Title Page
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Conducted on
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Prepared by
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Location
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Do all Hand washing sinks, Soap, Paper towels and hot water?
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The Kitchen is in clean & orginized and free of clutter?
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Floor Drains have been cleaned and sanitized
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All floors have boxes and items lifted off the ground by 6" of shelving?
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Temperature of your main cooler is below 41 degrees?
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Temperature of your main freezer is at or bellow Zero degrees?
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Taking a temperature of Sliced Tomatoes, what is the temperature? Please have Sliced Tomato and thermometer in the photo.
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Taking a Temperature of Cut Lettuce, what is the Temp?
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Taking a temperature of cut melons, what is the temperature?
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Does your establishment have food grade sanitizer on hand? Quat or some other type?
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Taking a temperature of one protein item, not in same cooler as last item.
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Do you have proper test strips for sanatizer?
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Is the condenser unit In the walk-in cooler free from ice and ice dripping onto food during defrost mode?
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personal consumtion drinks in the kitchen that do not have lids and straws attached? i.e cooks or dishwashers or servers have drinks in the kitchen or behind the bar.
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Do you have heat test strips for your hot water dish tank? They will turn black when the proper temperature has been reached. Please take a photo of the strip on a metal pan that has run a cycle through the dish tank.
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If you have a hot water dish tank with a booster heater is it reaching 180 or above?
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Rodant and Pest programs in effect?
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Garbage area is free of debris and trash laying around the dumpster or can area?
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Cooks handle ready to eat foods with proper gloves?
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Employee restrooms have proper signage about employees must wash hands before returning to work?
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is the hotels or restaurants fly program up to date?
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Hoods are clean and in good working order?
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All possible cross contamination risks have been evaluated by the manager on each station?
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Are there any equipment failures that need reported or fixed?
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All items in the coolers labeled and dated that are processed or outside of original packaging?
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Any opportunities you would like to report based on this self inspection?
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Managers Signature: All answers were truthful and the the best of my knowledge.
