Title Page

  • Conducted on

  • Prepared by

Cleanliness

  • Are all surfaces clean and sanitized?

  • Breading Table

  • Fryers

  • Boards Area

  • Prep Table

  • Prep Room

  • Is all equipment in good repair? If no- send slack with issue to be addressed immediately.

  • Are all hand sinks properly stocked? (soap, sanitizer, paper towels)

Hand Sink Temps

  • Temp of each sink

  • Temp

Double Thaw Cabinet Temp

  • Temp

  • Temp

Single Thaw Cabinet Temp

  • Temp

  • Temp

Cold Rail Temp

  • Temp

  • Temp

Low Boy Cooler

  • Temp

  • Temp

Cook Line Cheese

  • Temp

  • Temp

Cook Line Tomatoes

  • Temp

  • Temp

Cook Line Filet

  • Temp

  • Temp

Cook Line Nuggets

  • Temp

  • Temp

  • Timer set

Cook Line Spicy fliets

  • Temp

  • Temp

  • Timer set

Cook Line Strips

  • Temp

  • Temp

  • Timer set

Cook Line Grilled filets

  • Temp

  • Temp

  • Timer set

Cook Line Grilled Nuggets

  • Temp

  • Temp

  • Timer set

Breading table

  • Breading Table Temp? Inside and outside reading

  • Milk wash Temp

  • Temp

  • Raw chicken temp

  • Temp

  • Timer set

Walk in

  • All items properly labeled

  • All items properly covered

  • Temp of Cooler

Produce wash

  • Strength

  • Strength

Prep Table Sliced Chicken

  • Temp

  • Temp

  • All items labeled?

  • All items properly covered

  • Table Temp

  • Temp

Prep Table Spicy Chicken

  • Temp

  • Temp

3 Compartment Sink Sanitizer

  • Strength

  • Strength

Chicken Chopper

  • Clean

  • Sanitized

  • In use/ to be washed

Lettuce Spinner

  • Clean

  • Sanitized

  • In use/to be washed

Tomato Slicer

  • Clean

  • Sanitized

  • In use/ to be washed

Front Counter Side Salad

  • Temp

  • Temp

Front Counter Parfaits

  • Temp

  • Temp

Front Counter Market Salads

  • Temp

  • Temp

Chemical Safety

  • Sanitizer wipes available

  • No chemical bottles on food surface area

  • All chemicals available and stocked

  • Are all chemicals stored in approved area away from food prep surfaces?

  • Are all chemicals in approved bottles properly labeled?

Ice Machine

  • Door Mold Free

  • Door Sanitized

  • Door Rails Mold Free

  • Door Rail Sanitized

  • Under Bin Lid Mold Free

  • Under Bin Lid Sanitized

  • Food Safe

  • Select date

  • Add signature

Employee Items

  • Are employee bags/clothing only on bottom shelf in prep room?

  • Are all drinks stored above CO2 Tank (not on shelf or food prep surface)?

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.