Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Instructions on the Rating
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n/a: not applicable or not checked; no credit = no fulfilment, no conceptional approach to be identified; very poor = almost no fulfillment, multiple major deviations (>=2); poor = 1 major deviation and/or numerous other observations; fair = basically fulfillment, some non critical observations; good = only single or very few minor deviations; excellent = no single deviation
Housekeeping Rating Form
PERIMETER
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a. Exterior with restricted entrance and Security check
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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b. must be in good order, free of refuse an unnecessary materials
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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BUILDINGS & MANUFACTURING AREAS
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a. must have walls and windows that are reasonably clean for operations in that area and free of unnecessary hangings
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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b. must have lighting systems that are maintained in a clean and efficient manner
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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c. must have stairs that are clean, free of materials, well lit, provided with adequate hand rails and treads in good condition
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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d. must have platforms that are clean, free of unnecessary material and well lit
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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e. Restricted access areas, with personnel appropriated food safety acumen dressed
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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f. Pest control in place, no roedores
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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MACHINERY AND EQUIPMENT
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a. must be clean and free of unnecessary materail or hangings
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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b. must be free of unnecessary dripping of oil or grease
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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c. must have proper guards provided in good condition incl. groundings and and locked electrical cabinets and proper IDs
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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d. must be provided to work positions, fire protection and first aid equipment
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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AISLES
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a. must be safe and free of obstructions
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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b. must be clearly marked
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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FLOORS
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a. must have surfaces safe and suitable to work
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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b. must be clean, dry and free of refuse, unnecessary material, oil and grease
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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c. must have an adequate number of receptacles provided for refuse (Waste bins) with proper ID and used accordingly
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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STORAGE / WH
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a. must be properly piled and arranged
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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b. must be loaded safely in forklift and trucks
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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c. Red tag, rejected, on hold product clearly marked
- n/a
- no score
- very poor
- poor
- fair
- good
- excellent
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Signoff
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Auditor
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Area owner
