Information
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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
PACKING AREA
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Clean work area?
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Towels off of counter?
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Sanitation bucket is filled with clean water and proper amount of solution?
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Cheese and meat items are properly labeled with an expiration date?
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All items are properly labeled and stored?
Walk in Refrigerator 4
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Door gasket on refrigerator is in good condition?
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Temperature is 41 degrees or lower?
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All items are at least 6 inches off the floor?
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All items are safely stored and properly labeled?
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Fan guards and condenser are clean?
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Cooling unit is condensation and leak free?
Safety
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Employees wearing proper safety shoes?
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Proper hand washing and glove wearing rules are practiced?
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Cutting gloves are worn when needed?
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All equipment is functioning properly?
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Floors are clean and mats are in appropriate positions?
WAREHOUSE
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Floors and walls clean?
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Dry food and packages are properly stored?
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Emergency exit is clear?
Safety
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Employees wearing proper safety shoes?
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All equipment is functioning properly?
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Employees are using proper lifting technique?
DECO
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Towels off counter?
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Sanitation bucket is filled with clean water and proper amount of solution?
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Container and tubs are clean?
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All scoops are stored properly, not inside containers?
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Shelves are clean?
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Table tops and bottom are clean and organized?
Hand sink
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Hand washing sign is present and visible?
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Hand sink is properly stocked with soap and paper towels?
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Faucet is leak free?
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Water is at least 120 degrees?
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Sink is free of food and other debris?
Walk in Freezer 5
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Temperature is 32 degrees or lower?
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Door gasket on freezer is in good condition?
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All items are at least 6 inches off the floor?
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All items are safely stored and properly labeled?
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Fan guards and condenser are clean?
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Cooling unit is condensation and leak free?
Safety
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Employees wearing proper safety shoes?
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Proper hand washing and glove wearing rules are practiced?
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All equipment is functioning properly?
FRUIT TART
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Sanitation bucket is filled with clean water and proper amount of solution?
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Towels off counter?
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All scoops are stored properly, not inside containers?
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Shelves are clean?
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Table tops and bottoms are clean and organized?
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Fruit tarts at proper temperature?
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Ice Machine is properly cleaned?
Safety
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Employees wearing proper safety shoes?
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Proper hand washing and glove wearing rules are practiced?
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All equipment is functioning properly?
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Cutting gloves are worn when needed?
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Floors are clean and mats are in appropriate positions?
BREAD DEPARTMENT
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Container and tubs are clean?
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All scoops are stored properly, not inside containers?
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Sanitation bucket is filled with clean water and proper amount of solution?
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Towels off counter?
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Tables and table legs are clean?
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Mixer guards are clean?
Walk in freezer
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Temperature is 32 degrees or lower?
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Door gasket on freezer is in good condition?
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All items are at least 6 inches off the floor?
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All items are safely stored and properly labeled?
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Fan guards and condenser are clean?
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Cooling unit is condensation and leak free?
Hand sink
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Hand washing sign is present and visible?
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Hand sink is properly stocked with soap and paper towels?
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Faucet is leak free?
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Water is at least 120 degrees?
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Sink is free of food and other debris?
Walk in Refrigerator 2
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Temperature is 41 degrees or lower?
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Door gasket on refrigerator is in good condition?
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All items are at least 6 inches off the floor?
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All items are safely stored and properly labeled?
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Fan guards and condenser are clean?
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Cooling unit is condensation and leak free?
3 Compartment Sink
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Faucets are leak free?
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Water is at least 120 degrees?
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Compartments are being properly used with solution at correct amount?
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Seal around sink is in good condition?
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Dish racks are clean?
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Washed dishes on rack are dry and debris free?
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Walls, ceiling and floor are clean?
Safety
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Employees wearing proper safety shoes?
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Cutting gloves are worn when needed?
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Proper hand washing and glove wearing rules are practiced?
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Equipment is functioning properly?
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Floors are clean and mats are in appropriate positions?
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Hot trays and racks are being handled safely?
PREP KITCHEN
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Sanitation bucket is filled with clean water and proper amount of solution?
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Towels off counter?
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Slicers are clean and free of debris when not in use?
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All it items are properly stored and labeled?
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Food sink is being used for food only? (no hand washing or dishes)
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Floors are clean and free of debris?
3 COMPARTMENT SINK
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Faucets are leak free?
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Water is at least 120 degrees?
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Compartments are being properly used with solution at correct amount?
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Seal around sink is in good condition?
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Dish racks are clean?
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Washed dishes on rack are dry and debris free?
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Walls, ceiling and floor are clean?
