Information
-
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
-