Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Personal Hygiene

  • Employees wear clean and proper uniform?

  • Hair restraints are worn?

  • Fingernails are short unpolished and clean "no artificial nails worn"?

  • Jewelry is limited to a plain ring, such as a wedding band and a watch?

  • Hands are washed properly, frequently and at appropriate times?

  • Burns, wounds, sores or scabs, or splints and waterproof bandages on hands are bandaged and completely covered with a foodservice golve while handling food?

  • Eating, drinking, chewing gum, smoking or using tobacco are allowed only in designated areas?

  • Employees appear in good health?

  • Hand sinks are clean, unobstructed and operational?

  • Hand sinks are stocked with soap, disposable towels and warm water. Hand washing poster is present?

Food Preperation

  • All food stored used and stored isbfrom approved sources?

  • Equipment, utensils and contact surfaces are properly washed, rinsed and sanitized before every use?

  • Frozed food is thawed under refrigeration or cold running water?

  • Preparation is planned so ingredients are kept out of the temperature danger zone to the extent possible?

  • Procedures are in place to prevent cross-contamination?

  • Food is handled with suitable utensils, such as single use gloves or tongs?

  • Food is cooked to the required safe internal temperature for the appropriate time. The temperature is tested with a calibrated food thermometer?

  • The internal temperature of food being cooked is monitored and documented?

Hot Holding

  • Hot holding is clean?

  • Food is heated to the required safe internal temperature before placing in hot holding? Hold holding units are not used to reheat Potentially hazardous foods?

  • Hot holding unit is pre-heated before hot food is placed in unit?

  • Temperature of hot food being held is at at or above 135 F?

  • Food is protected from contamination?

Cold Holding

  • Refrigerators are kept clean and organized?

  • Temperature of cold food being held is at or below 41F?

  • Food is protected from contamination?

Refrigerator and Freezer

  • Thermometers are available and accurate?

  • Temperature is appropriate for pieces of equipement?

  • Food is stored 6" off floor?

  • Refrigerator and freezer unitvare clean and neat?

  • Proper chilling procedures are used?

  • All food is properly wrapped, labeled and dated?

  • The FIFO method of inventory management is used?

  • Ambient air temperature is monitored and documented at beginning and end of each shift?

Food Storagevand Dry Storage

  • Temperature od dry storage area is between 50F and 70F?

  • All food and paper supplies are stored 6-8" off floor?

  • All food is labeled with name and received date?

  • Open bags of food are stored in containers with tight fitting lids and labeled with common name?

  • The FIFO method is used?

  • There are no bulging or leaking canned gooda?

  • Food is protected from contamination?

  • All food surfaces are clean?

  • Chemicals are clearly labeled and stored away from food and food related supplies?

  • There is a regular cleaning schedule for all food surfaces?

Cleaning and Sanitizing

  • 3 compartment sink is properly set up for ware washing?

  • Dishmachine is working properly?

  • Water is clean and free of grease and food particles?

  • Water temperatures are correct for wash and rinse?

  • Smallware and utensils are allowed to air dry?

  • Wiping cloths are stored in sanitizing solution while in use?

Utensils and Equipment

  • All small equipment and utensils, including cutting boards and knives, are cleaned and sanitized between uses?

  • Small equipment and utensils are washed, sanitized and air dried?

  • Work surfaces and utensils are cleaned?

  • Work surfaces are clean and sanitized between uses?

  • Thermometers are cleaned and sanitized after each use?

  • Can opener is clean?

  • Drawers and racks are clean?

  • Clean utensils are handled in manner to prevent contamination of areas that will be in direct contact with food or a persons mouth?

Large Equipment

  • Food slicer is cleaned?

  • Food slicer is broken down, clean and sanitized before and aftervevery use?

  • Boxes, containers and recyclables are removed from site?

  • Loading dock and area around dumpsters are clean and odor-free?

  • Exhaust hood and filters are clean?

Garbage Storage and Disposal

  • Kitchen garbage cans are kept clean?

  • Garbage cans are emptied as necessary?

  • Boxes and containers are removed from site?

Pest Control

  • No evidence of pests is present?

  • There is a regular schedule of pest control by license PCO?

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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.