Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

DINING HALL

  • Are the windows clean?

  • Are the vestibules tidy and vacuumed?

  • Is the lighting operational and adequate?

  • Are the floors properly vacuumed?

  • Are the tables and chairs set up appropriately? Are they clean?

  • Is the stage area clean and organized?

  • Is the WC computer updated and functioning?

  • Are the coffee stations clean and stocked?

  • Are the bathrooms clean and stocked?

  • Are the table/chair closets organized, tidy, and clean?

  • Are the fruit crates and tables operational and clean?

  • Are the centerpiece items full and clean?

  • Is the coffee closet clean and organized?

  • Is WC storage clean and organized?

  • Are the doors leading into the kitchen clean and operational?

BEVERAGE AREA & FRONT LINE

  • Is the water sink clean?

  • Is the ice machine functioning? Has it been deep cleaned according to schedule?

  • Is the pitcher shelf clean and organized? Pitchers not stained?

  • Are the ketchup & mustard dispensers clean and stocked?

  • Are the 7/11 shelves clean and organized? Is the glass spotless?

  • Are the front storage shelves clean and organized?

  • Are the floor drains clean and clear?

  • Is the beverage table clean and organized?

  • Is the carafe shelf clean and organized? Carafes not stained?

  • Are the walls clean?

  • Is the glove storage shelf clean and organized?

  • Is the bread/banana shelf clean and organized? No moldy bread/bananas?

  • Is the foodsaver shelf clean and organized?

  • Is the toaster clean? Microwave clean? Everything organized?

  • Are the shelves under the front line table clean and organized?

  • Is the serving tray shelf clean and organized? Are the serving trays clean?

  • Are the hood vents clean?

  • Are all linen shelves organized? Not cluttered?

  • Is the metal spoon bus tub clean?

  • Are all warmers clean? Functioning?

  • Are the hood lights clean and operational?

  • Are the serving tables clean?

  • Is the stovetop clean? Pilots lit? Restraint connected?

  • Is the gluten fryer clean? Has the oil been changed according to schedule? Restraint connected?

  • Are the tilt skillets clean? Exterior and interior clean? Restraint connected?

  • Are the ceiling grids clean?

  • Is the lighting operational and adequate?

  • Are the floors and walls clean?

  • Is the preset fridge clean and organized? No unnecessary items?

  • Are all dish and cup dollies clean? Dishes in the correct dollies?

  • Are the partition windows clean?

PITS AREA

  • Is the tortilla server/pyrex shelf clean and organized?

  • Are the plate dollies clean and organized?

  • Are the receiving area shelves clean and organized?

  • Are all bus tubs clean and in good repair?

  • Are the rolling shelves clean and in good repair?

  • Are the 'dirty side' tables clean? Are dishes organized and not piling up?

  • Is the squeegee/steel wool shelf clean and organized?

  • Is the insinkerator working properly?

  • Are both spray nozzles working properly? Plenty of pressure? No leaks?

  • Are the dish rack pictures updated?

  • Are the dish racks in good condition?

  • Is the silverware rack organized? Are utensils' handles up? Utensils evenly dispersed throughout racks?

  • Are the ceiling grids clean?

  • Is the lighting operational and adequate?

  • Is the HOBART clean and working properly?

  • Are the dish washing procedures being followed correctly?

  • Are the 'clean side' tables clean? Dishes in correct dollies?

  • Are the windows clean?

  • Are the floor drains clean and clear?

  • Are the floors clean, clear and dry?

DEEP PITS

  • Is the pot and pan shelf clean and organized?

  • Are the compartment sinks clean? Are drain covers in place?

  • Is the partition window clean?

  • Is the coffee cambro shelf clean and organized?

  • Are the coffee cambros working properly? No broken pieces?

  • Are the lexan/hotel pan/sheet tray shelves clean and organized?

  • Are the floor drains clean and clear?

  • Are the floors clean, clear and dry?

  • Are the dish washing procedures being followed correctly?

  • Is the spray nozzle working properly? Plenty of pressure? No leaks?

BACK LINE

  • Are the ovens and oven racks clean? Restraints connected?

  • Is the grill clean? Shelf organized? Restraint connected?

  • Is the griddle clean? Shelf organized? Restraint connected?

  • Is the gluten free fryer clean? Oil changed according to schedule? Restraint connected?

  • Are the hood vents clean? Hood working properly?

