Structured Survey

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Site Description

• Please take a photo of the premises location

  Media

External grounds

• If used on site, do all wheelie bins have drainage bungs in place?

  Yes

  No

  N/A

• Are food waste areas well maintained?

  Yes

  No

  N/A

• Are any shrubbed areas free from wind blown litter?<br>

  Yes

  No

  N/A

• Are any smoking areas well maintained and free from food debris?

  Yes

  No

  N/A

• Are all rubbish bins in good condition without any damage?

  Yes

  No

  N/A

• Is there any bird fouling around window ledges, canopies or door openings?

  Yes

  No

  N/A

• Are all air vents in brickwork adequately proofed against pests?

  Yes

  No

  N/A

• Are all external doors adequately proofed against pests / insects ?

  Yes

  No

  N/A

• Are there any gaps or holes in the brickwork especially around pipework that can be exploited by pests?

  Yes

  No

  N/A

• Are there any areas where scrap equipment is stored?

  Yes

  No

  N/A

• Is there any stock or waste being stored against external walls?

  Yes

  No

  N/A

• Is there any water courses in close proximity to the building?

  Yes

  No

  N/A

• Have you stood at the outside front, back & side building elevation and inspected for any vents and airbricks and gaps under doors?

  Yes

  No

  N/A

• Have you inspected around and in the soil substrate of any potted shrubs or planters?

  Yes

  No

  N/A

Waste

• Is a process in place to regularly clean and wash down internal and external bins?

  Yes

  No

  N/A

• Internally, is food waste stored in a suitable container with a lid on?

  Yes

  No

  N/A

• Externally, Is food waste stored in a suitable container with a lid on?

  Yes

  No

  N/A

• Are external bins sited away from open windows or entrances?

  Yes

  No

  N/A

• Are adequate refuse collections made?

  Yes

  No

  N/A

Lobby / Reception

• Does the building have elevators and can the pits be inspected ?

  Yes

  No

  N/A

• Have you inspected any floral displays / stands / pots?

  Yes

  No

  N/A

• Have you located any computers / cash registers and inspected around then including underneath?

  Yes

  No

  N/A

• Have you checked along the base of any window frames especially celling to floor windows for insect activity?

  Yes

  No

  N/A

• Have you checked around the bases of any heaters?

  Yes

  No

  N/A

• If there is a front counter, have you checked underneath it at floor level?

  Yes

  No

  N/A

• Have you Inspected around any waste bins?

  Yes

  No

  N/A

• Is the entrance door(s) adequately proofed?

  Yes

  No

  N/A

• Are the windows adequately proofed ?

  Yes

  No

  N/A

• Do all entrance doors close and is a closed door policy enforced?

  Yes

  No

  N/A

• Is pest monitoring undertaken for insects and rodents regularly?

  Yes

  No

  N/A

• Is the site currently free from pests?

  Yes

  No

  N/A

• Are all traps, live & lethal, being checked in accordance with local legislation ?

  Yes

  No

  N/A

• Are adequate pest control procedures in place?

  Yes

  No

  N/A

• Are physical methods of control being used for flying insects?

  Yes

  No

  N/A

• Are physical methods being employed adequate?

  Yes

  No

  N/A

• Are records being kept of pest control visits ?

  Yes

  No

  N/A

• Is the person carrying out pest control trained?

  Yes

  No

  N/A

• Are all chemicals being used legal in the country?

  Yes

  No

  N/A

• Is the building adequately proofed against pest entry?

  Yes

  No

  N/A

• Are all material and coverings on walls easily cleaned ?

  Yes

  No

  N/A

• The floor is well drained with no pooling of water?

  Yes

  No

  N/A

• Are all drains and gullies are protected by grilles?

  Yes

  No

  N/A

• Are the wall floor junctions sealed to prevent food debris accumulating?

  Yes

  No

  N/A

• Is the area regularly cleaned including underneath units and machinery?

  Yes

  No

  N/A

• Are all fly killing machines positioned away from food preparation surfaces?

  Yes

  No

  N/A

• Are all fly killing machines fitted with shatterproof UV tubes?

  Yes

  No

  N/A

• Have you opened and inspected the pit of the dumb waiter?

  Yes

  No

  N/A

• Are all externally opening windows protected with fly screens or similar?

  Yes

  No

  N/A

• Are all externally opening doors protected with fly screens or similar?

  Yes

  No

  N/A

• Have you had access to the goods lift pit for inspection?

  Yes

  No

  N/A

• Are all waste bins are of good construction with lids?

  Yes

  No

  N/A

• Have you checked around all motors or electrical fridges / hotplates / washers?

