AM Steritech Safe Checklist

• Manager

• Store Number

• Conducted on

  Date

• Document No.

• **Must be completed by 8:30am**
  **Any Issues found need to be resolved in a timely manor.**

Place any corrective actions needing further follow up here.

• 1)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 2)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 3)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 4)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 5)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 6)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 7)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 8)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 9)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 10)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 11)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 12)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 13)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 14)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• 15)

• Correction Needed

• Corrective Action Taken

• Resolved

  Further Action Required

• Further Action Required

• Walk-in Cooler is 41º or less.

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Beer Cooler is 41º or less.

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Freezer is 15º or less.

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Quat is 150 to 500 PPM. (test strips available)

  SAFE

  AT RISK

• Corrective Action Taken

• Victory is 40 to 80 PPM. (test strips available)

  SAFE

  AT RISK

• Corrective Action Taken

• All Chemicals full. (Solid Power, Jet Dry, Ultra San)

  SAFE

  AT RISK

• Corrective Action Taken

• Dish Machine set up and working properly (no clogged jets, all parts present and working)

  SAFE

  AT RISK

• Corrective Action Taken

• Dish Machine Wash and Rinse temp is 120º or more

  SAFE

  AT RISK

• Corrective Action Taken

• PPM of Dish Machine is 50 to 100 (test strips available)

  SAFE

  AT RISK

• Corrective Action Taken

• Hot Side Draws, Front, are 41º or less

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Saute Draws are 41º or less

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Hot Side Draws, Back, are 41º or less

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Salad Draws are 41º or less

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Cold Side Draws are 41º or less

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Reach-ins are 41º or less (burger, fish station, chiller...)

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• All Freezers are 15º or less (fry, cold side, ice cream...)

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Expo Line Reach-ins are 41º or less.

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Ice Cream Freezer is 15º or less (if applicable)<br>

  SAFE

  AT RISK

  NA

• Actual Temp

• Actual Temp & Corrective Action Taken

• Expo Line Towers are 41º or less (if left on over night)<br>

  SAFE

  AT RISK

  NA

• Actual Temp

• Actual Temp & Corrective Action Taken

• Bar Reach-ins are 41º or less.

  SAFE

  AT RISK

• Actual Temp

• Actual Temp & Corrective Action Taken

• Am Equipment Check is Complete!