Title Page
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Date:
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Profit Center Number/Name:
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Location Number/Name:
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Site
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Prepared By
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Frequency
CLEAN
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q1. Are employees correctly washing their hands when necessary?
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Criteria Not Met
- 1 (Critical) Hands not washed when appropriate
- 2 (Critical) Improper handwashing technique
- 3 (Critical) Hands not washed between raw and RTE
- 4 (Critical) Hands not washed between glove change
- 5 (Critical) Hands not washed after touching body, sneezing or coughing into hands
- 6 (Critical) Only using hand sanitizer or towel
- 7 (Major) Not washing in a handwash sink
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q2. Are handwash sinks accessible, stocked appropriately, in good repair, and equipped to provide water at a minimum of 100°F (38°C), with a handwashing sign posted
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Criteria Not Met
- 1 (Critical) No water
- 2 (Critical) No soap
- 3 (Critical) Blocked sinks
- 4 (Critical) No operating handwash sink available
- 5 (Critical) Water below 100°F (38°C)
- 6 (Critical) No paper towels or approved hand dryer
- 7 (Critical) Handwash sink not used for handwashing only
- 8 (Major) Handwash sink unclean
- 9 (Minor) No trash can available
- 10 (Minor) No Handwashing Visual Aid posted
- 11 (Minor) No ‘Out of Service’ sign posted
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q3. Are disposable gloves used to reduce the risk of cross contamination of ready-to-eat foods?
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Criteria Not Met
- 1 (Criteria) Not changed when torn or switching tasks
- 2 (Criteria) Wounds not covered correctly
- 3 (Criteria) Not worn over cut glove
- 4 (Criteria) RTE foods handled with bare hands
- 5 (Criteria) Not changed after touching body, sneezing and coughing into hands
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q4. Are food-contact surfaces; equipment, utensils and cutting boards properly cleaned: washed, rinsed, sanitized, air-dried and stored to prevent cross contamination?
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Criteria Not Met
- 1(Critical) Equipment unclean
- 2 (Critical) Equipment not sanitized before use
- 3 (Critical) Cutting boards and/or utensils unclean
- 4 (Critical) Cutting board and/or utensils not sanitized before use
- 5 (Critical) Cutting board and/or utensils not cleaned and sanitized between prepping raw and RTE foods
- 6 (Critical) Ice machine and/or soda nozzle has mold, rust, off-odors
- 7 (Major) Equipment stored on dirty shelf
- 8 (Major) Cutting boards and/or utensils stored on dirty shelf
- 9 (Major) Cutting board and/or utensils not air dried
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q5. Are non-food-contact surfaces; floors, walls, ceilings, including equipment (e.g. gaskets, vents, HVAC, and exhaust hoods) clean?
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Criteria Not Met
- 1 (Minor) Nonfood- contact surfaces unclean
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q6. Are all areas and equipment listed on the Master Cleaning Schedule? Is the Master Cleaning Schedule available and complete?
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Criteria Not Met
- 1 (Major) Cleaning schedule not completed for prior week
- 2 (Minor) Cleaning schedule not complete for day/previous day.
- 3 (Minor) Not all areas and/or equipment listed on the schedule
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q7. Are the red sanitizer buckets/spray bottles available where all food is prepared/served, at the correct quaternary ammonium concentration of 200-400 ppm with wiping cloths stored inside the red bucket?<br>Check a minimum of two red sanitizer buckets/spray bottles.
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Criteria Not Met
- 1(Critical) Sanitizer not 200-400 ppm
- 2 (Critical) In use wiping cloths not stored correctly
- 3 (Major) No red sanitizer bucket/spray bottle
- 4 (Major)No green detergent bucket/spray bottle
- 5 (Major) Green buckets with sanitizer
- 6 (Major) Red buckets with detergent
- 7 (Major) Sponges/metal scrub pads used
- 8 (Major) Buckets/bottles stored above food
- 9 (Major) Buckets have dirty water and debris
- 10 (Major) Disposable cloth not used
- 11 (Major) Bucket stored on floor
- 12 (Minor) Bucket stored on top of milk crates, soda and/or bread racks
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Dining
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Q8. Is the high-temperature dish machine sanitizing at the required minimum surface temperature of 160°F (71°C) or is the low temperature dish machine at the required sanitizer concentration? Is the Dish machine log available and completed?
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Criteria Not Met
- 1 (Critical) Thermolabel does not change color at 160°F (71°C)
- 2 (Critical) Digital thermometer not 160°F (71°C)
- 3 (Critical) Chlorine not 100 ppm
- 4 (Critical) Test equipment not usable/correct
- 5 (Major) Test equipment not accessible
- 6 (Major) Log not available or completed for the prior week
- 7 (Minor )Log not available or in use for the day/previous day
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q9. Is the three-compartment sink stocked appropriately, in good repair, and equipped to provide wash water at a minimum of 113°F (45°C) and sanitizer at the correct quaternary ammonium concentration of<br>200-400 ppm?
