Title Page
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Conducted on
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Prepared by
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Drink nozzles clean with no visible build up
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Drink Station Ice chute is clean with no visible mold or build up
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Fresh Brewed Tea is labeled with a 4 hr hold time??
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Bathrooms are properly stocked with paper towels, soap, tissue, running hot water at a minimum of 100F???
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Mirrors, commodes, floors, doors, and light fixtures are not broken and in good working condition??
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High chairs cleaned and sanitized with no visible food or stains. High chairs are in good working condition
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Visible wet floor signs
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Chemical bottles are properly labeled
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Bread is within the freshness date
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Condiment bottles have common names on it??
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24 hr hold time on all condiment bottles
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All produce and other ingredients in the sandwich cooler have a hold time??
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Hoods over grill area clean with no build up or grease
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Back splash in the grill and fryer area is cleaned and free of grease.
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Sanitizer water in the grill area is cleaned and not dirty or cloudy
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Sanitizer at 200-400 ppm in the grill area
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Fryers are filtered and skimmed
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Obstruction to the hand washing sink
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Hand washing sink temperature is minimum of 100F
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Hand washing sink in the kitchen is supplied with paper towel, soap, and trash can.
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Observed cooks wearing gloves while preparing or touching food
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Observed proper hand washing
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Reach in cooler 40 degrees or below
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Reach in freezer 0 +/- 10 Fahrenheit
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Ice buckets are upside down
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Ice scoop is in good condition. No visible cracks.
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Food is properly wrapped and stored in reach cooler.
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Food is properly wrapped and stored in the reach in freezer
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6hr hold time on bacon
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Towels are fully submerged in a sanitizer bucket of 200-400 ppm or of being used
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Plates and pan on the serving line turned upside.
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Gaskets on freezer and cooler doors are in good working condition
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Bulk sodas are dated and rotated
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Food in the cooler 6 inches off the ground
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All product in the walk in cooler is properly labeled
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Utensils are stored with the handles up.
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Dishes are cleaned with no visible dirt, food, or labels.
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Employees are in uniform according to Champion Corner LLC.
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3 compartment sinks are set up
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Detergent and Sanitizer in the are properly dispensing the correct strength of chemical solution.
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Mops are hung up and stored properly.
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Dish water temperature is at least a minimum of 110F at the 3 compartment sink??
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Temperature of Grits is a minimum of 140 F holding
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Temperature of Shrimp Gravy is a minimum of 140F holding. <br>
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Temperature of Chicken Wings Holding is a minimum of 140F
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Temperature of Cooked Sausage is a minimum of 140F
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Temperature of Hamburger in Aujus Sauce is a minimum of 140F
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Temperature of Shredded Cheese 40F or below
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30 days of Temperatures
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Are all floors, baseboard, and drains cleaned with no visible s
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Front reach in cooler is at 34 +/- 2 degree Fahrenheit
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All kitchen personnel have on proper hair restraint
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Restaurant maintains an A on the state health inspection
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Evidence of pest or rodents in the restaurant
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Observed cross contamination
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Prep sink clean and only use for prep.
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Equipment is clean, durable, and good condition.
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Dumpster door is closed and around the dumpster is cleaned.
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Is there a 5 hr hold time on grits??
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Is there a 5 hr hold time on shrimp gravy??
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Is there a 5 hr hold time on cooked chicken wings??
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Is there a 5 hr hold time on cheese sauce???
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Is there a 4hr hold time on Cooked Hamburgers in Aujus Sauce??
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Is there a Cross Connect or Back Flow in the water system??
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Sanitizer bucket at 200-400ppm in the prep sink area??