HEALTH, SAFETY AND ENVIRONMENT
Weekly Sanitation, Hygiene Inspection Checklist
Doc. No: FRM-HSE-001-02 Rev: 02-00 Page 1 of 4
Installation / Facility: Date:
Medic: Camp Boss:
STC: STP:
STATUS
TEM
REQUIREMENT OBSERVATIONS/REMARKS
S N
1 Galley
ﺍﻟﻤﻄﺒﺦ
1.1 Condition of pots/pans and utensils clean
and undamaged.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻷﺩﻭﺍﺕ ﺇﻋﺪﺍﺩ ﺍﻟﻄﻌﺎﻡ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ،
ﻁﺮﻕ ﺍﻟﺘﺨﺰﻳﻦ ﻭ ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ :
ﺍﻷﻭﺍﻧﻰ ،ﺍﻟﺴﻜﺎﻛﻴﻦ ﻭ ﺍﻷﺩﻭﺍﺕ.
1.2 Condition of ovens, grills, fryers and galley
appliances – clean and undamaged.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻷﺟﻬﺰﺓ ﺍﻟﻤﻄﺒﺦ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ ﺍﻟﻤﻼﺋﻤﺔ
ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ:
ﺍﻷﻓﺮﺍﻥ – ﻣﻔﺮﻣﺔ ﺍﻟﻠﺤﻢ – ﺍﻟﻌﺠﺎﻧﺔ – ﻏﻼﻳﺔ ﺍﻟﺰﻳﺖ ﻣﻊ
ﻭﺟﻮﺩ ﻏﻄﺎء ﻟﻬﺎ .
1.3 Condition of decks, drains, doors and walls
– clean and undamaged.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﻤﻄﺒﺦ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ
ﺍﻟﻌﻤﻞ :
ﺍﻷﺭﺿﻴﺎﺕ ،ﻣﺠﺎﺭﻱ ﺍﻟﺼﺮﻑ ،ﺍﻟﺠﺪﺭﺍﻥ ﻭ ﺍﻷﺳﻄﺢ.
1.4 Condition of preparation surfaces/worktops
– clean and undamaged.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻷﺳﻄﺢ ﺇﻋﺪﺍﺩ ﺍﻟﻄﻌﺎﻡ ﻭ ﺧﺸﺒﺔ ﺗﻘﻄﻴﻊ ﺍﻟﻠﺤﻢ
ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ
1.5 Condition of ventilation system; fans,
extractors and filters – clean, undamaged,
and operable.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﻬﻮﻳﺎﺕ ،ﺍﻟﺸﻔﺎﻁﺎﺕ ،ﺍﻟﻔﻼﺗﺮ ﻣﻦ ﺣﻴﺚ
ﺍﻟﻨﻈﺎﻓﺔ ﻭ ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ.
ﺑﺎﻹﺿﺎﻓﺔ ﻟﻤﺴﺘﻮﻯ ﺍﻹﺿﺎءﺓ ﻭ ﺍﻟﻮﺻﻼﺕ ﺍﻟﻜﻬﺮﺑﺎﺋﻴﺔ.
1.6 Condition of dishwasher – clean and
operating between 82°-91°C and descaled
weekly.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻐﺴﺎﻟﺔ ﺍﻷﻁﺒﺎﻕ ﻣﻦ ﺣﻴﺚ ﺍﻟﺘﺸﻐﻴﻞ ،ﺍﻟﻨﻈﺎﻓﺔ
ﻭ ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ.
ﻣﻊ ﻣﻼﺣﻈﺔ ﻣﺴﺘﻮﻱ ﺩﺭﺟﺔ ﺣﺮﺍﺭﺓ ﺍﻟﺘﺸﻐﻴﻞ " ﻣﻦ 82ﺇﻟﻰ
91ﺩﺭﺟﺔ ﻣﺌﻮﻳﺔ" ﻭ ﺍﻟﺘﺄﻛﺪ ﻣﻦ ﺗﻨﻈﻴﻔﻬﺎ ﺇﺳﺒﻮﻋﻴﺎ.