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Criteria Not Met
- 1 (Critical) No water
- 2 (Critical) No sanitizer
- 3 (Critical) No detergent
- 4 (Critical) No working ware washing sink
- 5 (Major) Sink not clean
- 6 (Major) Wash water not above 113°F (45°C)
- 7 (Major) No separation of clean and unclean items
- 8 (Minor) No trash can available
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q10. Are all sanitizer dispensers equipped to provide quaternary ammonium concentration at 200-400 ppm? Is the Sanitizer Dispenser log available and completed?
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Criteria Not Met
- 1 (Critical) Sanitizer not 200-400 ppm
- 2 (Critical) Test strips not usable
- 3 (Major) Test strips not accessible
- 4 (Major) Log not available or completed for the prior week
- 5 (Minor) Log not available or in use for the day/previous day
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Dining
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Q11. Is raw, unwashed produce washed prior to use in a clean and sanitized food preparation sink?
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Criteria Not Met
- 1 (Critical) Produce not washed in food prep sink
- 2 (Critical) Produce not washed prior to use
- 3 (Critical) Sink not sanitized prior to use
SAFE TEMPERATURES
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Dining | Concessions
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Q12. Are hot Ready-to-Eat PHF foods at ≥140°F (60°C)? Check at least 2 hot Ready-to-Eat PHF for each hot holding equipment/service area. Are the logs available and in use?
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Criteria Not Met
- 1 (Critical) Hot RTE PHF not at ≥140°F (60°C)
- 2 (Critical) Hot holding equipment not working
- 3 (Critical) TPHC written procedures not approved and/or properly used
- 4 (Major) Log not available or completed for the prior week
- 5 (Minor) Log not available or in use for the day/previous day
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Record food name and temperature:
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Dining | Concessions
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Q13. Are cold Ready-to-Eat PHF foods at ≤40°F (4°C)? Check at least 2 cold Ready-to-Eat PHF in each refrigerator/service station/air screen/Grab-n-Go unit. Are the logs available and in use?
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Criteria Not Met
- 1 (Criteria) Cold RTE PHF not at ≤40°F (4°C)
- 2 (Criteria) Cold holding equipment not working
- 3 (Criteria) TPHC written procedures not approved and/or properly used
- 4 (Major) Log not available or in use for the prior week
- 5 (Minor) Log not available or in use for the day/ previous day
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Record food name and temperature:
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Dining
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Q14. Are foods being cooled to 68°F (20°C) within 2 hours and finally cooled to ≤40°F (4°C) within 4 hours in the storage refrigerator? Check Cooling log to identify cooling/cooled foods from current/previous day.
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Criteria Not Met
- 1 (Critical) Foods not cooled to 68°F (20°C) in 2 hours
- 2 (Critical) Cooled food not at ≤40°F (4°C)
- 3 (Critical) Par cooked PHF food not at ≤40°F(4°C)
- 4 (Major) Log not available or completed for the prior week
- 5 (Minor) Log not available or in use for the day/previous day
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Record food name and temperature:
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Dining | Refreshments With Bulk Dispensing | Refreshments without Bulk Dispensing
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Q15. Are receiving temperatures documented with corrective actions?
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Criteria Not Met
- 1 (Major) Receiving log not available or not completed
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Dining
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Q16. Are foods being thawed/slacked according to the standard?
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Criteria Not Met
- 1 (Major) Thawing at room temperature
- 2 (Major) Thawing in standing water
- 3 (Major) Thawing in running water >70°F(21°C)
- 4 (Minor) Thawing in direct contact with water
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q17. Do the refrigerators/freezers/air screen and Grab-n-Go equipment have working internal hanging thermometers with logs available and completed for either a manual or automated process?
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Criteria Not Met
- 1 (Major) Thermometers not present or broken
- 2 (Major) Log not available or completed for the prior week
- 3 (Minor) Log not available or in use for the day/previous day
SEPARATE
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Dining | Concessions
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Q18. Are all foods stored in refrigerators arranged to keep raw (PHF) food and unwashed produce separated from Ready-to-Eat food?
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Criteria Not Met
- 1 (Critical) RTE food contaminated
- 2 (Critical) No top-to-bottom storage system
- 3 (Critical) No horizontal storage system
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q19. Are all foods and single-use articles stored to prevent cross contamination in refrigerators/freezers, dry storage, preparation and service areas?
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Criteria Not Met
- 1 (Critical) Not stored 6 in. (15 cm.) above floor
- 2 (Critical) Not in proper storage area
- 3 (Major) Not in contact with walls
- 4 (Major) Not 18 in. (46 cm.) below ceiling in dry storage
- 5 (Major) Not stored to prevent cross contamination
- 6 (Minor) Stored on top of soda/milk/bread crates
COOK
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Dining | Concessions
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Q20. Are (PHF) foods cooked/reheated to the minimum internal temperatures/times? Are the logs available and in use?
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Criteria Not Met
- 1 (Critical) Incorrect cooking/reheating temperature
- 2 (Major) Log not available or completed for the prior week
- 3 (Minor) Log not available or in use for the day/previous day
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Record food name and temperature:
MANAGEMENT
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q21. Is there at least a manager or employee present at the time of the inspection with a current (not expired) TrainCan ADVANCED.fst Certification or other approved certifications?
