Title Page

  • Baker's Store Number

  • Conducted on

  • Prepared by

BUILDING EXTERIOR

  • Check Walkway Surfaces for Saftey Issues or Spills

  • Parking Lot Condition - Pot Holes, Cracks, Sealcoat, and Stripes

  • Building Paint & Trim

  • Landscaping - Lawn, Flower Beds, Trees, and Lawn

  • Fixtures - Bike Rack and Patio Tables

  • Menu Board - Sound, Lighting, Glass, and Paint Condition

  • Signage - Bakers Signs are all visible and not blocked. If their condition is poor please note that as well.

TRASH ENCLOSURE

  • Gates - Paint and metal condition are they clean and free of hand prints. Please note any safety issues.

  • Concrete in Trash Enclosure Condition

  • Trash Bin - are they leaking and have lids?

  • Drains - are they clean and clear of debris? (not all trash enclosures will have drains)

  • Used Cooking Oil - Is the oil container locked and in good condition?

  • Trash Enclosure Walls

RESTROOMS

  • Caulking Sink & Toilet

  • Toilet Seat - Is it well attached and free of scratches?

  • Mirror(s) - Your bathroom may not have mirrors if so select N/A

  • Floor - Is the floor clean and do the drains have covers securly attached?

  • Lighting - Are all the lights working?

  • Doors and Paint Condition - Interior and Exterior (if it has an upper purse hook it must have a lower hook as well)

DINING ROOM

  • Booth Condition - Wood and Vinyl (please note how many vinyl cushions require replacement if condtion is poor)

  • Wood Window Sills - Do they require maintenance?

  • Ceiling Tiles - Are they all in place, stained or missing? If so how many.

  • Lighting on Interior Menu Boards - Are all the bulbs working?

  • Trash Cans - Check for damaged formica and trashcans insert condition (check castors)

  • Dining Room Floors

  • Dining Room Walls - If in poor condition include pictures of the damage.

  • Dining Room Windows and Fabric Valences

  • CA Door Condtion and Jam Condition

SERVICE RECORDS

  • Grease Interceptor Pumping Records - Check the yellow insert of the flip file at your managers desk.

  • Current pumping records are available on the cloud drive in the Maintenance and Facilities directory under Grease Interceptor Reports. You will need to print the most recent copy of the document and insert the printout into the yellow sleeve of the managers flip file on the wall at the managers desk.

  • Last Hood Cleaning Date (photograph stickers)

  • Last Hood Fire Service (photograph the tag attached to the emergency pull in your kitchen)

  • Fire Extinguisher Tags - Photograph all tags

KITCHEN

  • Kitchen Floors & Grout

  • Kitchen Walls - Are there any cracks or missing pieces of FRP that may harber pests?

  • Kitchen Ceiling Tiles - Are there any missing tiles or any areas that may allow pests to enter the kitchen?

  • Managers Desk Condition - Are there any sharp edges or broken drawers?

  • Walk-in Shelving (is it sturdy, free of paint chips and in good condition?)

  • Dry Storage Shelving (is it sturdy and in good condition?)

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.