Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Kitchen
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Coffee Maker (1)
- 0
- 1
- 2
- 3
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No Coffee Maker
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Cutting Board (1)
- 0
- 1
- 2
- 3
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No Cutting Board
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Dish Rack (1)
- 0
- 1
- 2
- 3
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No Dish Rack
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Flashlight (1)
- 0
- 1
- 2
- 3
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No Flashlight
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Kitchen Wastebasket (1)
- 0
- 1
- 2
- 3
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No Wastebasket
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Pitcher w/ Lid (1)
- 0
- 1
- 2
- 3
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No Pitcher w/ Lid
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Tea Pot (1)
- 0
- 1
- 2
- 3
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No Tea Pot
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Toaster (1)
- 0
- 1
- 2
- 3
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No Tea Pot
Dinnerware
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Bowls (6)
- 6
- 6 or more
- Less than 6
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Total number of Bowls
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Total number of Bowls
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Coffee mugs/ Cups (6)
- 6
- 6 or more
- Less than 6
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Total number of Coffee Mugs/ Cups
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Total number of Coffee Mugs/ Cups
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Dinner Plates (6)
- 6
- 6 or more
- Less than 6
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Total number of Dinner Plates
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Total number of Dinner Plates
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Salad Plates
- 6
- 6 or more
- Less than 6
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Total number of Salad Plates
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Total number of Salad Plates
Glassware
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Large Glasses (6)
- 6
- 6 or more
- Less than 6
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Total number of Large Glasses
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Total number of Large Glasses
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Small Glasses (6)
- 6
- 6 or more
- Less than 6
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Total number of Small Glasses
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Total number of Small Glasses
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Wine Glasses (6)
- 6
- 6 or more
- Less than 6
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Total number of Wine Glasses
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Total number of Wine Glasses
Flatware / Knives
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Bread Knife (1)
- Yes
- No
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Carving Knife (1)
- Yes
- No
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Chef Knife (1)
- Yes
- No
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Dinner Forks (6)
- 6
- 6 or more
- Less than 6
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Total number of Dinner Forks
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Total number of Dinner Forks
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Dinner Knifes (6)
- 6
- 6 or more
- Less than 6
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Total number of Dinner Knives
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Total number of Dinner Knives
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Meat Fork (1)
- Yes
- No
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Paring Knife (1)
- Yes
- No
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Salad Forks (6)
- 6
- 6 or more
- Less than 6
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Total number of Salad Forks
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Total number of salad Forks
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Serving Spoons (2)
- Yes
- No
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Total Serving Spoons
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Silverware Tray (1)
- Yes
- No
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Spoons (6)
- 6
- 6 or more
- Less than 6
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Total number of Spoons
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Total number of Spoons
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Steak Knives (6)
- 6
- 6 or more
- Less than 6
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Total number of Steak Knives
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Total number of Steak Knives
Cookware / Bake Ware
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11 X 7 in. Glass Baking Dish (1)
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Total number of 11 X 7 in. Glass Baking Dishes
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1 qt. Saucepan w/ Lid (1)
- 0
- 1
- More than 1
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Total number of 1 q. Saucepans w/ Lids
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2 qt. Saucepan w/ Lid
- 0
- 1
- More than 1
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Total number of 2 qt. Saucepans w/ Lids
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41/2 qt. Saucepan w/ Lid (1)
- 0
- 1
- More than 1
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Total number of 41/2 qt. Saucepans w/ Lids
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Baking Sheet (1)
- 0
- 1
- More than 1
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Total number of Baking Sheets
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Broiler Pan (1)
- 0
- 1
- More than 1
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Total number of Broiler Pans
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Colander (1)
- 0
- 1
- More than 1
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Total number of Colanders
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Large Frying Pan w/ Lid (1)
- 0
- 1
- More than 1
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Total number of Large Frying Pans w/ Lids
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Large Glass Bowl (1)
- 0
- 1
- More than 1
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Total number of Large Glass Bowls
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Mixing Bowls (3)
- 3
- Less than 3
- More than 3
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Total number of Mixing Bowls
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Pizza Pan (1)
- 0
- 1
- More than 1
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Total number of Pizza Pans
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Round Casserole Dish w/ Lid (1)
- 0
- 1
- More than 1
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Total number of Round Casserole Dishes w/ Lids
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Small Frying Pan (1)
- 0
- 1
- More than 1
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Total number of Small Frying Pans
Kitchen Tools
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Bottle Opener (1)
- Yes
- No
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Can Opener (1)
- Yes
- No
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Cheese Grater (1)
- Yes
- No
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Ladle (1)
- Yes
- No
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Large Cooking Spoon (1)
- Yes
- No
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Large Slotted Cooking Spoon (1)
- Yes
- No
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Liquid Measuring Cup (1)
- Yes
- No
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Pancake Turner (1)
- Yes
- No
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Pizza Cutter (1)
- Yes
- No
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Rubber Spatula (1)
- Yes
- No
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Set of Measuring Cups (1)
- Yes
- No
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Set of Measuring Spoons (1)
- Yes
- No
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Vegetable Peeler (1)
- Yes
- No
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Whisk (1)
- Yes
- No
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Wooden Spoon (1)
- Yes
- No
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NOTES: