Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Refrigerator, stove, cabinets, working area and cooking equipment are clean, sanitary and in good condition?
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Food preparation and storage areas are free from animals, rodents, insects, or animal droppings?
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All cleaning materials and utensils are kept away from food (e.g. in separate storage). Chemical cleaners, pesticides, and other materials are in original containers.
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Kitchen garbage receptacles are: <br>* Made of durable, leak-proof, and non-absorbent materials:<br>* Lined and covered; and * Emptied to the outdoor garbage receptacle when filled
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Fire extinguisher approved by the Fire Department is charged and accessible:
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Refrigerators have a separate inside thermometers showing temperatures of 35-41 degrees F, and there is a temperature log posted documenting daily temperature checks.
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Freezers have separate inside thermometers showing temperatures of 0 degrees F, and there is a temperature log posted documenting daily temperature checks.
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Separate or freestanding dry storage areas have thermometers showing temperatures between 50-70 degrees.
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A sanitizing agent or water temperature of at least 170 F is used for sanitization.
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Foods are maintained hot (at least 135 F) or cold (maximum 41 F) prior to serving both when packaging for transport and upon arrival at meal services destinations (as appropriate).
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Meals are transported in safe, sanitary, sealed, covered containers, carriers, or carts.
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Foods are used on a first-in, First-out basis (date rotation) with appropriate inventory and record-keeping of food storage.
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Food containers are labeled, free of rust, dents, or bulges; and are kept away from the walls and at least 6 inches off the floor to permit circulation.
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Separate sinks are available and used for washing hands, fruits and vegetables, and cooking utensils.
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Separate refrigerators are provided for (as applicable) dairy products and eggs; meat and poultry, and fish; fruits and vegetables; and cooked foods.
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Heating and ventilation systems are working. Radiators/ Pipes are accessible or covered to prevent and clean.
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Walls, floors and ceilings are in good repair and clean.
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The kitchen facility is operated in compliance with applicable provisions of the State Sanitary Code, as evidenced by posted sanitary inspection certificate from municipal board of health.
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A well supplied first-aid kit is available, accessible to staff, out of reach of children, and includes personal protective equipment and Food Services approved first-aid supplies. Check first-aide contents in accordance with First-Aid checklist.
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Thermometers are calibrated for accuracy and kept in a sanitation solution when not in use to ensure they do not become contaminated with dirt and other debris.
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Towels are kept in a sanitation bucket with the proper sanitation solution, when not in use, to ensure they are clean and sanitary for use in the kitchen .
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Towels are laundered and stored to ensure they are clean and sanitary, or a disposable towel is used and disposed of at the end of the day.
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Staff is following hygiene regulations: <br><br>*Short fingernails that do not have polish. No bracelets, rings watches or low hanging necklaces. (Wedding ring is allowable)<br><br>*Single use gloves are a available and used by staff.<br>*Hairnets are available and used by staff.<br>*Staff are wearing clean appropriate uniforms for food preparation. No Capris or jackets. Non-slip, closed toe shoes must be worn.
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Staff are wearing the appropriate Acelero Badge.
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Menus with recorded substitutions are being kept on file and menu substitutions are being recorded on the Menu Substitution Log. <br><br><br><br><br>
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All special diet substitutions are being recorded on the Special Diet Substitution Log.