealed?
-
Are outside garbage containers clean, leak free, properly covered, and regularly disposed (with evidence record)?
B. Cleaning & Sanitation
-
Is there debris or garbage accumulation around outside of the building?
-
Are all interior garbage’s being emptied and removed from the facility daily?
-
Are dirty dishes being cleaned prior to closing the facility at night?
-
Are all hard to reach areas of the facility (under grill lines, prep tables, behind equipment and shelving units) being cleaned on a frequent enough basis to prevent build up?
-
Is there an accumulation of spilled food, liquid, or dust?
C. Evidence of Pest Activity
-
Rodent Infestation
-
Cockroach Infestation
-
Ant Infestation
-
Fly Infestation
-
Mosquito Infestation
-
Other Pest infestation present
Summary of Recommendations
-
Exclusion measures to pest proofing
- Seal cracks and crevices on wall, floor, corners where dirt accumulate that serve as entry point and harborage of pests
- Repair or install window, air vent screens.
- Fix deteriorated sealants on wall, floors, grouts, door jamb and base boards.
- Seal gaps around pipes traversing wall.
- Air blower in entrance/exit must regularly cleaned and in good condition. Turn On at all times with positive pressure blowing towards outside.
- Fix, replace or remove all wooden fixtures that accumulate dirt and deteriorating.
-
Restriction measures to reduce risk of pest attraction and harborage.
- Steam deep cleaning is highly recommended. If in place, SDC must be done more frequent.
- Improve waste segregation and regular disposal.
- Replace broken garbage bins. Garbage bin cover must be tightly fitted to deny pest attraction.
- Cleaning of garbage bins must be done due to food residue build up that are favorable food source to pests.
- Improve cleaning underneath and behind the equipment such as Oven, Griller, Chillers, Hood, Beverage Area, Counter Top items and the like.
- Remove accumulated dirt and food debris on cart footings and other movable and immovable equipment that are favorable to german cockroach infestation.
- Remove and sanitize gaps and underneath stainless steel preparation tables, condiments area .
- Replace deteriorated rubber gaskets of freezer, chillers, oven.
-
Destruction to destroy current infestation and target possible pest harborage.
- Intensive cockroach control is needed. Intensive flying insects control is needed.
- Invert tables and chairs must be prepared upside down on next pest control schedule for intensive treatment.
- Install additional traps in pesticide-sensitive areas to capture active infestations for cockroaches or rodents.
- Increase frequency of pest control treatment maybe considered for highly infested areas with only once a month frequency.
-
Monitoring of pest threshold levels.
- Install light trap units for flying insect issues.
- Install insect detector traps for crawling insect activities
- Install rodent trapping devices.
Report Completion
-
All findings and recommendations are explained to key contact person or authorized personnel.
-
I understand and acknowledge the results of the inspection done in the premises.
-
I declare that the information in this report is true and correct.
-
Select date
