Back of House Inspection-Burbank

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PACKING AREA

• Clean work area?

  Yes

  No

  N/A

• Towels off of counter?

  Yes

  No

  N/A

• Sanitation bucket is filled with clean water and proper amount of solution?

  Yes

  No

  N/A

• Cheese and meat items are properly labeled with an expiration date?

  Yes

  No

  N/A

• All items are properly labeled and stored?

  Yes

  No

  N/A

Walk in Refrigerator 1

• Door gasket on refrigerator is in good condition?

  Yes

  No

  N/A

• Temperature is 41 degrees or lower?

  Yes

  No

  N/A

• All items are at least 6 inches off the floor?

  Yes

  No

  N/A

• All items are safely stored and properly labeled?

  Yes

  No

  N/A

• Fan guards and condenser are clean?

  Yes

  No

  N/A

• Cooling unit is condensation and leak free?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• Proper hand washing and glove wearing rules are practiced?

  Yes

  No

  N/A

• Cutting gloves are worn when needed?

  Yes

  No

  N/A

• All equipment is functioning properly?

  Yes

  No

  N/A

• Floors are clean and mats are in appropriate positions?

  Yes

  No

  N/A

WAREHOUSE

• Floors and walls clean?

  Yes

  No

  N/A

• Dry food and packages are properly stored?

  Yes

  No

  N/A

• Emergency exit is clear?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• All equipment is functioning properly?

  Yes

  No

  N/A

• Employees are using proper lifting technique?

  Yes

  No

  N/A

DECO

• Towels off counter?

  Yes

  No

  N/A

• Sanitation bucket is filled with clean water and proper amount of solution?

  Yes

  No

  N/A

• Container and tubs are clean?

  Yes

  No

  N/A

• All scoops are stored properly, not inside containers?

  Yes

  No

  N/A

• Shelves are clean?

  Yes

  No

  N/A

• Table tops and bottom are clean and organized?

  Yes

  No

  N/A

Hand sink

• Hand washing sign is present and visible?

  Yes

  No

  N/A

• Hand sink is properly stocked with soap and paper towels?

  Yes

  No

  N/A

• Faucet is leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Sink is free of food and other debris?

  Yes

  No

  N/A

Walk in Freezer 2

• Temperature is 32 degrees or lower?

  Yes

  No

  N/A

• All items are at least 6 inches off the floor?

  Yes

  No

  N/A

• All items are at least 6 inches off the floor?

  Yes

  No

  N/A

• Door gasket on freezer is in good condition?

  Yes

  No

  N/A

• Fan guards and condenser are clean?

  Yes

  No

  N/A

• Cooling unit is condensation and leak free?

  Yes

  No

  N/A

Walk in Freezer 3

• Temperature is 32 degrees or lower?

  Yes

  No

  N/A

• All items are at least 6 inches off the floor?

  Yes

  No

  N/A

• All items are at least 6 inches off the floor?

  Yes

  No

  N/A

• Door gasket on freezer is in good condition?

  Yes

  No

  N/A

• Fan guards and condenser are clean?

  Yes

  No

  N/A

• Cooling unit is condensation and leak free?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• Proper hand washing and glove wearing rules are practiced?

  Yes

  No

  N/A

• All equipment is functioning properly?

  Yes

  No

  N/A

FRUIT TART

• Sanitation bucket is filled with clean water and proper amount of solution?

  Yes

  No

  N/A

• Towels off counter?

  Yes

  No

  N/A

• All scoops are stored properly, not inside containers?

  Yes

  No

  N/A

• Shelves are clean?

  Yes

  No

  N/A

• Table tops and bottoms are clean and organized?

  Yes

  No

  N/A

• Fruit tarts at proper temperature?

  Yes

  No

  N/A

• Ice Machine is properly cleaned?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• Proper hand washing and glove wearing rules are practiced?

  Yes

  No

  N/A

• All equipment is functioning properly?

  Yes

  No

  N/A

• Cutting gloves are worn when needed?

  Yes

  No

  N/A

• Floors are clean and mats are in appropriate positions?

  Yes

  No

  N/A

BREAD DEPARTMENT

• Container and tubs are clean?

  Yes

  No

  N/A

• All scoops are stored properly, not inside containers?

  Yes

  No

  N/A

• Sanitation bucket is filled with clean water and proper amount of solution?

  Yes

  No

  N/A

• Towels off counter?

  Yes

  No

  N/A

• Tables and table legs are clean?

  Yes

  No

  N/A

• Mixer guards are clean?

  Yes

  No

  N/A

Hand sink

• Hand washing sign is present and visible?

  Yes

  No

  N/A

• Hand sink is properly stocked with soap and paper towels?

  Yes

  No

  N/A

• Faucet is leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Sink is free of food and other debris?

