CFA MONTANA SAFETY AUDIT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

CHECK TEMPERATURES OF ALL REFRIGERATORS

TEMPERATURE OF WALK IN FREEZER TEMPERATURE OF WALK IN TEMPERATURE OF THAW CABINET 1 TEMPERATURE OF THAW CABINET 2 TEMPERATURE OF THAW CABINET 3 TEMPERATURE OF PREP FRIDGE TEMPERATURE OF PREP FRIDGE TEMPERATURE OF PREP TABLE FRIDGE TEMPERATURE OF SECONDARY FREEZER TEMPERATURE OF CENTERLINE 1 FRIDGE TEMPERATURE OF CENTERLINE 2 FRIDGE TEMPERATURE OF WAFFLE FRY FREEZER TEMPERATURE OF FC DOUBLE DOOR TEMPERATURE OF BAGGING FRIDGE TEMPERATURE OF DESSERT FRIDGE TEMPERATURE OF SHAKE BASE

HANDWASHING STATIONS

• RESTROOMS - DO BOTH MEN AND WOMEN RESTROOMS HAVE SOAP, SANITIZER, PAPER TOWELS, AND TP AVAILABLE?

  Yes

  No

  N/A

• MENS ROOM

  Yes

  No

  N/A

• LADIES ROOM

  Yes

  No

  N/A

• DO ALL HANDWASHING STATIONS IN THE KITCHEN AND BEHIND FRONT COUNTER HAVE SOAP, SANITIZER AND PAPER TOWELS AVAILABLE?

  Yes

  No

  N/A

• BREADING TABLE

  Yes

  No

  N/A

• PREP AREA

  Yes

  No

  N/A

• FRONT COUNTER SERVICE AREA

  Yes

  No

  N/A

TEST PPM OF SANITIZER

• ENTER STRENGTH OF SANITIZER FOR TRAYS

• ENTER STRENGTH OF SANITIZER FOR KITCHEN

• ENTER STRENGTH OF SANITIZER FOR FRONT COUNTER

HENNY PENNY TEMPS/GARLAND GRILL

Henny Penny 1 Henny Penny 2 Henny Penny 3 Henny Penny 4 Henny Penny 5 Garland Grill 1 Garland Grill 2

EQUIPMENT

• LETTUCE CHOPPER

• Clean and clear of food particles

• Sanitized

• In use/to be washed

• CHICKEN CHOPPER

• Clean and clear of food particles

• Sanitized

• In use/to be washed

• TOMATO SLICER

• Clean and clear of food particles

• Sanitized

• In use/to be washed

• ICE MACHINE

• Door Mold Free

• Door Sanitized

• Door Rails Mold Free

• Under Bin Lid Mold Free

• Under Bin Lid Sanitized