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Criteria Not Met
- 1 (Critical) Certified person not present
- 2 (Critical) Certificate not available
- 3 (Major) Certificate expired
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q22. Have all of the food safety violations been addressed from the previous Regulatory and/or third party inspection? (e.g., Health Department, Third Party food safety audit, any line of business regulatory<br>requirement)
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Criteria Not Met
- 1 (Critical) Previous violations not fixed
- 2 (Major) Regulatory inspection not available
- 3 (Major) Third Party food safety audit not available
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q23. Are managers and employees aware of what action to take if they have a foodborne illness and/or vomiting and diarrhea?
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Criteria Not Met
- 1 (Critical) Manager not aware of what to do if they have a foodborne illness
- 2 (Critical) Employee not aware of what to do if they have a foodborne illness
- 3 (Critical) Manager not aware of what to do if they have vomiting/diarrhea
- 4 (Critical) Employee not aware of what to do if they have vomiting/diarrhea
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q24. Is smoking, eating, drinking, tobacco use or chewing gum observed only in designated area?
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Criteria Not Met
- 1 (Critical) Drinking
- 2 (Critical) Eating
- 3 (Critical) Smoking, chewing tobacco, cigarettes
- 4 (Critical) Chewing gum
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q25. Is the location free from any physical evidence of pests (e.g., rats, mice, cockroaches, flies, droppings)?
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Criteria Not Met
- 1 (Critical) Pests visible
- 2 (Critical) Physical evidence of pests
- 3 (Major) Log not available/completed
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q26. Are foods stored in refrigerators/freezers accurately labeled and not expired?
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Criteria Not Met
- 1 (Critical) RTE PHF not accurately labeled
- 2 (Critical) Product expired
- 3 (Major) Raw PHF not accurately labeled
- 4 (Minor) Non-PHF not accurately labeled
- 5 (Critical) labels not being used
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q27. Are digital thermometers available, accurate and sanitized prior to testing internal food temperatures?
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Criteria Not Met
- 1 (Critical) Not available or used
- 2 (Critical) Not being sanitized prior to use
- 3 (Major) Log not completed
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q28. Is the Food Allergy policy and visual aid displayed?
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Criteria Not Met
- 1 (Major) Food Allergy policy not displayed
- 2 (Major) Food Allergy Visual Aid not displayed
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q29. Are food-contact surfaces; equipment, utensils and cutting boards in good condition?
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Criteria Not Met
- 1 (Major) Surfaces not durable/porous/clean
- 2 (Major) Utensils and/or equipment chipped/broken
- 3 (Major) Utensils and/or equipment rusted
- 4 (Major) Knife blades have kinks/bends/broken
- 5 (Major) Can openers dull/chipped
- 6 (Major) Cutting board not in good condition
- 7 (Major) Slip board not in good condition
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q30. Are all employees and visitors wearing approved hair restraints (e.g., hat or visor & hairnet or hairnet) and clean uniforms?
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Criteria Not Met
- 1 (Minor) No restraints for hair longer than ¼ in. (0.6 cm.)
- 2 (Minor) Shoulder length hair not in a ponytail
- 3 (Minor) Shoulder length ponytail not in a bun
- 4 (Minor) No facial hair restraint for beards longer than ¼ in. (0.6 cm.)
- 5 (Minor) Uniform/apron/clothing not clean
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Dining | Concessions | Refreshments With Bulk Dispensing
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Q31. Are all employees and visitors following the jewelry standards?
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Criteria Not Met
- 1 (Minor) Jewelry worn on arms/wrists
- 2 (Minor) Non-plain ring worn and/or more than one ring worn
- 3 (Minor) Necklace worn above uniform
- 4 (Minor) Ear/facial stud larger than ¼ in. (0.6 cm)
- 5 (Minor) Ear/facial non-stud worn
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q32. Are personal belongings stored in designated area(s) (Employee locker/break room or labeled bin) according to the standard?
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Criteria Not Met
- 1 (Minor) Belongings not in designated area
- 2 (Minor) Designated areas not according to standard
- 3 (Minor) Food/drinks not in designated area
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Dining | Concessions
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Q33. Is the Consumer Advisory for raw or undercooked foods available in the menu, on a menu board, or on table tents where raw or undercooked foods are being served?
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Criteria Not Met
- 1 (Minor) Consumer Advisory not available
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q34. Are nonfood-contact surfaces; equipment, floors, walls and ceilings in good repair?
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Criteria Not Met
- 1 (Minor) Gaskets not in good repair
- 2 (Minor) Equipment not in good repair
- 3 (Minor) Floors not in good repair
- 4 (Minor) Walls not in good repair
- 5 (Minor) Ceilings not in good repair
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q35. Are all lighting sources properly shielded in areas where food, service utensils and equipment are stored or prepared?
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Criteria Not Met
- 1 (Minor) Light bulbs not shatterproof or shielded
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Dining | Concessions | Refreshments With Bulk Dispensing | Refreshments Without Bulk Dispensing
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Q36. Are foods stored in dry storage not expired?
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Criteria Not Met
Sign-off
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QA Completed By: