Title Page
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Conducted on
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Prepared by
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Store Location
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GM
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Manager On Duty
Extremes
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Dough Management: No sheeted dough, no dough expired for 5 days, no green dough in use, not out of any size dough, not out of pan dough
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No more than 4 non-dough expired products. 5 or more is -10
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Any refrigeration unit over 50 degrees F / 10 degrees C that has food stored
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Store Equipment excessively dirty / broken due to neglect - Includes walls, floors, ceilings, makelines, walk-ins, heat racks, ovens, screens, sandwich mats
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Grooming / Uniform Issues: 3 or more employees is -10
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Pest Control: Pest control not done on a 4-6 week basis, pest control documentation not posted, evidence of pests / rodents in store
Product (38 Points)
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Pizza #1
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Size, Crust, Toppings?
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What was wrong?
- Rim
- Size
- Portion
- Placement
- Bake
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Size, Crust, Toppings?
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Pizza #2
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Size, Crust, Toppings?
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Size, Crust, Toppings?
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What was wrong?
- Rim
- Size
- Portion
- Placement
- Bake
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Pizza #3
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Size, Crust, Toppings?
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What was wrong?
- Rim
- Size
- Portion
- Placement
- Bake
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Size, Crust, Toppings?
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Pizza #4
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Size, Crust, Toppings?
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What was wrong?
- Rim
- Size
- Portion
- Placement
- Bake
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Size, Crust, Toppings?
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Pizza #5
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Size, Crust, Toppings?
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What was wrong?
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Size, Crust, Toppings?
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Side 1
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Which Side?
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Which Side?
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What was wrong?
- Rim
- Size
- Portion
- Placement
- Bake
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Side 2
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Which Side?
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Which Side?
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What was wrong?
- Rim
- Size
- Portion
- Placement
- Bake
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Side 3
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Which Side?
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Which Side?
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What was wrong?
- Rim
- Size
- Portion
- Placement
- Bake
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Dough Properly Managed
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Proper Pizza Procedures in Use
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Proper Side Item Procedures in Use
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Adequate PRP
Food Safety (22 Points)
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All products within shelf life and properly dated - Labels MUST be facing outward.
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Refrigeration in spec - Walk-in (33-38), Makeline Cabinet / Rail (33-41), Soda Coolers (33-43) Any other coolers (33-41). All products above 42F for more than 2 hours DISCARDED.
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Monthly Pest Control Service in Place
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Proper End Bake Temps - All products MUST be at least 165F
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Store Personel maintain proper appearance and hygiene standards
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Proper Hand Washing, sanitizing, dishwashing procedures followed. Supplies adequately stocked and readily accessible.
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All food contact surfaces, smallwares, and utensils clean and sanitized.
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Proper food and beverage handling procedures in use - no bare handed contact with post-bake!
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Food packaging products, food contact surfaces, equipment and chemicals protected from cross-contamination and stored off of floor
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Sanitizer with-in proper range
Image and Cleanliness (18 Points)
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Domino's logo apparel (hats, shirts, shorts/pants/skirts, and outerwear) worn properly and represents a positive brand image
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Aprons must be clean and worn durin food preparation, and NOT outside the store
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Hot bags are clean and free of debris
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Store Wall, floors, baseboards, and equipment are clean and free of dirt and debris
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Customer area walls, floors, and baseboards are clean and free if dirt and debris
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Customer area seating, counter, and surfaces are clean, sanitized and free of dirt and debris
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Restrooms are clean, sanitary, and fully stocked
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Walk-in is clean, free of debris, mold and mildew
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Makeline and additional refrigeration units are clean, free of debris, mold, mildew
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Store setup properly during operational hours
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Parkinglot and entryway sidewalk are free of debris and windows and windowsills are clean
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Bake-wares clean and free of excessive carbon build-up
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Oven catch trays, oven exterior, and heat rack are free of built-up debris
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Delivery vehicles represent positive brand image
Equipment & Store Condition (16 Points)
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Store Ceiling, T-Bars, ad vents are clean and not broken, chipped or cracked.
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Store walls, floors, and baseboards are not broken, chipped or cracked
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Hand sinks operational and handwashing reminder signage is present
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Customer area seating, counter and tables are not faded, broken, chipped or cracked
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Restrooms and fixtures are not broken, chipped or cracked
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Parking lot, entryway sidewalk, and customer facing store exterior are clean and not damaged
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Signage is clean, properly illuminated and not damaged
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Refrigeration and/or HVAC units operational, not broken, chipped, or cracked and free of rust
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Calibrated thermometers available
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Small-wares and utensils are not broken, chipped or cracked
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Bake-wares are not damaged
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Oven fingers and hood clean and free from excessive grease buildup and yellowing. Oven, hood, and heat rack are operational
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Sufficient number of hot bags available and are not torn, faded or melted
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Calibrated, working scales and product job aids available
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Caller ID is installed and working
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Safe, Tills, and drop boxes are present, operational and secured
Brand Safety (6 Points)
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Delivery experts making drops (cash drop OR lock box), carrying less than $20
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Security Callbacks are completed for new and suspicious orders, and for orders where caller ID is unavailable
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Safe in use and deposit procedures followed
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No more than $150 in front till
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Safety equipment in use and store personnel delivering safely to customers