1.7 Efficient waste disposal observed.
ﺇﺟﺮﺍءﺍﺕ ﺗﻤﻴﻴﺰ ،ﻓﺼﻞ ﻭ ﺍﻟﺘﺨﻠﺺ ﻣﻦ ﺍﻟﻤﺨﻠﻔﺎﺕ.
S; Satisfactory
N; Non Satisfactory
HEALTH, SAFETY AND ENVIRONMENT
Weekly Sanitation, Hygiene Inspection Checklist
Doc. No: FRM-HSE-001-02 Rev: 02-00 Page 2 of 4
STATUS
TEM
REQUIREMENT OBSERVATIONS/REMARKS
S N
1.8 Condition of hand-washing facilities –
appropriately stocked (soap, nail brush and
disposable towels) – clean and undamaged.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻷﺣﻮﺍﺽ ﻏﺴﻴﻞ ﺍﻷﻳﺪﻯ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ
ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ ﻭﺗﻮﺍﻓﺮ ﺍﻟﺼﺎﺑﻮﻥ ﻭ ﺍﻟﻤﻨﺸﻔﺎﺕ
.ﺍﻟﻮﺭﻗﻴﺔ ﺫﺍﺕ ﺍﻹﺳﺘﺨﺪﺍﻡ ﺍﻟﻮﺍﺣﺪ
1.9 Condition of WC – clean, tidy and
undamaged.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻷﺣﻮﺍﺽ ﻏﺴﻴﻞ ﺍﻷﻁﺒﺎﻕ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ
.ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ ﻭﺗﻮﺍﻓﺮ ﻣﻮﺍﺩ ﺍﻟﻨﻈﺎﻓﺔ
1.10 No evidence of pest infestation.
.ﻧﻈﺎﻓﺔ ﺍﻟﻤﻜﺎﻥ ﻣﻦ ﺍﻟﺤﺸﺮﺍﺕ
1.11 Firefighting controls and facilities
ﺑﻄﺎﻧﻴﺔ ﻭ ﻁﻔﺎﻳﺎﺕ ﺍﻟﺤﺮﻳﻖ، ﺣﺎﻟﺔ ﻣﻬﻤﺎﺕ
1.12 Segregation of food material and cleaning
material and tools
.ﻓﺼﻞ ﺍﺩﻭﺍﺕ ﻭ ﻣﻬﻤﺎﺕ ﺍﻟﻨﻈﺎﻓﺔ ﻋﻦ ﺃﻣﺎﻛﻦ ﺇﻋﺪﺍﺩ ﺍﻟﻄﻌﺎﻡ
1.13 Others:
:ﺃﺧﺮﻯ
2 Mess Area
ﺻﺎﻟﺔ ﺗﻘﺪﻳﻢ ﺍﻟﻄﻌﺎﻡ
2.1 Condition of utensils - clean and
undamaged.
, ﻁﺮﻕ ﺍﻟﺤﻔﻆ، ﺣﺎﻟﺔ ﺃﺩﻭﺍﺕ ﺍﻟﻤﺎﺋﺪﺓ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ
.ﺍﻟﺘﻐﻠﻴﻒ ﻭ ﺍﻟﻤﻼﺋﻤﺔ
2.2 Condition of dispensing cabinets and
equipment – clean and undamaged and
appropriately stocked.
ﺣﺎﻟﺔ ﻭﺣﺪﺍﺕ ﻋﺮﺽ ﻭ ﺗﻮﺯﻳﻊ ﺍﻟﻄﻌﺎﻡ " ﺑﻮﻓﻴﺔ ﺍﻟﺴﻠﻄﺎﺕ
ﺍﻟﻌﺰﻝ، ﺳﻼﺕ ﺍﻟﺨﺒﺰ ﻭ ﺍﻟﻤﺸﺮﻭﺑﺎﺕ " ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ,
.ﻭ ﺍﻟﻤﻼﺋﻤﺔ
2.3 Condition of walls, deck and
surfaces/worktops – clean and undamaged.
:ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺼﺎﻟﺔ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ ﺍﻟﻤﻼﺋﻤﺔ
ﺍﻹﺿﺎءﺓ ﻭ ﺍﻟﻮﺻﻼﺕ, ﺍﻷﺳﻄﺢ، ﺍﻟﺠﺪﺭﺍﻥ، ﺍﻷﺭﺿﻴﺎﺕ
ﺍﻟﻜﻬﺮﺑﺎﺋﻴﺔ
2.4 Condition of tables and chairs – clean and
undamaged.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﻤﻮﺍﺋﺪ ﻭ ﺍﻟﻜﺮﺍﺳﻰ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ
ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ
2.5 No evidence of pest infestation.
.ﻧﻈﺎﻓﺔ ﺍﻟﻤﻜﺎﻥ ﻣﻦ ﺍﻟﺤﺸﺮﺍﺕ
S; Satisfactory
N; Non Satisfactory
HEALTH, SAFETY AND ENVIRONMENT
Weekly Sanitation, Hygiene Inspection Checklist
Doc. No: FRM-HSE-001-02 Rev: 02-00 Page 3 of 4
2.6 Condition of hand-washing facilities –
appropriately stocked (soap, nail brush and
disposable towels) – clean and undamaged.
ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻷﺣﻮﺍﺽ ﻏﺴﻴﻞ ﺍﻷﻳﺪﻯ ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ
ﺍﻟﻤﻼﺋﻤﺔ ﻟﻄﺒﻴﻌﺔ ﺍﻟﻌﻤﻞ ﻭﺗﻮﺍﻓﺮ ﺍﻟﺼﺎﺑﻮﻥ ﻭ ﺍﻟﻤﻨﺸﻔﺎﺕ
.ﺍﻟﻮﺭﻗﻴﺔ ﺫﺍﺕ ﺍﻹﺳﺘﺨﺪﺍﻡ ﺍﻟﻮﺍﺣﺪ
STATUS
TEM
REQUIREMENT OBSERVATIONS/REMARKS
S N
2.7 Sign posted warning of the dangers of
removing food from mess area (e.g. “To
prevent illness, any food removed from the
Mess Area must be eaten (or disposed of)
promptly.”).
ﺍﻟﻌﻼﻣﺎﺕ ﻭ ﺍﻹﺭﺷﺎﺩﺍﺕ ﺍﻟﺪﺍﻟﺔ ﻋﻠﻰ ﻣﻨﻊ ﺧﺮﻭﺝ ﺍﻷﻁﻌﻤﺔ ﻣﻦ
.ﺍﻟﺼﺎﻟﺔ
2.8 Isolation of the mess area from galley and
food preparation area
.ﻋﺰﻝ ﺍﻟﺼﺎﻟﺔ ﻋﻦ ﻣﻜﺎﻥ ﺇﻋﺪﺍﺩ ﺍﻟﻄﻌﺎﻡ
2.9 Others:
:ﺃﺧﺮﻯ
3 Storage Areas
ﺍﻟﺜﻼﺟﺎﺕ ﻭ ﻣﻨﺎﻁﻖ ﺍﻟﺘﺨﺰﻳﻦ
3.1 Condition of storage areas (chill, freezer,
dry store) – floors, walls and shelving clean
and tidy.
، ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻤﻬﻤﺎﺕ ﻭ ﺃﻣﺎﻛﻦ ﺍﻟﺘﺨﺰﻳﻦ " ﺍﻟﺜﻼﺟﺔ
ﻣﺨﺰﻥ ﺍﻟﻤﻮﺍﺩ ﺍﻟﺠﺎﻓﻪ " ﻣﻦ ﺣﻴﺚ ﺍﻟﻨﻈﺎﻓﺔ ﻭ، ﺍﻟﻔﺮﻳﺰﻳﺮ
.ﺍﻟﺘﺮﺗﻴﺐ
3.2 Foods segregated to prevent cross-
contamination.
