CHUCK LAGER HEALTH INSPECTION*

• Conducted on

  Date

• Prepared by

• Sink temperature above 120 degrees

  Yes

  No

  N/A

• Paper towels stocked

  Yes

  No

  N/A

• Hand soap filled

  Yes

  No

  N/A

• Dish machine clean and operational

  Yes

  No

  N/A

• Chemicals stocked

  Yes

  No

  N/A

• Glassware put away

  Yes

  No

  N/A

• Storage rack and counter clean top and inside

  Yes

  No

  N/A

• Dump sink clean, free of Mold

  Yes

  No

  N/A

• Storage next to dump sink clean above and below mat, all equipment put away

  Yes

  No

  N/A

• Freezer running & clean. Free of Mold. All products must be covered.

  Yes

  No

  N/A

• Backup thermometer in freezer

  Yes

  No

  N/A

• Soda nozzle and holder clean

  Yes

  No

  N/A

• 3 compartment sink filled (soap, water, sanitizer) Free of Mold

  Yes

  No

  N/A

• Hand wash sink 120 degrees. Free of Mold

  Yes

  No

  N/A

• Soap and paper towels stocked

  Yes

  No

  N/A

• Storage next to sink clean and organized

  Yes

  No

  N/A

• Freezer running & clean. Free of Mold. All products must be covered.

  Yes

  No

  N/A

• Back-Up thermometer in freezer

  Yes

  No

  N/A

• Soda nozzle and holster clean

  Yes

  No

  N/A

• ice bin full and clean. Free of Mold Above and Below lid

  Yes

  No

  N/A

• all speed rails wiped down

  Yes

  No

  N/A

• all bottles wiped down

  Yes

  No

  N/A

• beer taps wiped down

  Yes

  No

  N/A

• beer tap drains clean and sanitized

  Yes

  No

  N/A

• storage fridge (left) cleaned and stocked

  Yes

  No

  N/A

• all juices and fruits dated and labled

  Yes

  No

  N/A

• gasket in good repair

  Yes

  No

  N/A

• two thermometers

  Yes

  No

  N/A

• beer fridge cleaned and stocked

  Yes

  No

  N/A

• Gasket in good repair

  Good

  Fair

  Poor

  N/A

• backup thermometer

  Yes

  No

  N/A

• storage fridge (right) cleaned and stocked

  Yes

  No

  N/A

• all juices and fruit dated and labled

  Yes

  No

  N/A

• gasket in good repair

  Yes

  No

  N/A

• two thermometers

  Yes

  No

  N/A

• frose machine cleaned, nozzles free of mold and debris, drip pans cleaned and sanitized

