Title Page
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Site conducted
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Conducted on
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Performed by
Inspection Questions
Interior Warehouse
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Any evidence of spilled, damaged, or nonconforming product outside of designated damages / Hold area?
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Any evidence of broken glass or brittle plastics
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Is the perimeter sanitation line clean, free of debris, and nothing blocking it?
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Any evidence of overflowing trash cans or excessive waste/debris in warehouse? <br>
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Is the racking free of excessive dust, debris, structural damage? <br>
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Are interior walls free of damage? <br>
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Are product pallets in good condition, no indication of pests, and free of open product spillage?<br>(All damaged pallets removed from production and stored in proper damage location)
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Any evidence of food wrappers or drink containers (water excluded) present in warehouse?<br>(Check trash cans, floor, any desks or storage cabinet drawers in warehouse)
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Are man door seals are in good condition with no light is showing through? <br>
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Are dock door brush/seals in good condition and no light showing through? <br>
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Are all interior traps accounted for, in their proper location, and not damaged?
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Are interior traps free of cobwebs, free of debris blocking entry, and signs of infestation? <br>
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Any evidence of roof leaks or ceiling insulation exposed?
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Site Security: Are visitors following proper visitor protocol? (Review visitor logs) <br>
Exterior Warehouse
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Are dock shelters in good condition, with no tears, holes, etc. that could affect product quality during loading and unloading? <br>
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Is the exterior of the facility free of excessive debris and structural damage? <br>
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Is any landscaping or other vegetation touching the building? <br>
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Are all exterior traps accounted for, in their proper location, and not damaged?<br>(Review trap map in pest control binder)
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Are exterior traps secure, free of debris blocking entry, with no signs of infestation? <br>
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Site Security: Are all dock doors/man doors closed and secure when not in use? Any structural integrity or security issues that could allow anyone not permitted into the building? <br>
Sanitation / Chemical Storage Area
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Is the Sanitation/Chemical storage area designated, clean, and organized? <br>
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Are all sanitation chemicals, purfumes, soaps, etc. listed on the approved chemical list?<br>(Select a different chemical each time and verify it is on the list, write in the notes section)
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Are there any items in the sanitation closet that shouldn’t be?<br>(Employee personal items, anything that doesn’t pertain to sanitation)
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Are all chemicals and spray bottles in the facility labeled and stored correctly? <br>
Office / Break Area
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Are employee lockers clean and no open food/drinks stored inside?
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Are refrigerators / sinks / water dispensors / ice machines in good working condition with no leaks? <br>
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Are all bathrooms and breakrooms clean with toiletries available? <br>
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Do all restroom sinks achieve hot water within 1 minute of turning on? <br>
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Is there evidence of unsecured chemicals in the cabinets / drawers / under sink? <br>
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Is the breakroom sink labeled as hand washing and/or utility sink only?<br>
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Is there any open food or drink items in the cabinets / drawers? <br>
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Are refrigerators / freezers clean? <br>
Document Review
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Are employee training records current? (GMP and On The Job Training)
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Are there any pest control trends? <br>(Check binder for recent activity and review most recent pest control recommendations email)
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Are sanitation logs current and signed-off, including any supplementary documents? (if applicable)<br>(Supplementary Documents: chemical concentration logs, etc.)
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Are trailer inspections complete on all Inbound and Outbound shipments with proper documentation practices?<br>(Verify two most recent shipments for both Inbound and Outbound)
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Check previous self inspection form and see if any open action items need to be followed up on?<br>(Review Evidence tab for any pending corrective actions)
Signatures
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Performed By
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Reviewed By