.ﻓﺼﻞ ﺍﻟﻤﻮﺍﺩ ﺍﻟﻤﺨﺘﻠﻔﺔ ﻟﻤﻨﻊ ﺍﻟﺘﻠﻮﺙ ﺍﻟﻌﻜﺴﻰ
3.3 Evidence of appropriate labelling (i.e. thaw
and ‘use by’ dates).
. ﺇﺩﺍﺭﺓ ﺇﺳﺘﻬﻼﻙ ﺍﻟﻤﻮﺍﺩ ﻁﺒﻘﺎ ﻟﺘﻮﺍﺭﻳﺦ ﺍﻟﺘﺠﻤﻴﺪ
3.4 Temperature Management records complete
and chill/freezer temperatures within
required range (Chill: 0° to 5°C (32°-41°F),
Freezer: ≤ -18°C (0°F)).
ﺳﺠﻼﺕ ﺗﺘﺒﻊ ﺩﺭﺟﺎﺕ ﺍﻟﺤﺮﺍﺭﺓ ﺍﻟﻤﻄﻠﻮﺑﺔ " ﺗﺒﺮﻳﺪ ﻣﻦ ﺻﻔﺮ
18- ﺗﺠﻤﻴﺪ ﺃﻛﺒﺮ ﻣﻦ ﺃﻭ ﻣﺴﺎﻭﻯ/ ﺩﺭﺟﺎﺕ ﻣﺌﻮﻳﺔ5 ﺍﻟﻰ
." ﺩﺭﺟﺎﺕ ﻣﺌﻮﻳﺔ
3.5 Packing and Evidence of Spills
.ﺣﺎﻟﺔ ﺍﻟﺘﻐﻠﻴﻒ ﻭ ﺍﻟﺘﺨﺰﻳﻦ ﻣﻊ ﻣﻼﺣﻈﺔ ﺃﺛﺎﺭ ﺗﺴﺮﻳﺐ
3.6 Proper Ventilation
.ﺩﺭﺟﺔ ﺍﻟﺤﺮﺍﺭﺓ ﻭ ﺍﻟﺘﻬﻮﻳﺔ ﺍﻟﻤﻨﺎﺳﺒﺔ
3.7 Firefighting controls
.ﻣﻬﻤﺎﺕ ﻭ ﻭﺳﺎﺋﻞ ﻣﻜﺎﻓﺤﺔ ﺍﻟﺤﺮﻳﻖ
S; Satisfactory
N; Non Satisfactory
HEALTH, SAFETY AND ENVIRONMENT
Weekly Sanitation, Hygiene Inspection Checklist
Doc. No: FRM-HSE-001-02 Rev: 02-00 Page 4 of 4
3.8 Evidence of good stock rotation, per policy
requirement.
ﺇﻧﺘﻬﺎء/ﺇﺩﺍﺭﺓ ﺇﺳﺘﻬﻼﻙ ﺍﻟﻤﻮﺍﺩ ﻁﺒﻘﺎ ﻟﺘﻮﺍﺭﻳﺦ ﺑﺪء ﺍﻟﺘﺨﺰﻳﻦ
.ﺍﻟﺼﻼﺣﻴﺔ
3.9 Clean Defrost water and Probe
thermometers tested weekly and results
recorded.