  • Are the work tables and prep sinks clean?

  • Are the knives clean? Stored properly?

  • Are all shelves clean and organized? Everything in its place?

  • Is the can opener clean? Functioning?

  • Are the cutting boards clean and organized?

  • Are the shredder parts organized? Working properly?

  • Are the dicers, slicer, wedger assembled? In good repair?

  • Is the lighting operational and adequate?

  • Are the ceiling grids clean?

  • Are the walls clean?

  • Are the floors clean and clear? No slippery areas?

  • Are the floor drains clean and clear?

  • Is the office window clean?

  • Are the partition windows clean?

BAKERY AREA

  • Is the free shelf clean and organized? Old fold thrown away?

  • Is the microwave clean?

  • Are the scales clean and organized? Working properly? Shelf clean?

  • Are the proofers clean and operational?

  • Is the big mixer clean? Working properly?

  • Is the small mixer clean? Working properly?

  • Is the spice shelf clean and organized?

  • Are the pan extenders clean and organized?

  • Are the hanging utensils clean and organized?

  • Is the shelving clean and organized? Not cluttered?

  • Are the measuring utensils clean and organized?

  • Are the bread boards clean and organized?

  • Are the flour and sugar bins clean and organized? Deep cleaned according to schedule?

  • Are the knives clean and stored properly?

  • Has the wood bakery table been conditioned recently?

  • Are the floors clean, clear and dry?

  • Are the walls clean?

LAUNDRY ROOM & DRY STORAGE

  • Are the washer and dryer clean? Working properly?

  • Are the scrubbers, squeegees, and brooms hung up correctly? Are they clean? In good repair?

  • Is the shelving organized? Everything in its place?

  • Is the mop sink clean?

  • Is chemical storage clean and organized? Concentrate in each container?

  • Are the cleaning supplies organized?

  • Are the floors clean, clear and dry?

  • Is the chefwear clean and organized?

  • Has the liquid in the dirty rags bin been replaced recently? Not overflowing?

  • Is the can rack organized? FIFO rotation used?

  • Is the lighting operational and adequate?

  • Are the floors clean and clear?

  • Are the food products stored at least 6 inches off of the floor?

  • Is all shelving organized? Everything in its place?

  • Are the speed racks clean and organized? Working properly?

  • Is the freezer door handle clean and sanitized?

ADMINISTRATIVE/KITCHEN WIDE/STAFF DINING

  • Is the work crew computer updated? Is it working properly?

  • Are the kitchen offices clean, organized, and vacuumed? No unnecessary items?

  • Are all staff computers operational and adequate?

  • Has MasterCook been backed up recently?

  • Are the laundry procedures being followed correctly? Dirty rags not piling up? Plenty of clean rags?

  • Are the chemical bottles full and operational? In the correct locations?

  • Are the rolling carts clean and operational?

  • Are vinyl gloves available and stocked?

  • Are all hand sinks clean and operational?

  • Are soap and paper towels stocked at each hand sink?

  • Are all floor drains clean, clear and under control?

  • Are knife safety procedures being followed? Cut gloves being worn? Knives sharpened regularly?

  • Are cut gloves/blue gloves/oven mitts in good condition? No holes?

  • Are thermometers available on front and back lines? Are they functioning properly?

  • Have dirty mugs, carafes, cups, etc, that are scattered throughout the kitchen, been taken to pits?

  • Are the canola oil and salt and pepper containers full? In correct locations?

  • Is chef wear in good condition? No rips or tears?

  • Are the tables and chairs in Staff Dining clean and organized?

  • Are the shelves and counters in Staff Dining clean and organized? No unnecessary items?

  • Is the sink in Staff Dining clean and operational?

  • Are the windows in Staff Dining clean? No unnecessary items on the window sills?

  • Are the floors in Staff Dining clean and vacuumed?

  • Are plates, utensils, cups, and napkins stocked and organized in Staff Dining?

  • Are all unnecessary items removed from staff dining?

  • Is the coffee station by the back doors clean and organized? Table not cluttered?

  • Are all trash cans clean and functioning?

  • Is the kitchen bathroom clean, organized and stocked?

  • Are the recycling bins (plastic and steel) clean and not overflowing?

  • Is the cardboard in the cardboard dumpster stacked appropriately?

  • Is the back of the kitchen (outdoors) organized? No clutter/random items/trash juice?

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.