Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Dining Room

  • Coffee and Tea within Shelf Life?

  • Front door clean?

  • Open sign on?

  • Dining room clean?

  • Tea and Coffee within shelf life?

  • Apples and Bottled Drinks within shelf life?

Baking and Bread

  • Wraps and Flatbread within shelf life?

  • Bread baked and seasoned evenly?

  • All bread is fresh from current day and within expectations?

  • Proofer and Oven working, lights illuminated, handle tight, gaskets in place?

Sandwich Unit and Back Holding Unit

  • Cold products in bain within temp and shelf life?

  • All products below the chill line?

  • All products have drain plates?

  • Veggies prepped without chunks or seeds?

  • Soup and Meatballs within temp and shelf life?

  • BHU products within temp and shelf life?

  • BHU gaskets clean and free of tears?

Back Room

  • All Maintenance Items completed?

  • Walk in products within shelf life?

  • Bulk Tomatoes, Bell Peppers, Cucumbers, and Cilantro within shelf life?

  • Walk in floor clean of debris?

  • Walk in shelves clean?

  • Walk in Freezer floor clean of debris?

  • All bread boxes closed and labelled?

  • Eggs, Cookies, etc bags closed and food safe from frost?

Repeat Issues

  • Wraps within shelf life?

  • ALL bottled drinks within shelf life?

  • No seeds in prepped bell peppers?

  • Corned Beef, Roast Beef, etc has drain plate?

  • Bread proofer properly to correct size using template?

  • Bread seasoning covering evenly all parts of bread?

  • Bread cabinet clean and doors free of mold?

  • Beverage cooler and tea brewer clean and tops free of dust?

  • Chips racks and purse rail clean and free of grime?

  • Walk in floors, including under racks and corners clean?

  • Restroom ceiling clean?

  • 3 comp sink hose nozzle clean?

  • All cambros free of any adhesive residue?

  • Bread cabinet door handles and gaskets working correctly?

  • Prep sink not leaking?

  • Paper towel dispenser working properly?

  • Speed over working correctly?

  • Temp log has no missing entries?

  • Music playing and at appropriate level?

  • Guests being asked for approval upon sandwich completion?

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.