Information

  • Location

  • Day/Shift:

  • Weather/Patio:

  • Conducted on

  • Manager(s) on Duty:

  • Performed by:

  • Location
  • Personnel

Rating

  • 5 - Outstanding
    4 - Needs little improvement
    3 - Needs some improvement, partially complete
    2 - Needs Significant improvement, barely complete
    1 - Unacceptable, not done at all

Line Area

  • Floors are cleaned and debris free

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  • Line Prep coolers and freezers are cleaned

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  • Line Prep cooler temperature maintained at 40 degrees or lower

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  • Line Prep Freezer temperature maintained at -10 or below

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  • Line Prep cooler equipted with thermometers

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  • Line Prep cooler gaskets are not torn and in good working order

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  • Floor underneath line coolers and equipment are cleaned and debris free

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  • Hand sinks provided with hand cleanser and sanitary hand drying device or paper towels

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  • Sanitation buckets in place, right concentration and being used

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  • Hot food items being held at 140 degrees or above

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  • Station books in station with proper information

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  • Line shelf is cleaned and organized with proper plates in each station

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  • Pass through window is cleaned and shined

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  • Hand sink with no visible leaks

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  • Hand sinks have hot running water 115

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  • Walls are cleaned and debris free

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  • Refrigerator food products are covered, labeled and dated

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  • Floors, walls and ceilings are properly constructed

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  • Adequate lighting provided and properly shielded

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Prep Area

  • Floors are cleaned and debris free

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  • Floor underneath equipment is clean and debris free

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  • Hand sinks provided with hand cleanser and sanitary hand drying device or paper towels

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  • Sanitation buckets in place, right concentration and being used

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  • Prep Recipe books are cleaned, organized and being used

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  • Prep Dry storage area and shelves cleaned and organized

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  • Prep area free of fruit flies, any signs of rodent or insect activity<br>

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  • Can opener and knife rack are cleaned and free of debris

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  • Prep area sinks with no visible leaks

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  • Hand sinks have hot running water 115

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  • Walls are cleaned and debris free

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  • Floors, walls and ceilings are properly constructed

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  • Cooling logs being utilized

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  • Adequate lighting provided and properly shielded

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Dish/Chemical Area

  • Dish machine has correct chemicals being used

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  • Outside dish machine is clean

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  • Dish machine is operating at correct temperature

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  • Dish machine final rinse has correct concentration

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  • Test strips stocked at machine to determine concentration levels

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  • Shelving units with clean plates and kitchen supplies, cleaned, debris free and organized

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  • Chemical room is cleaned, debris free, organized

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  • MSDS book has correct documentation

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  • Inside dish machine has little or no lime residue

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  • Floors, walls and ceilings are properly constructed

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  • Adequate lighting provided and properly shielded

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  • 3 compartment sink- wash and rinse water clean and proper temp. Sanitizing rinse

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  • Dish machine boosts up to 180 degrees during final rinse

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  • Toxic chemicals are properly stored, labeled and used for the correct purpose

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Walk In Freezers

  • Walk in freezer is clean and free of debris

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  • Walk in freezer walls are clean and free of debris

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  • Walk in freezer is zoned and product is stored in same place all the time

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  • Product is stored off the floor 6"

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  • Product is stored no higher than 18" from ceiling

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  • Adequate lighting provided and properly shielded

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  • Walk in freezer evaporated coils are clean and free of debris

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  • Walk in freezer does not have any ice build up

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  • Walk in freezer temperature is maintained at -10 degrees or below

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Walk In Coolers

  • Walk in floors are clean and free of debris

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  • Walk in coolers walls are clean and free of debris

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  • Walk in coolers are zoned and product is stored in the same place all the time

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  • Product is stored off the floor 6"

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  • Product is stored no higher than 18" from ceiling

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  • Product rotated correctly utilizing FIFO principle

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  • Raw mean, poultry, seafood are stored under prepared food and product

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  • Walk in cooler equipted with thermometers

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  • Cooler temperature maintained at 40 degrees or below

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  • Refrigerated food products are covered, labeled and dated

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  • Walk in cooler evaporated coils are clean and free of debris

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  • Walk in cooler curtain is properly constructed

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  • Adequate lighting provided and properly shielded

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Dry Storage

  • Dry storage is zoned and all product is stored in same place

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  • Dry storage shelves are clean and organized with labels of product facing out

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  • Dry storage floors are cleaned and free of debris

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  • Dry food items stored in either original containers or in plastic containers with lid, free of insect infestation

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  • Product is stored off the floor 6"

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  • Product is stored no higher than 18" from ceiling

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  • Dry storage walls are clean and free of debris

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  • Dry storage is free of empty boxes and not left on floor

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Garbage/Grease Trap Area

  • Garbage containers are clean and do not give off offensive smell

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  • Grease trap container is cleaned and not covered in fry oil grease

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  • Garbage area floor is clean and free of debris

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  • All boxes are broken down prior to going in bin and no boxes are left on floor

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Ice Machines

  • Ice machine is clean with no visible build up and door is closed

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  • Ice bins are free of any external products

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  • Ice machine has scoops and containers to put scoops into not stored in machine

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  • Ice machines are being cleaned according to schedule check maintenance book

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Employee Restrooms/Locker Area

  • LA - clean and organized

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  • LA - No overnight storage

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  • RR - Clean, organized, and stocked

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  • RR - All sinks and toilets working properly

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  • RR - Floors and walls clean

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  • No open food or beverage

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  • Inside/outside of lockers AND floors clean

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  • Any linen/uniforms/hangers in appropriate places

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  • Soil Lockers clean and no uniforms hanging out

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  • Linen Bag set up and ready for staff to use

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  • Soil Lockers not damaged by staff

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Office

  • Clean and organized

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  • Floors clean

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  • Proper binders/information available and up-to-date

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  • Computer/Printer in working order

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  • Dirty chef jackets and shoes non existent in office

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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.