  Yes

  No

  N/A

Walk in Refrigerator 4

• Temperature is 41 degrees or lower?

  Yes

  No

  N/A

• All items are at least 6 inches off the floor?

  Yes

  No

  N/A

• All items are safely stored and properly labeled?

  Yes

  No

  N/A

• Door gasket on refrigerator is in good condition?

  Yes

  No

  N/A

• Fan guards and condenser are clean?

  Yes

  No

  N/A

• Cooling unit is condensation and leak free?

  Yes

  No

  N/A

3 Compartment Sink

• Faucets are leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Compartments are being properly used with solution at correct amount?

  Yes

  No

  N/A

• Seal around sink is in good condition?

  Yes

  No

  N/A

• Dish racks are clean?

  Yes

  No

  N/A

• Washed dishes on rack are dry and debris free?

  Yes

  No

  N/A

• Walls, ceiling and floor are clean?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• Cutting gloves are worn when needed?

  Yes

  No

  N/A

• Proper hand washing and glove wearing rules are practiced?

  Yes

  No

  N/A

• Equipment is functioning properly?

  Yes

  No

  N/A

• Floors are clean and mats are in appropriate positions?

  Yes

  No

  N/A

• Hot trays and racks are being handled safely?

  Yes

  No

  N/A

PREP KITCHEN

• Sanitation bucket is filled with clean water and proper amount of solution?

  Yes

  No

  N/A

• Towels off counter?

  Yes

  No

  N/A

• Slicers are clean and free of debris when not in use?

  Yes

  No

  N/A

• All it items are properly stored and labeled?

  Yes

  No

  N/A

• Food sink is being used for food only? (no hand washing or dishes)

  Yes

  No

  N/A

• Floors are clean and free of debris?

  Yes

  No

  N/A

3 COMPARTMENT SINK

• Faucets are leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Compartments are being properly used with solution at correct amount?

  Yes

  No

  N/A

• Seal around sink is in good condition?

  Yes

  No

  N/A

• Dish racks are clean?

  Yes

  No

  N/A

• Washed dishes on rack are dry and debris free?

  Yes

  No

  N/A

• Walls, ceiling and floor are clean?

  Yes

  No

  N/A

Walk in Refrigerator 5

• Temperature is 41 degrees or lower?

  Yes

  No

  N/A

• All items are at least 6 inches off the floor?

  Yes

  No

  N/A

• All items are safely stored and properly labeled?

  Yes

  No

  N/A

• Door gasket on refrigerator is in good condition?

  Yes

  No

  N/A

• Fan guards and condenser are clean?

  Yes

  No

  N/A

• Cooling unit is condensation and leak free?

  Yes

  No

  N/A

Reach in Refrigerator

• Temperature is 41 degrees or colder?

  Yes

  No

  N/A

• All items are safely stored and properly labeled?

  Yes

  No

  N/A

• Door gasket on refrigerator is in good condition?

  Yes

  No

  N/A

• Shelves are clean?

  Yes

  No

  N/A

• Leak free?

  Yes

  No

  N/A

Hand Sink

• Hand washing sign is present and visible?

  Yes

  No

  N/A

• Hand sink is properly stocked with soap and paper towels?

  Yes

  No

  N/A

• Faucet is leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Sink is free of food and other debris?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• Cutting gloves are worn when needed?

  Yes

  No

  N/A

• Equipment is functioning properly?

  Yes

  No

  N/A

• Proper hand washing and glove wearing rules are practiced?

  Yes

  No

  N/A

• Floors are clean and mats are in appropriate positions?

  Yes

  No

  N/A

KITCHEN LINE

• Sanitation bucket is filled with clean water and proper amount of solution?

  Yes

  No

  N/A

• Towels off counter?

  Yes

  No

  N/A

• Food sink is being used for food only? (no hand washing or dishes)

  Yes

  No

  N/A

• Kitchen shelves are clean and dust free?

  Yes

  No

  N/A

• Cooling items are logged?

  Yes

  No

  N/A

• Sandwiches under panini grill are properly labeled with an expiration date?

  Yes

  No

  N/A

• All items with cheese or meat used by retail are properly labeled with an expiration date?

  Yes

  No

  N/A

• Ceiling vents are clean?

  Yes

  No

  N/A

• Hood filters are gap free?

  Yes

  No

  N/A

• Soups are at 165 degrees or higher?

  Yes

  No

  N/A

• All containers holding hot food items are at 135 degrees or higher?

  Yes

  No

  N/A

• Gaskets under grill are clean and in good condition?

  Yes

  No

  N/A

• Items in drawers under grill are at 41 degrees or below and properly labeled?

  Yes

  No

  N/A

• All tables are being used properly and are clean (steam and cold tables)?