  Yes

  No

  N/A

• Wine cooler is clean and in good repair. Free of Mold

  Yes

  No

  N/A

• wine cooler gaskets

  Good

  Fair

  Poor

  N/A

• dump sink clean. Free of Mold

  Yes

  No

  N/A

• soda station clean and sanitized

  Yes

  No

  N/A

• all soda nozzles clean

  Yes

  No

  N/A

• sanitizer bucket

  Yes

  No

  N/A

• glass shelf and shelf under soda machine organized, cleaned and sanitized

  Yes

  No

  N/A

• Ice bin clean and free of debris. Free of Mold

  Yes

  No

  N/A

• Speed rails cleaned and sanitized

  Yes

  No

  N/A

• beer cooler stocked and cleaned

  Yes

  No

  N/A

• all juices and fruit dated and labled

  Yes

  No

  N/A

• gaskets in good repair

  Good

  Fair

  Poor

  N/A

• backup thermometer

  Yes

  No

  N/A

• sink 120 degrees

  Yes

  No

  N/A

• soda nozzle and holster cleaned and sanitized

  Yes

  No

  N/A

• ice bin clean and free of debris. Free of Mold Avobe and Below Lid

  Yes

  No

  N/A

• hand was sink 120 degrees. Free of Mold

  Yes

  No

  N/A

• Paper towels and soap stocked

  Yes

  No

  N/A

• Freezer clean and free of debris. Free of Mold

  Yes

  No

  N/A

• dish machine cleaned and operating properly

  Yes

  No

  N/A

• all chemicals stocked

  Yes

  No

  N/A

• all cleaned glasses and equipment put away and organized

  Yes

  No

  N/A

Women’s bathroom

• Trash cans emptied and cleaned from the inside and outside

  Yes

  No

  N/A

• Handicap stall sink 120 degrees

  Yes

  No

  N/A

• soap and paper towels stocked

  Yes

  No

  N/A

• all toilets cleaned inside and out

  Yes

  No

  N/A

• ladies sanitation garbage in stall cleaned and emptied

  Yes

  No

  N/A

• hand wash sink 120 degrees

  Yes

  No

  N/A

• soap and paper towels stocked

  Yes

  No

  N/A

• mirrors wiped down

  Yes

  No

  N/A

• underneath sink storage organized and cleaned

  Yes

  No

  N/A

Men’s bathroom

• Hand wash sink 120 degrees

  Yes

  No

  N/A

• soap and paper towels stocked

  Yes

  No

  N/A

• trash cans emptied and cleaned

  Yes

  No

  N/A

• urinal clean with fresh pad

  Yes

  No

  N/A

• handicap stall sink 120 degrees

  Yes

  No

  N/A

• paper towels and soap stocked

  Yes

  No

  N/A

• underneath sink storage organized and cleaned

  Yes

  No

  N/A

• Condiment chiller on and cleaned

  Yes

  No

  N/A

• plate shelves stocked and clean

  Yes

  No

  N/A

• Trays cleaned and sanitized

  Yes

  No

  N/A

• expo counter cleaned and wiped down

  Yes

  No

  N/A

• sanitizer bucket

  Yes

  No

  N/A

• plate shelves cleaned and stocked

  Yes

  No

  N/A

• heaters clean

  Yes

  No

  N/A

• handwash sink not blocked, stocked with paper towels and soap. Free of Mold

  Yes

  No

  N/A

• server fridge cleaned

  Yes

  No

  N/A

• all product in server fridge covered, labels, dated

  Yes

  No

  N/A

• gaskets in good repair

  Good

  Fair

  Poor

  N/A

• Two thermometers

  Yes

  No

  N/A

• coffee,tea,espresso machines cleaned and sanitized

  Yes

  No

  N/A

• soda and tea nozzles cleaned

  Yes

  No

  N/A

• dump sink 120 degrees. Free of Mold

  Yes

  No

  N/A

• clean and free of debris

  Yes

  No

  N/A

• glass shelves cleaned (under mats)

