Title Page

  • Conducted on

  • Prepared by

  • Location
  • Day of the Week

  • Visit Time

  • Quarter

  • Store Name

  • Announced/Unannounced<br>

  • MOD (First, Last Name)

  • GM (First, Last Name)

  • Shroom U Certified

  • If No, Completed GM Assessment?

  • KM (First, Last Name)

  • Shroom U Certified<br>

  • If No, Has KM completed MIT program?<br>

  • Health Inspection Score (Below A = Automatic Revisit) List all critical violations.

  • Health Inspection (Attach)

  • Pest Control Company

  • Log of last Visit (Attach)

  • OLO% (YTD)

  • Catering% (YTD)

  • Sales: SSS (QTD,YTD)

Nature of Visit

  • Visit Type

  • InMoment

  • Social Review

  • Schoox

  • Other

  • OLO

  • Catering

  • Marketing

  • Other

  • Evaluation: (Systems, Guest Experience, COGS, Leadership Presence, Cleanliness)

  • FOH Observations

  • BOH Observations

  • Other:

Digital Assessment

  • OLO Expo Webapp in-use?

  • How many devices in-use

  • List device type?

  • Can takeout staff navigate OLO expo web app?

  • Location using Window 10 or higher?

  • Which Windows version in-use?

  • When was the last reboot?

Curbside Assessment

  • Location executing curbside?

  • What type of curbside is offered?

  • How many parking spots are dedicated to curbside?

  • Add reason for not offering curbside.

Back of House Walk-through

  • Back of House; Select all that Apply

  • BOH Line Checks

  • Add media

  • Recipes Current/Build Sheets

  • Add media

  • Prep Equipment

  • Add media

  • Ice Machine

  • Add media

  • Pizza Ovens

  • Add media

  • Hoods

  • Add media

  • Make Lines

  • Add media

  • Convection Oven

  • Add media

  • Flat Top Grill

  • Add media

  • BOH Ceiling

  • Add media

  • Walk-in Freezer

  • Add media

  • Out of Date Product

  • Add media

  • Labeling

  • Add media

  • Gluten-Free Procedures/Cart

  • Add media

  • Equipment Other (MerryChef)

  • Add media

  • Dough (Proofing/Rotation)

  • Add media

  • Dish (Dish Machine, Three Compartment Sink)

  • Add media

  • Other

  • Add media

  • Walk-In Cooler

  • Add media

Front of House Assessment

  • Front of House

  • Host Stand

  • Add media

  • Parking Lot

  • Add media

  • Uniforms (Including Managers)

  • Add media

  • Furniture (Booths, Chairs, High Chairs)

  • Add media

  • Table Touches

  • Pre-Shifts

  • Atmosphere (Music, Lights, Staff Demeanor)

  • Add media

  • Ticket Times

  • Add media

  • Promo Materials / LTO

  • Add media

  • Add media

  • Restrooms

  • Other

  • Add media

  • Menus

  • Add media

Bar Assessment

  • Bar Assessment

  • Mixers

  • Add media

  • Juices

  • Add media

  • Keg Cooler

  • Add media

  • Bartender

  • Add media

  • Execution (Drinks served under five minutes.)

  • Add media

  • Line Checks/Pour Test

  • Add media

  • Garnishes

  • Add media

  • Bar Equipment

  • Add media

  • Current Recipes

  • Add media

  • Add media

  • Other

  • Add media

Food and Beverage Quality Check

  • Food and Beverage Quality Check

  • Munchies

  • Add media

  • Pizza/Calzone

  • Add media

  • Hoagie - Burger - Sandwich

  • Add media

  • Salads

  • Add media

  • Dessert

  • Add media

  • Signature Cocktails

  • Add media

  • Prep Items

  • Add media

Final Notes

  • Corrective Action Plan

  • Final Notes

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.