Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PACKING AREA

  • Clean work area?

  • Towels off of counter?

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

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

  • All items are properly labeled and stored?

Walk in Refrigerator 4-Packing

  • Door gasket on refrigerator is in good condition?

  • Temperature is 41 degrees or lower?

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

  • All items are safely stored and properly labeled?

  • Fan guards and condenser are clean?

  • Cooling unit is condensation and leak free?

Safety-Packing

  • Employees wearing proper safety shoes?

  • Proper hand washing and glove wearing rules are practiced?

  • Cutting gloves are worn when needed?

  • All equipment is functioning properly?

  • Floors are clean and mats are in appropriate positions?

WAREHOUSE

  • Floors and walls clean?

  • Dry food and packages are properly stored?

  • Emergency exit is clear?

Safety-Warehouse

  • Employees wearing proper safety shoes?

  • All equipment is functioning properly?

  • Employees are using proper lifting technique?

DECO

  • Towels off counter?

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

  • Container and tubs are clean?

  • All scoops are stored properly, not inside containers?

  • Shelves are clean?

  • Table tops and bottom are clean and organized?

Hand sink-Deco

  • Hand washing sign is present and visible?

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

  • Faucet is leak free?

  • Water is at least 120 degrees?

  • Sink is free of food and other debris?

Walk in Freezer 5-Deco

  • Door gasket on freezer is in good condition?

  • Temperature is 32 degrees or lower?

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

  • All items are safely stored and properly labeled?

  • Fan guards and condenser are clean?

  • Cooling unit is condensation and leak free?

Safety-Deco

  • Employees wearing proper safety shoes?

  • Proper hand washing and glove wearing rules are practiced?

  • All equipment is functioning properly?

FRUIT TART

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

  • Towels off counter?

  • All scoops are stored properly, not inside containers?

  • Shelves are clean?

  • Table tops and bottoms are clean and organized?

  • Fruit tarts at proper temperature?

  • Ice Machine is properly cleaned?

Safety-Tart

  • Employees wearing proper safety shoes?

  • Proper hand washing and glove wearing rules are practiced?

  • All equipment is functioning properly?

  • Cutting gloves are worn when needed?

  • Floors are clean and mats are in appropriate positions?

BREAD DEPARTMENT

  • Container and tubs are clean?

  • All scoops are stored properly, not inside containers?

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

  • Towels off counter?

  • Tables and table legs are clean?

  • Mixer guards are clean?

Walk in freezer-Bread Dept

  • Door gasket on freezer is in good condition?

  • Temperature is 32 degrees or lower?

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

  • All items are safely stored and properly labeled?

  • Fan guards and condenser are clean?

  • Cooling unit is condensation and leak free?

Hand sink-Bread Dept

  • Hand washing sign is present and visible?

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

  • Faucet is leak free?

  • Water is at least 120 degrees?

  • Sink is free of food and other debris?

Walk in Refrigerator 2-Bread Dept

  • Door gasket on refrigerator is in good condition?

  • Temperature is 41 degrees or lower?

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

  • All items are safely stored and properly labeled?

  • Fan guards and condenser are clean?

  • Cooling unit is condensation and leak free?

3 Compartment Sink-Bread Dept

  • Faucets are leak free?

  • Water is at least 120 degrees?

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

  • Seal around sink is in good condition?

  • Dish racks are clean?

  • Washed dishes on rack are dry and debris free?

  • Walls, ceiling and floor are clean?

Safety-Bread Dept

  • Employees wearing proper safety shoes?

  • Cutting gloves are worn when needed?

  • Proper hand washing and glove wearing rules are practiced?

  • Equipment is functioning properly?

  • Floors are clean and mats are in appropriate positions?

  • Hot trays and racks are being handled safely?

PREP KITCHEN

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

  • Towels off counter?

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

  • All it items are properly stored and labeled?

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

  • Floors are clean and free of debris?

3 COMPARTMENT SINK-Prep Kitchen

  • Faucets are leak free?

  • Water is at least 120 degrees?

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

  • Seal around sink is in good condition?

  • Dish racks are clean?

  • Washed dishes on rack are dry and debris free?

  • Walls, ceiling and floor are clean?

