Information

  • Store Location

  • Meat Manager

  • Conducted on

  • Prepared by

Financials

  • Projected Sales

  • Actual Sales

  • Sales Per Customer

  • Is CTO Current?

  • Budget GP %

  • Actual GP %

  • Budget Labor %

  • Actual Labor %

  • Budget CTO $

  • Actual CTO $

  • Budget CTO %

  • Actual CTO %

Department Info

  • Uniforms, Name Tags, Hairnets/beard nets being worn

  • Appearance of Service Counter

  • Service case plan-o-gram followed

  • Appearance of self service case

  • Shrink Goal - Actual Goal

  • Ground beef log completed, and up to date.

  • Sanitizer concentration log current

  • Employee Illness Log Current

  • Thermometer Calibration Log Current

  • Shellfish Log Current

  • Passive Sampling Program<br>M-F 4-7 / S&S 10-2

  • Temperature Log Current

  • Sampling Log Current

  • Cleaning Log: Have the cases been cleaned this week

  • Push item in place

  • What is the item?

  • Fresh flight item in place and signed

  • Basic training current

  • Weekly inventory done in order guide

  • Product rotated in cooler and freezer

  • Coborn's locations knife sharpening service

  • Are sleeves displayed?

  • Meat block newsletter displayed

  • All TLB's displayed and signed?

  • Out of Stocks Count- if over 9 please explain

  • Was the department faced?

  • Was the store director copied on this report?

  • Key Staff Coverage- Check current schedule

  • Ensure department manager did not work Sunday on the previous, current and upcoming week's schedule.

  • Check weight of five (5) bi-count items in service case. List items and weights.

  • Action Plan #1

  • Completion Date:

  • Action Plan #2

  • Completion Date:

  • Coaching/Mentoring/Training that took place on this visit?

  • Details of Improvement from Last Store Audit

  • Last Audit Conducted On:

  • Rating of improvements since last store visit? (1=Worse, 10=Better)

  • If rating is below 5, what corrective actions are in place?

Food Safety

  • Please ensure the following is being followed: Proper Hair Restraint (beard restraint, if needed), Neat, trimmed nails with no finger nail polish or false nails, No Jewelry, No pens in shirt pockets, Proper attire – no capris, shoes without socks, sandals, fuzzy sweaters, etc.

  • Hand washing sinks are accessible in all food preparation areas.

  • All sinks have hot and cold (or tempered running water)

  • Sinks are properly stocked with soap, disposable towels and trash cans and hand washing instructions.

  • Splash guards are present where needed.

  • Employees are observed using suitable utensils such as deli tissue, spatulas, tongs, single use gloves or other dispensing equipment.

  • Check for other deviations from glove policy (including fake nails, nail polish, bandaids, etc)

  • Check: All opened potentially hazardous RTE products must be clearly marked with the open date and the date by which the food shall be consumed on the premises, sold or discarded, which must be within 7 days, not to exceed the original manufacturer's use by date.

  • Check: The day the product is made or opened is considered to be day one. If any PH ingredient is used in another product, the preparation date must correspond with the earliest prepared ingredient. (ex. adding pulled chicken to salad)

  • All potentially hazardous foods throughout the department including those in display cases, prep areas, coolers, walk-in boxes, salad bars, buffets, etc. are maintained at the proper temperatures. (Refrigerated foods at 41°F or below, Frozen foods at 0°F or below, Hot foods at 140°F or higher, Samples can utilize TPHC)

  • Display cases are properly stocked with no product above the fill line or stored on air vents.

  • Correct Labels are used and include complete, correct ingredient statements; Along with COOL labeling on products

  • Neat, clean and well organized. No unnecessary items present such as cardboard, boxes or unused equipment.

  • Surfaces of food contact equipment and utensils are properly washed, rinsed and sanitized throughout the day (when in use) at a frequency of at least every 4 hours and sanitized before start-up.

  • All toxic chemicals are properly stored in an area separate from food, equipment, utensils and single service items.

  • No pest activity noted in department (Flies, Fruit Flies, Rodents)

  • Did you check the Employee Illness Log (All) (must be kept in a secure location – not posted for all staff to see)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.