Title Page
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Conducted on
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Prepared by
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Location
COVID Awareness Visit
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No dip cups, utensils, or other items with direct contact of food. Only foil, parchment, or liners may be in ready-to-eat food boxes.
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Are the masks in a sealed container?
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Are all team members wearing masks?
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Is the mask job aid posted near the masks?
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Dish soap – is the container full?
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Hand soap – are there spare bladders?
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Is Sanitizer solution in a spray bottle for cleaning surfaces (not to be confused with hand sanitizer) –
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Were proper hand washing procedures completed during the visit? –
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Were proper hand washing procedures posted at the hand sinks? –
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Is the store sanitizing at least once every hour? –
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Is the store sanitizing frequently touched surfaces? Have MIC recite the 5 "Frequently Touched Surfaces” <br>1. Door Handles (front and back)<br>2. Beverage Cooler Doors<br>3. Restroom Surfaces (including paper towel and soap) <br>4. Front Counters including Phones<br>5. Credit Card and Kiosk Terminals<br>
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Is the sanitizer solution at the correct ppm? – 150 - 400
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Can the manager in charge identify the symptoms of COVID-19? – Fever, Sore Throat, Shortness Of Breath
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Does the manager in charge know the recommended procedure for reporting confirmed/suspected COVID-19 cases? –
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Can the manager in charge and delivery experts in the store demonstrate the recommended procedure for a contactless delivery? –
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Can the manager in charge demonstrate the recommended procedure for contactless carryout? –
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Does the store have the “COVID-19 Training Signoff” posted?
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Any additional comments, coaching or follow-up opportunities for the Franchisee Business Consultant or MCO?
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To complete your report, please add 5 pictures from your visit, including a picture of the sign-off sheet in the files section