Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Prep Area

  • Closed by:

  • All stainless steel is polished and free of stains or streaks

  • Walls, floor, ceiling clean and free of build up

  • Shelves are clean and free of build up

  • All sinks functional, clean and free of build up

  • Sinks are clean and free of build up

  • Copper pipes are shiny and free of build up

  • Sink legs are free of stains and build up

  • Drains are clean and free of build up

  • Floors were scrubbed and free of debri

  • Spice container, rice bin and condiment cart are clean and free of build up

  • Dry goods organized, pulled forward, label facing out

  • Spice containers, rice bin and condiment cart are stocked

  • Basic sauce container is clean and free of build up

  • Sanitizer bucket empty, clean and free of build up

  • Cutting gloves hung by fingertip and in good condition

  • Prep charts are clean and free of build up

Dish Sink

  • Closed by:

  • Walls, floor, ceiling clean and free of build up

  • Shelves are clean and free of build up

  • Dish racks, soak tank, and dish cart clean and free of build up

  • All dishes are face down, dry, free of day dots and grease build up

  • All sinks functional, clean and free of build up

  • Sinks are clean and free of build up

  • Copper pipes are shiny and free of build up

  • Sink legs are free of stains and build up

  • Drains are clean and free of build up

  • Floors were scrubbed and free of debri

Dry Goods

  • Dry good shelves organized, pulled forward, label facing out

  • Sauce containers restocked, clean and free of build up

  • All BIB drinks organized, facing left, cardboard tucked and not torn

  • Storage closet shelves organized. Anything not in use is out away

  • All rags are in dirty rag bin with lid fully closed

Mop Sinks

  • Chemicals are stocked label facing out

  • Walls, floor, drains clean and free of build up

  • Janitorial items hung 6” off floor

  • Janitorial times in good condition

  • Chemicals without SDS put away and locked

Walk-in Freezer

  • All goods are in proper hierarchy

  • All good organized, label facing out, FIFO being followed

  • Air curtains clean and free of air gaps

  • Vents are dust free

  • Floors are clean and free of debri

  • No empty boxes

  • Nothing on floor

Walk-in Cooler

  • All goods are in proper hierarchy

  • Prepped items above unprepped

  • 2 days of prep and sauces available

  • Meat are stocked and fully thawed

  • Veggie display layout being followed

  • Chow mein and shredded cabbage containers stocked

  • All good organized, label facing out, FIFO being followed

  • Air curtains clean and free of air gaps

  • Vents are dust free

  • Floors are clean and free of debri

  • No empty boxes

  • Nothing on floor

Cooking Range

  • Closed by:

  • Rice cabinet was scrubbed inside out by:

  • Walls, floors, ceiling free of build up

  • Sauce cart cleaned and fully stocked

  • Prep coolers clean inside out and fully stocked

  • Reach in freezer stocked with lid on egg rolls

  • Top of prep coolers free of obstructions

  • Fryers were filtered and strained

  • Fryers are free of grease build up inside and out

  • Grill, knobs, and surfaces are clean and free of build up

  • Grill station is cleaned and free of build

  • Grill was seasoned with oil at eod to prevent rusting

  • Rice cookers are clean and free of stain's

  • Rice cooker shelf is clean and free of build up

  • All surfaces clean and free of build up

  • All detachables were scrubbed and put back

  • Burner ring was clean and free of build up

  • Woks were burned and scrubbed including handle

  • Blancher was cleaned; chimney was scrubbed

  • Hoods are cleaned and free of build up

  • Black splash walls cleaned and free of build up

  • Glass globes cleaned and free of build up

  • Hoods were rotated

  • Faucets and ansul tips free of build up

  • ALL stainless steel was polished and streakless

  • Drains are clean and free of build up

  • Cooking range legs are clean and free of build up

  • Floors under prep coolers and cooking range clean and free of build up

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.