Walk in Refrigerator 3-Prep Kitchen

  • Door gasket on refrigerator is in good condition?

  • Temperature is 41 degrees or lower?

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

  • All items are safely stored and properly labeled?

  • Fan guards and condenser are clean?

  • Cooling unit is condensation and leak free?

Reach in Refrigerator-Prep Kitchen

  • Temperature is 41 degrees or colder?

  • All items are safely stored and properly labeled?

  • Door gasket on refrigerator is in good condition?

  • Shelves are clean?

  • Leak free?

Hand Sink-Prep Kitchen

  • Hand washing sign is present and visible?

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

  • Faucet is leak free?

  • Water is at least 120 degrees?

  • Sink is free of food and other debris?

Safety-Prep Kitchen

  • Employees wearing proper safety shoes?

  • Cutting gloves are worn when needed?

  • Equipment is functioning properly?

  • Proper hand washing and glove wearing rules are practiced?

  • Floors are clean and mats are in appropriate positions?

KITCHEN LINE

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

  • Towels off counter?

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

  • Kitchen shelves are clean and dust free?

  • Cooling items are logged?

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

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

  • Ceiling vents are clean?

  • Hood filters are gap free?

  • Soups are at 165 degrees or higher?

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

  • Gaskets under grill are clean and in good condition?

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

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

Hand Sink-Kitchen Line

  • Hand washing sign is present and visible?

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

  • Faucet is leak free?

  • Water is at least 120 degrees?

  • Sink is free of food and other debris?

Reach in Refrigerator -Kitchen Line

  • Temperature is 41 degrees or colder?

  • All items are safely stored and properly labeled?

  • Door gasket on refrigerator is in good condition?

  • Shelves are clean?

  • Leak free?

Safety-Kitchen Line

  • Employees wearing proper safety shoes?

  • Cutting gloves are worn when needed?

  • Equipment is functioning properly?

  • Proper hand washing and glove wearing rules are practiced?

  • Floors are clean and mats are in appropriate positions?

OVENS

  • Tables are clean?

  • Containers under tables are closed and properly labeled?

  • No wooden handle paddles?

  • All scoops are stored properly, not inside containers?

  • Ovens and handles are clean?

  • All filters are clean without gaps?

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

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

  • Fryer is being filtered properly after oil has cooled?

  • Proofer is clean inside and outside?

Hand Sink-Ovens

  • Hand washing sign is present and visible?

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

  • Faucet is leak free?

  • Water is at least 120 degrees?

  • Sink is free of food and other debris?

Safety-Ovens

  • Employees wearing proper safety shoes?

  • Equipment is functioning properly?

  • Proper hand washing and glove wearing rules are practiced?

  • Floors are clean and mats are in appropriate positions?

  • Hot trays and racks are being handled safely?

Bakery Retail Area/Fancy

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

  • All fried items are labeled with an expiration time?

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

  • All tables are clean?

  • Items are properly stored and labeled?

  • Stove and knobs are clean?

  • Microwave oven is clean?

  • Cold items are 41 degrees or lower?

  • Hot items are 135 degrees or higher?

Reach in Refrigerator-Retail

  • Temperature is 41 degrees or colder?

  • All items are safely stored and properly labeled?

  • Door gasket on refrigerator is in good condition?

  • Shelves are clean?

  • Leak free?

Reach in Refrigerator-Detail

  • Temperature is 41 degrees or colder?

  • All items are safely stored and properly labeled?

  • Door gasket on refrigerator is in good condition?

  • Shelves are clean?

  • Leak free?

Hand Sink-Retail

  • Hand washing sign is present and visible?

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

  • Faucet is leak free?

  • Water is at least 120 degrees?

  • Sink is free of food and other debris?

Hand Sink-Fancy

  • Hand washing sign is present and visible?

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

  • Faucet is leak free?

  • Water is at least 120 degrees?

  • Sink is free of food and other debris?

Safety-Retail

  • Employees wearing proper safety shoes?

  • Proper hand washing and glove wearing rules are practiced?

  • Employees are using proper lifting technique?

  • Floors are clean and mats are in appropriate positions?

  • Hot trays and racks are being handled safely?

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.