  Yes

  No

  N/A

Hand Sink

• Hand washing sign is present and visible?

  Yes

  No

  N/A

• Hand sink is properly stocked with soap and paper towels?

  Yes

  No

  N/A

• Faucet is leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Sink is free of food and other debris?

  Yes

  No

  N/A

Reach in Refrigerator

• Temperature is 41 degrees or colder?

  Yes

  No

  N/A

• All items are safely stored and properly labeled?

  Yes

  No

  N/A

• Door gasket on refrigerator is in good condition?

  Yes

  No

  N/A

• Shelves are clean?

  Yes

  No

  N/A

• Leak free?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• Cutting gloves are worn when needed?

  Yes

  No

  N/A

• Equipment is functioning properly?

  Yes

  No

  N/A

• Proper hand washing and glove wearing rules are practiced?

  Yes

  No

  N/A

• Floors are clean and mats are in appropriate positions?

  Yes

  No

  N/A

OVENS

• Tables are clean?

  Yes

  No

  N/A

• Containers under tables are closed and properly labeled?

  Yes

  No

  N/A

• No wooden handle paddles?

  Yes

  No

  N/A

• All scoops are stored properly, not inside containers?

  Yes

  No

  N/A

• Ovens and handles are clean?

  Yes

  No

  N/A

• All filters are clean without gaps?

  Yes

  No

  N/A

• All whisk are in good condition, no broken wires?

  Yes

  No

  N/A

• Fryer baskets are in good condition, no broken wires?

  Yes

  No

  N/A

• Fryer is being filtered properly after oil has cooled?

  Yes

  No

  N/A

• Proofer is clean inside and outside?

  Yes

  No

  N/A

Hand Sink

• Hand washing sign is present and visible?

  Yes

  No

  N/A

• Hand sink is properly stocked with soap and paper towels?

  Yes

  No

  N/A

• Faucet is leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Sink is free of food and other debris?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• Equipment is functioning properly?

  Yes

  No

  N/A

• Proper hand washing and glove wearing rules are practiced?

  Yes

  No

  N/A

• Floors are clean and mats are in appropriate positions?

  Yes

  No

  N/A

• Hot trays and racks are being handled safely?

  Yes

  No

  N/A

Bakery Retail Area/Fancy

• Sanitation bucket is filled with clean water and proper amount of solution?

  Yes

  No

  N/A

• All fried items are labeled with an expiration time?

  Yes

  No

  N/A

• All items with cheese or meat used by retail are properly labeled with an expiration date?

  Yes

  No

  N/A

• All tables are clean?

  Yes

  No

  N/A

• Items are properly stored and labeled?

  Yes

  No

  N/A

• Stove and knobs are clean?

  Yes

  No

  N/A

• Microwave oven is clean?

  Yes

  No

  N/A

• Cold items are 41 degrees or lower?

  Yes

  No

  N/A

• Hot items are 135 degrees or higher?

  Yes

  No

  N/A

Reach in Refrigerator

• Temperature is 41 degrees or colder?

  Yes

  No

  N/A

• All items are safely stored and properly labeled?

  Yes

  No

  N/A

• Door gasket on refrigerator is in good condition?

  Yes

  No

  N/A

• Shelves are clean?

  Yes

  No

  N/A

• Leak free?

  Yes

  No

  N/A

Reach in Refrigerator

• Temperature is 41 degrees or colder?

  Yes

  No

  N/A

• All items are safely stored and properly labeled?

  Yes

  No

  N/A

• Door gasket on refrigerator is in good condition?

  Yes

  No

  N/A

• Shelves are clean?

  Yes

  No

  N/A

• Leak free?

  Yes

  No

  N/A

Hand Sink

• Hand washing sign is present and visible?

  Yes

  No

  N/A

• Hand sink is properly stocked with soap and paper towels?

  Yes

  No

  N/A

• Faucet is leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Sink is free of food and other debris?

  Yes

  No

  N/A

Hand Sink

• Hand washing sign is present and visible?

  Yes

  No

  N/A

• Hand sink is properly stocked with soap and paper towels?

  Yes

  No

  N/A

• Faucet is leak free?

  Yes

  No

  N/A

• Water is at least 120 degrees?

  Yes

  No

  N/A

• Sink is free of food and other debris?

  Yes

  No

  N/A

Safety

• Employees wearing proper safety shoes?

  Yes

  No

  N/A

• Proper hand washing and glove wearing rules are practiced?

  Yes

  No

  N/A

• Employees are using proper lifting technique?

  Yes

  No

  N/A

• Floors are clean and mats are in appropriate positions?

  Yes

  No

  N/A

• Hot trays and racks are being handled safely?

  Yes

  No

  N/A