  Yes

  No

  N/A

• Glass shelves matting in good repair

  Yes

  No

  N/A

• soda machine cleaned

  Yes

  No

  N/A

• ice bin is clean, free of debris and mold. Free of Mold Avobe and Below Lid

  Yes

  No

  N/A

• All storage shelves cleaned and organized

  Yes

  No

  N/A

• all bottle holders clean

  Yes

  No

  N/A

• all bottles/shakers clean

  Yes

  No

  N/A

• all tuna opened

  Yes

  No

  N/A

• fridge clean and stocked

  Yes

  No

  N/A

• gaskets in good repair

  Yes

  No

  N/A

• all product in date

  Yes

  No

  N/A

• two thermometers

  Yes

  No

  N/A

• cutting board in good repair

  Yes

  No

  N/A

• all tabletops cleaned

  Yes

  No

  N/A

• turbo chef cleaned inside and out

  Yes

  No

  N/A

• turbo chef working properly

  Yes

  No

  N/A

• freezer clean and free of ice build up

  Yes

  No

  N/A

• two thermometers

  Yes

  No

  N/A

• Hand wash sink 120, Free of Mold

  Yes

  No

  N/A

• sink not blocked

  Yes

  No

  N/A

• soap and paper towels stocked

  Yes

  No

  N/A

• Grill cleaned and operating properly

  Yes

  No

  N/A

• grill free of grease build up

  Yes

  No

  N/A

• hood vents clean and in good repair

  Good

  Fair

  Poor

  N/A

• bun toaster clean and operating properly

  Yes

  No

  N/A

• steam table cleaned and filled with water

  Yes

  No

  N/A

• steam table product temperature

• cutting boards in good repair

  Yes

  No

  N/A

• fridge cleaned and stocked

  Yes

  No

  N/A

• gaskets

  Good

  Fair

  Poor

  N/A

• back up thermometer

  Yes

  No

  N/A

• all product in date

  Yes

  No

  N/A

• sanitizer bucket

  Yes

  No

  N/A

• computer sanitized

  Yes

  No

  N/A

• all food items labeled and in date

  Yes

  No

  N/A

• Pasta cooker boiling with clean water

  Yes

  No

  N/A

• pasta cooker clean inside and out

  Yes

  No

  N/A

• all burners clean and in good repair

  Yes

  No

  N/A

• stove clean and working properly

  Yes

  No

  N/A

• cheese melt clean and working properly

  Yes

  No

  N/A

• Hood vents clean and in good repair

  Good

  Fair

  Poor

  N/A

• Cutting board in good repair

  Yes

  No

  N/A

• All fridges cleaned and stocked

  Yes

  No

  N/A

• all tuna opened

  Yes

  No

  N/A

• gaskets

  Good

  Fair

  Poor

  N/A

• all product labeled and in date

  Yes

  No

  N/A

• sanitizer bucket

  Yes

  No

  N/A

• Hood vents clean and in good repair

  Good

  Fair

  Poor

  N/A

• shelves cleaned

  Yes

  No

  N/A

• all fryers cleaned inside and out

  Yes

  No

  N/A

• fryers working properly

  Yes

  No

  N/A

• oil quality

  Good

  Fair

  Poor

  N/A

• steam table cleaned top to bottom

  Yes

  No

  N/A

• steam table water filled

  Yes

  No

  N/A

• steam table in good repar

  Yes

  No

  N/A

• steam table product temperature

• all fridges cleaned and stocked

  Yes

  No

  N/A

• two thermometers

  Yes

  No

  N/A

• behind drawers wiped down and free of debris

  Yes

  No

  N/A

• gaskets in good repair

  Good

  Fair

  Poor

  N/A

• All product labeled and in date

  Yes

  No

  N/A

• cutting boards in good repair

  Good

  Fair

  Poor

  N/A

• pizza oven cleaned and brushed out

  Yes

  No

  N/A

• pizza oven in good repair

  Yes

  No

  N/A

• Freezer cleaned and stocked

  Yes

  No

  N/A

• backup thermometer

  Yes

  No

  N/A

• turbo chef cleaned inside and out

  Yes

  No

  N/A

• turbo chef in good repair

  Yes

  No

  N/A

• hand wash sink 120 degrees. Free of Mold

  Yes

  No

  N/A

• hand wash sink not blocked, soap and paper towels stocked

  Yes

  No

  N/A

• sanitizer bucket

  Yes

  No

  N/A

• Cooler temperature

• backup thermometer

• All shelves cleaned

  Yes

  No

  N/A

• floor cleaned

  Yes

  No

  N/A

• floor in good repair

  Yes

  No

  N/A

• All product labeled and in date

  Yes

  No

  N/A

• proper storage heirarchy

  Yes

  No

  N/A

• fans clean and free of mold

  Yes

  No

  N/A

• All shelves cleaned and organized

  Yes

  No

  N/A

• hand wash sink clean. Free of Mold

  Yes

  No

  N/A

• hand wash sink not blocked

  Yes

  No

  N/A

• soap and paper towels stocked

  Yes

  No

  N/A

• combi oven cleaned inside and out and in good repair

  Yes

  No

  N/A

• hood vents cleaned and in good repair

  Good

  Fair

  Poor

  N/A

• Smoker cleaned and in good repair

  Yes

  No

  N/A

• alto shaam cleaned and in good repair

  Yes

  No

  N/A

• temperature of product in alto shaam

  Yes

  No

  N/A

• speed rack clean

  Yes

  No

  N/A

• all product stored properly

  Yes

  No

  N/A

• Slicer cleaned and sanitized

  Yes

  No

  N/A

• tables cleaned and sanitized

  Yes

  No

  N/A

• mixer cleaned and in good repair

  Yes

  No

  N/A

• sink working properly

  Yes

  No

  N/A

• all shelving cleaned and organized

  Yes

  No

  N/A

• Ingredient bins clean and covered

  Yes

  No

  N/A

• sanitizer bucket

  Yes

  No

  N/A

• ice machine cleaned and sanitized

  Yes

  No

  N/A

• ice machine working properly

  Yes

  No

  N/A

• Water softener full of salt

  Yes

  No

  N/A

• all utensils hanging and organized

  Yes

  No

  N/A

• cutting boards cleaned and in good repair

  Yes

  No

  N/A

• hand wash sink 120 degrees. Free of Mold

  Yes

  No

  N/A

• Hand wash sink not blocked

  Yes

  No

  N/A

• all shelving by freezer cleaned

  Yes

  No

  N/A

• all shelves organized and items put away

  Yes

  No

  N/A

• mop sink cleaned and all tools hung. Free of Mold

  Yes

  No

  N/A

• chemicals stored properly

  Yes

  No

  N/A

• storage racks by freezer organized, not storage bins, everything needs to be put away

  Yes

  No

  N/A

• all bottles and water pitchers upside down

  Yes

  No

  N/A

• all stickers removed from pans

  Yes

  No

  N/A

• Freezer temperature

• Backup thermometer

  Yes

  No

  N/A

• All product labeled and roated

  Yes

  No

  N/A

• no product on floor

  Yes

  No

  N/A

• fans cleaned and free of mold

  Yes

  No

  N/A

• chemicals not empty and stored properly

  Yes

  No

  N/A

• dish machine cleaned and water changed

  Yes

  No

  N/A

• dish machine rinse temperature

• dish machine wash temperature

• booster heater working properly

  Yes

  No

  N/A

• all shelves cleaned and organized

  Yes

  No

  N/A

• 3 compartment sink filled (soap,water, sanitizer) Free of Mold

  Yes

  No

  N/A

• Steel Pools (Holds Glass Racks) Free of Mold

  Yes

  No

  N/A

• Fridge working properly, gaskets in good repair

  Yes

  No

  N/A

• backup thermometer

  Yes

  No

  N/A

• heaters working properly

  Yes

  No

  N/A

• all storage shelves clean and organized

  Yes

  No

  N/A

• all sauces in date (two day shelf life)

  Yes

  No

  N/A