Cafeteria Inspection - Bldg. 3

• Conducted on

  Date

• Prepared by

STRUCTUAL INTEGRITY

• Floors: clean, cleanable, in good repair

  Yes

  No

  N/A

• Walls and ceilings: clean, paint in good condition, cleanable

  Yes

  No

  N/A

• Foundation structurally sound: no water leaks or flooding; walls and ceilings intact

  Yes

  No

  N/A

• Windows and doors not broken; open and close as design

  Yes

  No

  N/A

• Exterior walls and gutters are free of defects; gutters secured to the building; and free of sagging, holes, cracks and leaks

  Yes

  No

  N/A

GENERAL HEALTH AND SAFETY

• No evidence of vermin, insects, or rodents

  Yes

  No

  N/A

• Ventilation adequate, no odors or moisture

  Yes

  No

  N/A

• Cleaning supplies, mops, brooms properly stored

  Yes

  No

  N/A

• Windows, sills, curtains, screens, shades: clean and in good repair

  Yes

  No

  N/A

• Lighting adequate, fixtures clean

  Yes

  No

  N/A

• Hand washing stations: clean, in good repair; adequate supply of soap and paper towels

  Yes

  No

  N/A

• First-aid kits; stocked with no expired items

  Yes

  No

  N/A

• Safety Data Sheets (SDS) are maintained and conveniently located at Right to Know Station

  Yes

  No

  N/A

• Emergency Eye Wash Station clean and functioning properly

  Yes

  No

  N/A

• Hand sanitation stations: in good repair with adequate soap

  Yes

  No

  N/A

• Safety Signage Posted; Hand Washing, Social Distancing, Face Coverings

  Yes

  No

  N/A

FIRE AND ELECTRICAL SAFETY

• Fire extinguishers accessible, charged

  Yes

  No

  N/A

• Evacuation maps posted

  Yes

  No

  N/A

• Alarm system functioning properly; exit signs illuminated; smoke detectors working properly

  Yes

  No

  N/A

• Emergency lighting functioning properly

  Yes

  No

  N/A

• Fire Sprinkler Systems: in good condition with no visible damage; free of external leaks

  Yes

  No

  N/A

• 18" clearance maintained between sprinkler heads and stored items

  Yes

  No

  N/A

• Electrical installations adequate

  Yes

  No

  N/A

BATHROOMS

• Toilets: in good repair, clean, toilet paper available

  Yes

  No

  N/A

• Sinks: in good repair, hot and cold water, soap and paper towels available

  Yes

  No

  N/A

• Adequate ventilation, no odors or moisture

  Yes

  No

  N/A

• Plumbing installations and drains adequate

  Yes

  No

  N/A

• Rubbish containers: adequate, clean, emptied daily

  Yes

  No

  N/A

DRY FOOD STORAGE AREA

• Floors, walls, ceilings, celling lights in good repair

  Yes

  No

  N/A

• No evidence of vermin

  Yes

  No

  N/A

WALK-IN REFRIGERATOR

• Daily temperature log initialed

  Yes

  No

  N/A

• Food properly labeled and dated

  Yes

  No

  N/A

WALK-IN FREEZER

• Daily temperature log initialed

  Yes

  No

  N/A

POT WASHING FACILITY

• Clean, organized, and in good repair

  Yes

  No

  N/A

DISH WASHING FACILITY

• Clean, no leaks, or damaged equipment

  Yes

  No

  N/A

KITCHEN COOKING AREA

• Clean, free of grease or waste, no fire hazards

  Yes

  No

  N/A

• Equipment, utensils in good repair

  Yes

  No

  N/A

FOOD PREP AREA

• Equipment clean/rubbish removal/good repair/no vermin

  Yes

  No

  N/A

• Equipment, utensils in good repair

  Yes

  No

  N/A

ICE BINS

• Clean, in good repair

  Yes

  No

  N/A

HOODS

• Grease Free/Clean

  Yes

  No

  N/A

• Inspector Name and Signature

  Sign

• Inspector Name and Signature

  Sign