Information

  • Site conducted

  • Audit Title

  • Conducted on

  • Prepared by

  • Client / Site

  • Add location

Critical Items - Must be corrected immediately if deficient. Comment if correction was needed.

  • Electrical panels in good repair. E.g., no signs of missing circuits or covers.

  • Compactor working properly?

  • Fall protection provided on the roof? E.g., parapets, guardrails, around the edge

  • No exposed wiring throughout the building?

  • Exit doors clear and open easily?

  • Comments

Floors and Walking Surfaces

  • Are the floor surfaces at the entrances in good condition? (no broken tile, loose mats, torn carpets, damaged thresholds, etc)

  • Are the floor surfaces in the main dining areas in good condition?

  • Is the floor being cleaned according to the schedule?

  • Floor mats and/or carpets in good condition throughout the restaurant?

  • Steps or stairs in good condition, including handrails?

  • Walkways clear of obstructions such as boxes, material, or other hazards?

  • All employees wearing slip resistant shoes?

  • Appropriate cleaning agents used on the floors?

  • Ramps equipped with hand rails and in good condition?

  • Kitchen floor areas in good condition?

  • Kitchen, walk-in freezers or coolers have walkways free of obstructions, trash, etc?

  • Floor mats around fryers free of grease?

  • Floors around ice machines free of standing water and ice cubes?

  • Floors in the dining area free of spills or standing water?

  • Adequate number of Wet Floor signs available?

  • Floor mats in front of ice machine in good condition?

  • Floors around soda machines free of sticky buildup?

  • Floor drains adequately covered and secure?

  • Comments

Ladder Safety

  • Ladders safe to use? - No missing rungs, damaged feet, etc.?

  • Employees trained: No carrying items up a ladder, face the ladder, 3-point contact, etc.

  • Appropriate ladders available for the tasks required?

  • Step ladders or stools available in storage rooms?

  • Ladders properly stored when not in use?

  • Roof ladder locked to prevent access?

Storage Rooms and Walk-In Coolers & Freezers

  • Storage racks in good condition and strong enough to support the weight of the materials? (shelving not bent or sagging)

  • Storage racks secured to prevent tipping over?

  • Proper storage practices in place to prevent extending with heavy loads? (lighter materials such as paper products on the top shelves with heaviest items on middle shelves)

  • Floor surfaces in coolers and freezers textured to help prevent slips?

  • Floor surfaces free of ice buildup?

  • Doors of freezers equipped with functioning heating element?

  • Freezer and cooler door handles and seals functioning correctly to seal the doors closed?

  • Freezer doors not able to be locked?

  • Lighting adequate in the freezers and coolers?

  • Video surveillance equipment in place and working?

  • Comments

Material Handling

  • Are dollies and/or push carts available to carry heavy or bulk items?

  • Wheeled casters for garbage cans in good condition?

  • Soda syrup box racks accessible and waist height?

  • Comments

Chemical Safety

  • Are all cleaning chemical properly stored?

  • Chemicals properly labeled? (Pictograms, danger words: Danger/Warning, description of product)

  • Secondary containers (spray bottles) properly labeled?

  • PPE available as needed when using cleaning chemicals? (gloves, goggles, etc)

  • Are compressed gas cylinders properly secured with a chain?

  • CO2 detector has working lights?

  • No change in pressure when CO2 levers turned off?

  • Bulk CO2 tank has warning sign?

  • Safety Data Sheets (SDS) available for all chemicals?

  • Comments

Equipment/Appliance Safety

  • Grease filtration system working properly?

  • Gas supply shutoff clearly marked?

  • Grills have locks in place?

  • Water heater in good condition?

  • Has the ANSUL system been inspected in the last 6 months?

  • Adequate PPE available to employees changing grease from the fryers? (gloves, etc.)

  • Box cutters limited to authorized personnel and properly stored when not in use?

  • All appliances in working order?

  • Trash compactor working properly?

  • Metal scoop used in the ice dispenser? (not a breakable material such as glass)

  • Heat resistant gloves used when using ovens?

  • Long hair tied back?

  • Dangling jewelry removed?

  • Cleaning mops, squeegees, brush, in good condition?

  • Face shields and safety goggles provided where needed?

  • Comments

Electrical Equipment

  • Extension cords in good condition (no fraying or exposed wires) and equipped with ground prong?

  • Power cords of equipment in good condition and equipped with ground prong?

  • Circuit breaker switches properly labeled?

  • Are unused switches in breaker boxes properly covered?

  • Electrical panels have lockable doors?

  • Electrical panels have Danger sign?

  • Three feet of clearance around electrical panels?

  • O.E.P. cords have twisting caps?

  • Face plates installed on all electrical receptacles and light switches?

  • All light fixtures contain bulbs and covered properly?

  • Comments

Fire/Life Safety

  • Evacuation plan posted?

  • Portable fire extinguishers properly wall mounted (not on the floor) and in strategic locations? (requiring no more than 75 feet of travel to the nearest extinguisher?)

  • Are portable fire extinguishers inspected properly? (Visual inspections monthly and annual inspections by a qualified technician)

  • Fire extinguishers appear in working order and properly charged?

  • Is there at least 3 feet of clearance around portable fire extinguishers?

  • All exits marked and properly illuminated?

  • All exits unlocked during business hours?

  • Non-exit doors marked "Not an Exit"?

  • Lobby doors have <5 lbs pressure to open/close?

  • Storage kept at least 18 inches from sprinkler heads (if building is sprinklered)?

  • At least 3 feet of clearance around main sprinkler valves (if building is sprinklered)?

  • Emergency lighting working properly?

  • Video surveillance throughout the restaurant working properly?

  • Comments

Recommended PPE

  • Disposable vinyl gloves available for clean-up and restroom disinfecting?

  • Heat resistant gloves provided and in good condition?

  • Face shield, apron, gloves available for fryer cleaning?

  • Oven mitts provided and in good condition?

  • Proper gloves provided for handling of chemicals?

  • High visibility vests used by employees who work outside in the parking areas? (maintenance, cleaning, order runners, etc.)

  • Orange cones available to mark hazards and direct traffic in the parking area when necessary?

  • Comments

Other Safety Considerations

  • First aid kit available and properly stocked?

  • Emergency flashlights available and in working condition?

  • High chairs in good condition?

  • Playland alarms working?

  • Comments

  • Signature

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.