39905 Compliance Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Dining Room

• Coffee and Tea within Shelf Life?

  Safe

  At Risk

  N/A

• Front door clean?

  Safe

  At Risk

  N/A

• Open sign on?

  Safe

  At Risk

  N/A

• Dining room clean?

  Safe

  At Risk

  N/A

• Tea and Coffee within shelf life?

  Safe

  At Risk

  N/A

• Apples and Bottled Drinks within shelf life?

  Safe

  At Risk

  N/A

Baking and Bread

• Wraps and Flatbread within shelf life?

  Safe

  At Risk

  N/A

• Bread baked and seasoned evenly?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Sandwich Unit and Back Holding Unit

• Cold products in bain within temp and shelf life?

  Safe

  At Risk

  N/A

• All products below the chill line?

  Safe

  At Risk

  N/A

• All products have drain plates?

  Safe

  At Risk

  N/A

• Veggies prepped without chunks or seeds?

  Safe

  At Risk

  N/A

• Soup and Meatballs within temp and shelf life?

  Safe

  At Risk

  N/A

• BHU products within temp and shelf life?

  Safe

  At Risk

  N/A

• BHU gaskets clean and free of tears?

  Safe

  At Risk

  N/A

Back Room

• All Maintenance Items completed?

  Safe

  At Risk

  N/A

• Walk in products within shelf life?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Walk in floor clean of debris?

  Safe

  At Risk

  N/A

• Walk in shelves clean?

  Safe

  At Risk

  N/A

• Walk in Freezer floor clean of debris?

  Safe

  At Risk

  N/A

• All bread boxes closed and labelled?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Repeat Issues

• Ice completely free of any build up on floors or shelves?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Walk in shelves clean and free from any build up or debris?

  Safe

  At Risk

  N/A

• All SA in full uniform including name tags?

  Safe

  At Risk

  N/A

• Sanitizer strips available and strength between 200 and 400 ppm?

  Safe

  At Risk

  N/A