  Yes

  No

  N/A

• Have you located and checked around all grease traps?

  Yes

  No

  N/A

• Have you inspected under all racking in food storage areas?

  Yes

  No

  N/A

• Have you inspected under food preparation tables?

  Yes

  No

  N/A

• Have you checked all proofing issues especially around pipe work?

  Yes

  No

  N/A

• have you located any motors of display cabinets / fridges and inspected?

  Yes

  No

  N/A

• have you checked behind and underneath any display cabinets?

  Yes

  No

  N/A

• Have you checked under all hand washing sinks?

  Yes

  No

  N/A

• Does the area have and EFK and is it positioned and serviced correctly?

  Yes

  No

  N/A

• Have you checked around and underneath any dishwashers & fridges?

  Yes

  No

  N/A

• Have you traced any drinks lines back to the point to ingress and are they sealed at the point on ingress?

  Yes

  No

  N/A

• Does the bar have removeable front panels and if so have they been taken off for inspection?

  Yes

  No

  N/A

• Have you checked around any waste bins?

  Yes

  No

  N/A

• Have you opened any access panels in raised floors ?

  Yes

  No

  N/A

• Have you checked the general state of housekeeping in the area?

  Yes

  No

  N/A

• Does the site have bench seating if yes have you inspected in the bench void ?

  Yes

  No

  N/A

• Have you inspected around and underneath any fire places?

  Yes

  No

  N/A

• Have you inspected around all window frames?

  Yes

  No

  N/A

• If the area is tiled, are all tiles in good condition?

  Yes

  No

  N/A

• Does the floor covering meet the wall leaving no gap for food debris or pests?

  Yes

  No

  N/A

• Check any light coloured walls & ceilings for fly alighting evidence?

  Yes

  No

  N/A

• Does the area have a dumb waiter and have you located and inspected the access hatch?

  Yes

  No

  N/A

Non Food Storage Areas

• Have you spoken to the site contact and located all non food storage areas?

  Yes

  No

  N/A

• Are items being stored away from wall floor junction?

  Yes

  No

  N/A

• Have you checked underneath any storage racking?

  Yes

  No

  N/A

• Are any food items currently being stored in these non food areas?

  Yes

  No

  N/A

• Is any redundant plant / machinery stacked neatly?

  Yes

  No

  N/A

• Have any cellars been inspected along with high ceiling level pipe runs?

  Yes

  No

  N/A

Common Areas / Customer Areas

• Have you inspected at least 50% of riser cupboards on each floor?

  Yes

  No

  N/A

• Have you inspected all lift motor rooms?

  Yes

  No

  N/A

• Have you inspected inside any radiator covers?

  Yes

  No

  N/A

• If the site has sunken electrical points in the floor, have you inspected under the hatches / covers?

  Yes

  No

  N/A

• Have you inspected any utility rooms paying attention to behind machinery?

  Yes

  No

  N/A

Staff changing & eating Areas

• Are staff personal shoes and clothing being left in an orderly manner?

  Yes

  No

  N/A

• Have you checked on the top of any lockers for housekeeping issues?

  Yes

  No

  N/A

• Have you checked under any servicing counters or vending machines?

  Yes

  No

  N/A

• Have you checked around waste bins and checked for debris on floors or walls?

  Yes

  No

  N/A

• Have you checked behind lockers?

  Yes

  No

  N/A

• Have you inspected in a sample of lockers?

  Yes

  No

  N/A

• Are food / drinks being left out?

  Yes

  No

  N/A

Boiler rooms / Power generators / Workshops

• Have you located all boiler rooms / generators and workshops? - Check with site contact

  Yes

  No

  N/A

• Is housekeeping and stacking of good standard in these areas?

  Yes

  No

  N/A

• Does any pipework enter through external walls if so, are gaps present?

  Yes

  No

  N/A

• Is there any evidence of staff grazing in these areas i.e. empty / discarded food wrappers?

  Yes

  No

  N/A

• Are all lovers on doors and walls meshed to stop pest ingress?

  Yes

  No

  N/A

• Are entrances to these areas proofed against pests?

  Yes

  No

  N/A

• Are there any tea / coffee points in these areas and have you inspected around them?

  Yes

  No

  N/A

• Are the sinks boxed in? If so remove the access panel and inspect

  Yes

  No

  N/A

• Are the toilet cisterns boxed in? if yes then remove a sample and inspect

  Yes

  No

  N/A

• Check any light coloured ceilings for signs of fly activity?

  Yes

  No

  N/A

• Are there any pools of water on the floor?

  Yes

  No

  N/A

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