Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Exterior

  • Do any of the outside ledges have dirt on them?

  • How is the condition of the A-frame sign?

  • Is the HD frame in good shape? Cracked?

  • Are the door saddles clean?

  • Is the awning clean?

  • Are the outside lights working & clean?

  • Are the windows clean?

Dining room

  • Are the ceiling lights working?

  • Are all the ceiling tiles clean and do any of them look broken?

  • Are all of the ceiling vents free of dust?

  • If location has any ledges are they free of dust?

  • Are table and chairs clean? ( Top of the tables and legs, bottom of chairs)

  • Are any of the tables wobbly? If yes how many?

  • Do the floors look clean?

  • Are there any cracks in the floor?

  • Are all the barriers poles clean? Are the bottom base of them clean? Are any of them wobbly?

  • Are all pictures free of dust?

Restrooms

  • Is there a odor ?

  • Are all wall's clean and spot free ?

  • Are floors clean ? ( free of dirt buildup / no gum )

  • Are the baseboards clean ?

  • Are ceiling vents clean and dust free ?

  • Are all light working ?

  • Is the bathroom door ( free of black marks / paint in good condition / handle & lock working properly )

  • Sink ( Clean and spot free / Hot & Cold water working )

  • Mirror ( clean and streak free )

  • Toilet & Handrails ( toilet brush & plunger clean and properly stored )

  • Bathroom Signage ( no smoking / hand washing sign are up and in good condition )

  • Bathroom is properly stocked ( Soap / Toilet Paper / Paper towels )

  • Is bathroom check sheet up and in use ?

  • Trash Can ( Not full / clean on the outside / has self closing lid )

Dry Storage ( If a location has one )

  • Are all walls clean ?

  • Are floors clean and free of debris ?

  • Are baseboard clean and free of scuff marks ?

  • Are ceiling tiles in good condition ( no damaged tiles )

  • Are there any visible Holes/Crevices ? ( No visible holes conducive to pest activity )

  • Shelving is free of rust and debris, also at least 6 inches about floor level ?

Guest Service Line

  • Are wall's clean ? Is paint in good condition ?

  • Are floors clean and free of debris and buildup ?

  • Are baseboards clean and scuff free?

  • Are all ceiling tile clean and without damage ?

  • Is glass sneeze guard ( free of streaks / fingerprints / food residue / no excessive scratches , chips )

  • Counters ( No dirt buildup / Debris / Maintained during shift )

  • Cash Register ( No dirt buildup / Debris / Maintained during shift )

  • Hand Washing Sink ( Clean / Proper Signage / Towels & Soap stocked )

  • Front Line Soup Well ( No Dirt Buildup / All units working / Emptied and Cleaned Daily )

  • Salad Stations ( No dirt buildup / Shelves Clean / Glass free of debris )

  • Holes / Crevices ? ( No visible holes conducive to pest activity )

  • Menu Board lighting ( All clean and working )

  • Trash Bin's ( Clean inside & out / Self closing lid )

  • Floors under equipment ( No debris or buildup )

Delivery Station

  • Walls ( No black marks / paint in good condition )

  • Floors ( free of dirt build up / no gum )

  • Baseboards ( No dirt buildup )

  • Vents ( clean / no dust )

  • Lights ( free of dust and all working )

  • Counter ( Clean & free of clutter )

  • Holes & Crevices ( no visible holes conducive to pest activity )

  • Delivery Bags ( Clean and well maintained )

  • Packing Station ( Clean and well organized )

  • Trash Bin's ( Clean outside and inside / Self closing lid )

  • Floors under equipment ( No debris or dirt buildup )

Kitchen

  • Walls ( No black marks / Paint in good condition )

  • Floors ( free of dirt buildup / No gum )

  • Baseboards ( No dirt buildup )

  • Ceiling ( clean and no damaged tiles )

  • Vents ( free of dust )

  • Prep Tables ( no dirt buildup )

  • Food Processor ( clean and sanitized / all part accounted for / demo to ensure no safety override )

  • Digital Scale ( free of debris / dirt build up / keypad in working condition )

  • Shelving ( free of dirt buildup / rust )

  • Walk-in Refrigerator ( No dirt buildup / shelves clean / working thermometer )

  • Dish Sink ( No dirt buildup / faucets & drain in good working condition / strainer in place )

  • Grease Trap ( Emptied weekly / cleaning log completed weekly )

  • Holes & Crevices ( No visible holes conducive to pest activity )

  • Prep Sink ( No dirt buildup / food prep only sign )

  • Salad Spinner ( No debris / dirt buildup / no mildew

  • Stairs ( No dirt Buildup )

  • Freezer ( No dirt buildup / ice buildup / clean and spill free )

  • Mop Bucket ( No dirt buildup )

  • Emergency lights ( Clean and working properly )

  • Floor Drains ( Cleaned weekly / No dirt buildup conducive to fly breeding )

  • Trash Bin's ( cleaned inside and out / Self closing lid )

  • Floors under equipment ( Free of debris and dirt buildup )

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.