Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Exterior Cleanliness

  • Landscaping, well kept

  • Outer building, clear of debris

  • Dumpster area, clear of debris

  • Front windows and doors, clean

  • Signage in place/working properly

Interior Cleanliness

  • Restrooms; toilets clean, mirrors streakfree

  • Restrooms; paper goods and soap properly stocked

  • Doors and walls; clean smudgefree

  • Floors, tables and seating

  • Trash cans, clean and clear of food debris

  • Glass sneeze guard, clean and streakfree

  • Register area, organized and clutterfree

  • Lighting working

Team Members

  • Practicing good hygiene and grooming standards

  • In uniform and wearing nonslip shoes

  • All personal items stored in designated areas

  • Wearing head coverings and PPE

  • Food handlers wearing gloves

Kitchen Cleanliness

  • Floors, walls and baseboards clean and debris free

  • Oven, clean (cycle ran every other day or more frequently if necessary)

  • Walkin, organized with all labels facing out

  • Cooler units, gaskets, shelving, stocked properly, no expired products

  • Storage areas organized, minimal boxes, shelving labeled

  • Prep area clean and organized

  • Equiptment, clean/in good condition/properly stored

  • Surfaces, cleaned properly with no streaks

  • Recipe Booklet, organized/clean/easily accessible

  • Floor drains clean, clear of debris

  • 3 compartment sink/dish area clean

  • All faucets putting out cold and hot water

  • Chemical storage accessible, away from food products, organized

  • Linen storage, clean/dirty

  • Office area/shelf organized, no clutter

  • Prep sink, clean

  • Handwashing sinks clean, soap and paper towels properly stocked

  • All food and paper goods stored up off of the floor 6 inches

Restaurant Safety and Processes

  • Temperature Logs up to date, filled out 2 times daily

  • Thermometers Present, Mounted and Easily Accesible in each Cooler

  • Manager Opening Checklist Utilized, up to date

  • Manager Closing Checklist Utilized, up to date

  • Weekly Deep Cleaning List Utilized, up to date

  • Order Guide Utilized, up to date

  • Closing checklists/daily cleaning lists utilized, up to date

  • Prep checklists and Prep lists, utilized/assigned/up to date

  • Personal drink area designated, lids on all cups

  • No signs of cross contamination

  • Using proper food cooling methods, food cooling log utilized

  • All Food containers label/date with approved methods, including top of line items

  • Correct frozen food thawing process

  • Waste logs utilized, up to date

  • Total Score:

  • Notes

  • Thawing procedures need to be followed according to Health Department. Sometimes the team follows and some do not. Team does not use running water >70 degrees in a constant flow while product is submerged. The cooling log is often not used

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.