Walk in Refrigerator 3
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Temperature is 41 degrees or lower?
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All items are at least 6 inches off the floor?
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All items are safely stored and properly labeled?
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Door gasket on refrigerator is in good condition?
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Fan guards and condenser are clean?
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Cooling unit is condensation and leak free?
Reach in Refrigerator
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Temperature is 41 degrees or colder?
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All items are safely stored and properly labeled?
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Door gasket on refrigerator is in good condition?
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Shelves are clean?
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Leak free?
Hand Sink
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Hand washing sign is present and visible?
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Hand sink is properly stocked with soap and paper towels?
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Faucet is leak free?
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Water is at least 120 degrees?
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Sink is free of food and other debris?
Safety
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Employees wearing proper safety shoes?
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Cutting gloves are worn when needed?
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Equipment is functioning properly?
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Proper hand washing and glove wearing rules are practiced?
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Floors are clean and mats are in appropriate positions?
KITCHEN LINE
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Sanitation bucket is filled with clean water and proper amount of solution?
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Towels off counter?
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Food sink is being used for food only? (no hand washing or dishes)
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Kitchen shelves are clean and dust free?
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Cooling items are logged?
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Sandwiches under panini grill are properly labeled with an expiration date?
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All items with cheese or meat used by retail are properly labeled with an expiration date?
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Ceiling vents are clean?
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Hood filters are gap free?
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Soups are at 165 degrees or higher?
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All containers holding hot food items are at 135 degrees or higher?
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Gaskets under grill are clean and in good condition?
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Items in drawers under grill are at 41 degrees or below and properly labeled?
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All tables are being used properly and are clean (steam and cold tables)?
Hand Sink
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Hand washing sign is present and visible?
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Hand sink is properly stocked with soap and paper towels?
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Faucet is leak free?
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Water is at least 120 degrees?
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Sink is free of food and other debris?
Reach in Refrigerator
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Temperature is 41 degrees or colder?
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All items are safely stored and properly labeled?
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Door gasket on refrigerator is in good condition?
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Shelves are clean?
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Leak free?
Safety
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Employees wearing proper safety shoes?
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Cutting gloves are worn when needed?
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Equipment is functioning properly?
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Proper hand washing and glove wearing rules are practiced?
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Floors are clean and mats are in appropriate positions?
OVENS
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Tables are clean?
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Containers under tables are closed and properly labeled?
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No wooden handle paddles?
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All scoops are stored properly, not inside containers?
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Ovens and handles are clean?
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All filters are clean without gaps?
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All whisk are in good condition, no broken wires?
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Fryer baskets are in good condition, no broken wires?
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Fryer is being filtered properly after oil has cooled?
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Proofer is clean inside and outside?
Hand Sink
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Hand washing sign is present and visible?
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Hand sink is properly stocked with soap and paper towels?
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Faucet is leak free?
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Water is at least 120 degrees?
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Sink is free of food and other debris?
Safety
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Employees wearing proper safety shoes?
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Equipment is functioning properly?
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Proper hand washing and glove wearing rules are practiced?
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Floors are clean and mats are in appropriate positions?
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Hot trays and racks are being handled safely?
Bakery Retail Area/Fancy
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Sanitation bucket is filled with clean water and proper amount of solution?
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All fried items are labeled with an expiration time?
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All items with cheese or meat used by retail are properly labeled with an expiration date?
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All tables are clean?
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Items are properly stored and labeled?
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Stove and knobs are clean?
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Microwave oven is clean?
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Cold items are 41 degrees or lower?
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Hot items are 135 degrees or higher?
Reach in Refrigerator
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Temperature is 41 degrees or colder?
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All items are safely stored and properly labeled?
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Door gasket on refrigerator is in good condition?
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Shelves are clean?
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Leak free?
Reach in Refrigerator
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Temperature is 41 degrees or colder?
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All items are safely stored and properly labeled?
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Door gasket on refrigerator is in good condition?
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Shelves are clean?
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Leak free?
Hand Sink
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Hand washing sign is present and visible?
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Hand sink is properly stocked with soap and paper towels?
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Faucet is leak free?
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Water is at least 120 degrees?
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Sink is free of food and other debris?
Hand Sink
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Hand washing sign is present and visible?
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Hand sink is properly stocked with soap and paper towels?
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Faucet is leak free?
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Water is at least 120 degrees?
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Sink is free of food and other debris?
Safety
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Employees wearing proper safety shoes?
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Proper hand washing and glove wearing rules are practiced?
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Employees are using proper lifting technique?
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Floors are clean and mats are in appropriate positions?
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Hot trays and racks are being handled safely?