Back to Basics Q1 January

• Store #

• PIC

• Conducted on

  Date

• Prepared by

• Location
  Address

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• Imminent Health Hazards(AF)

  At Standard

  Not at Standard

• Crossing the Blue Door Wash Your HandsMake sure Food Safety Timers are on. (Handwash, Tools, and Sanitizer)(5pt)

  At Standard

  Not at Standard

• Check Serve Safe Not Expired EE works at store. (5pt) Illness

  At Standard

  Not at Standard

• Policy Visably Posted and no sick EE working (5pt)

  At Standard

  Not at Standard

• Show and Know book present (3pt)

  At Standard

  Not at Standard

• Bodily Fluid Clean Up Kit 1pt

  At Standard

  Not at Standard

• FSC Book % completion (3pt)

  At Standard

  Not at Standard

• Receiving Log (3pt)

  At Standard

  Not at Standard

• Ecolab book - has come to store 3 months

  At Standard

  Not at Standard

• Check Sanitizer strength is 150-400ppm, test strips not expired, towel in bucket. Buckets labeled. (1,1pt)

  At Standard

  Not at Standard

• Check 5 items at sink. Clean sink, hot and cold water, job aid, trash can, soap and towels. But nothing stocked in sink. (5pt)

  At Standard

  Not at Standard

• Check all TPH timers are running (5pt)

  At Standard

  Not at Standard

• Check all hot-holding PHU, UHC, Taco Warmer, Fry Bin timers are on (5pt)

  At Standard

  Not at Standard

• Food contact surfaces, Dishes, Equipment, Prep Tools, and Backup Tools are clean. (3pt)<br>If not in standard, what was not clean? Check all that apply

  At Standard

  Not at Standard

• Food contact surfaces, Dishes, Equipment, Prep Tools, and Backup Tools are in good condition. (3pt)

  At Standard

  Not at Standard

• 3 Compartment Sink and Dishwashing. (5pt)

  At Standard

  Not at Standard

• Drains have 1-inch air gap, no standing water. Back flow devices installed (5pt)-

  At Standard

  Not at Standard

• Drains free of debris(3pt)

  At Standard

  Not at Standard

• POU or Walk-in check: Are the gaskets and unit dirty? (3pt)

  At Standard

  Not at Standard

• POU or Walk-in check: Are the gaskets torn? (1pt)

  At Standard

  Not at Standard

• POU or Walk-in check: Is there a working dial thermometer in the warmest part of the unit? Is unit at correct temp? (3pt)

  At Standard

  Not at Standard

• Product Temperatures(5pt): Is the food inside of the unit meeting the correct temperature? No Product outside longer than 40min. Proper thawing procedures followed.

  At Standard

  Not at Standard

• Ice Machines (3pts) - Ice bin and lid clean clean, Ice bucket stored upside down, DT ice bin and lid clean

  At Standard

  Not at Standard

• Beverage dispensers

  At Standard

  Not at Standard

• Contamination: Food or Packaging(5pt)

  At Standard

  Not at Standard

• Storage: Food and Packaging (no raw products above ready to eat, no products exposed to air)(3pt)

  At Standard

  Not at Standard

• Make sure no expired products. (3pt)

  At Standard

  Not at Standard

Grill/Assembly

• Team Member Name

• When starting observations take a picture of workstation planner

  Media

• Did TM Place, Time Sear when cooking patties on the grill?

  Yes

  No

  N/A

• How did you coach the EE?

• Did TM perform a final flip and check?

  Yes

  No

  N/A

• How did you coach the EE?

• Did TM have a hold time on products held at their station and the product was discarded product once the hold time sounded?

  Yes

  No

  N/A

• How did you coach the EE?

• Did TM use TPH timers correctly?

  Yes

  No

  N/A

• How did you coach the EE?

• Was the TM was using cook times for all products (including bacon, eggs and onions)? Does not remove food before the timer sounds?

  Yes

  No

  N/A

• How did you coach the EE?

• When ending observations take a picture of the Build to Charts

  Media

Fryer

• Team Member Name

• When starting observations take a picture of workstation planner

  Media

• Did the TM wait until the cook time sounded to remove the food?

  Yes

  No

  N/A

• How did you coach the EE?

• Did TM have a hold time on products held at their station and the product was discarded product once the hold time sounded? Including taco stager.

  Yes

  No

  N/A

• How did you coach the EE?

• Does TM have their TPH timers turned on?

  Yes

  No

  N/A

• How did you coach the EE?

• Does TM shake baskets when shake time sounds?

  Yes

  No

  N/A

• How did you coach the EE?

• Are raw products stored and handled properly?

  Yes

  No

  N/A

• How did you coach the EE?

• When ending observations take a picture of the Build to Charts

  Media

Handwashing and Glove Use

• Was an hourly handwash performed correctly?

  Yes

  No

  N/A

• How did you coach the EE?

• Were Employees washing their hands correctly (ie. with warm water, 20 seconds)?

  Yes

  No

  N/A

• How did you coach the EE?

• Where EE washing their hands when crossing the blue door?

  Yes

  No

  N/A

• How did you coach the EE?

• Did EE wash their hands after touching their body or uniform?

  Yes

  No

  N/A

• How did you coach the EE?

• Did EE wash their hands after conducting a cleaning activity?

  Yes

  No

  N/A

• How did you coach the EE?

• Did EE wash their hands when picking up something off the floor?

  Yes

  No

  N/A

• Gloves are used when handling read to eat foods

  Yes

  No

  N/A

• How did you coach the EE?

  Yes

  No

  N/A

• If wearing nail polish or artificial nails were TM wearing gloves?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• How did you coach the EE?

PIC

• Can PIC calibrate thermometers correctly?

  Yes

  No

  N/A

• Did PIC take the temperature of the grill and patty correctly?

  Yes

  No

  N/A

• Did the PIC take the temperature of microwaved rice properly?

  Yes

  No

  N/A

• Did the PIC take the temperature of the shake machine correctly?

  Yes

  No

  N/A

• Did the PIC take temperature of the fryers correctly?

  Yes

  No

  N/A

Speed Academy

• Workstation Planners Posted and In Use

  Yes

  No

  N/A

• PIC Planner Posted and in Use (# 1263)

  Yes

  No

  N/A

• WSP Chart Posted and Up to date

  Yes

  No

  N/A

• Quick Excellence Poster Posted / Updated with Goals (#4143)

  Yes

  No

  N/A

• Build to Charts Posted, Current, And replenished at 50%

  Yes

  No

  N/A

• Take a picture of Find the Fives Board

  Media