.ﺇﺧﺘﺒﺎﺭ ﺍﻟﺜﺮﻣﻮﺳﺘﺎﺕ ﺍﻷﺳﺒﻮﻋﻰ ﻭ ﺗﻔﺮﻳﻎ ﻣﻴﺎﻩ ﺍﻟﺪﻳﻔﺮﻭﺳﺖ
STATUS
TEM
REQUIREMENT OBSERVATIONS/REMARKS
S N
3.10 Condition of the doors sealing and
emergency pin
ﺣﺎﻟﺔ ﺃﺑﻮﺍﺏ ﺍﻟﺜﻼﺟﺔ ﻣﻦ ﺣﻴﺚ ﺍﻟﻌﺰﻝ ﻭ ﺍﻟﻜﻔﺎءﺓ ﻣﻊ ﺍﻟﺘﺄﻛﺪ ﻣﻦ
.ﻋﻤﻞ ﻣﻔﺘﺎﺡ ﻓﺘﺢ ﺍﻟﺒﺎﺏ ﺍﻹﺿﻄﺮﺍﺭﻯ
3.11 Others:
:ﺃﺧﺮﻯ
4 Personal Hygiene & Safety
ﺍﻷﻓﺮﺍﺩ ﻭ ﺍﻟﻨﻈﺎﻓﺔ ﺍﻟﺸﺨﺼﻴﺔ
4.1 Personal hygiene standards maintained, per
company requirement.
.ﺍﻟﻨﻈﺎﻓﺔ ﺍﻟﺸﺨﺼﻴﺔ ﻁﺒﻘﺎ ﻟﻤﻌﺎﻳﻴﺮ ﺍﻟﺸﺮﻛﺔ
، ﻧﻈﺎﻓﺔ ﺍﻟﻴﺪﻳﻦ ﻭ ﺍﻷﻅﺎﻓﺮ، ﻧﻈﺎﻓﺔ ﺍﻟﻤﻼﺑﺲ: ﻣﻊ ﻣﻼﺣﻈﺔ
ﻋﺪﻡ ﻭﺟﻮﺩ ﺃﺛﺎﺭ ﺟﺮﻭﺡ ﺑﺎﻟﻴﺪﻳﻦ ﺃﻭ،ﺍﻟﺸﻌﺮ ﻗﺼﻴﺮ ﻭ ﻧﻈﻴﻒ
ﻻ ﺗﻮﺟﺪ ﺃﺛﺎﺭ ﺃﻭ ﺃﻋﺮﺍﺽ ﺃﻣﺮﺍﺽ، ﺯﻛﺎﻡ/ ﺃﻋﺮﺍﺽ ﺭﺷﺢ
.ﻣﻌﺪﻳﺔ ﺃﻭ >ﻟﺪﻳﺔ
4.2 Correct PPE available, used as appropriate,
clean and undamaged.
. ﻧﻈﻴﻔﺔ، ﻣﻬﻤﺎﺕ ﺍﻟﻮﻗﺎﻳﺔ ﺍﻟﺸﺨﺼﻴﺔ ﻣﻨﺎﺳﺒﺔ
.ﻣﻊ ﻣﻼﺣﻈﺔ ﻋﺪﻡ ﺇﺭﺗﺪﺍء ﺧﻮﺍﺗﻢ ﺑﺎﻷﺻﺎﺑﻊ
5 Laundry and Cleaning Protocol
ﺍﻟﻤﻐﺴﻠﺔ ﻭ ﺍﻟﺘﻨﻈﻴﻒ
5.1 Appropriate chemicals used for each job.
MSDS available and adhered to.
.ﺍﻟﺘﺄﻛﺪ ﻣﻦ ﻧﻮﻋﻴﺔ ﻭ ﺟﻮﺩﻩ ﻣﻮﺍﺩ ﺍﻟﺘﻨﻈﻴﻒ ﻭ ﺍﻟﺘﻌﻘﻴﻢ
5.2 Cleaning filters before use
.ﺍﻟﺘﺄﻛﺪ ﻣﻦ ﺗﻨﻈﻴﻒ ﺍﻟﻔﻼﺗﺮ ﻗﺒﻞ ﺍﻹﺳﺘﺨﺪﺍﻡ
5.3 Washing Temperature
.ﺍﻟﺘﺄﻛﺪ ﻣﻦ ﺩﺭﺟﺔ ﺣﺮﺍﺭﺓ ﺍﻟﻐﺴﻴﻞ
5.4 Others:
:ﺃﺧﺮﻯ
DISTRIBUTION: STP, Camp Boss, STC, Medic, Rig Manager, HSE Manager
S; Satisfactory
N; Non Satisfactory