Facility / Area: ____________________________
Inspection Date: ____________________________
| Inspection Item | Acceptable | Issue Found | Observations / Corrective Action |
|---|---|---|---|
| No evidence of rodents, insects, or birds | |||
| Pest traps and monitors in place and properly maintained | |||
| Doors, windows, and screens intact and sealed | |||
| No conditions conducive to pest harborage observed |
Inspected By: ____________________________
Signature: ____________________________
Date: ____________________________