Title Page
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
Food Safety Inspection
-
Instructions:
-------------------------------------
1. Answer "Yes", "No", "N/A" for the questions below.
2. Add photos and notes by clicking on the paperclip icon.
3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
4. Complete audit by providing digital signature.
Personal Hygiene
-
Employees wear clean uniforms, shoes, and adequate hair restraints
-
Fingernails are short, unpolished, and clean (no artificial nails)
-
Jewelry is limited to a plain ring, plain earrings (no dangling)
-
Hands with open wounds, scabs, or bandages are completely covered with a disposable glove while handling food
-
Eating, drinking, or chewing gum is allowed only in designated areas
-
Hands are washed properly, frequently, and at appropriate times
-
Hand sinks are stocked with soap, disposable towels, warm water, and hand washing signs are posted
-
Employee restrooms are operational and clean
-
Employees do not have any signs of communicable disease
Food Preparation and Handling
-
Frozen food is thawed under refrigeration, cooked to proper temperature from frozen state, or in cold running water
-
Thawed food is not refrozen
-
Preparation is planned so ingredients are kept out of the temperature danger zone<br>
-
Food is tasted using the proper procedure
-
Procedures are in place to prevent cross-contamination
-
Food is handled and served with suitable utensils, such as disposable gloves or tongs
-
Food is prepared in small batches to limit the time it is in the temperature danger zone<br>
-
Food is cooked to the required safe internal temperature for the appropriate time using a calibrated thermometer
-
Hot holding unit is pre-heated and food is held at 140° F or above
-
Hot holding units are not used to reheat or cook foods
-
Cold holding unit is pre-chilled and food held at 41° F or below
-
All food is properly covered, wrapped, labeled, and dated
-
Temperature of all refrigerated equipment is monitored and and documented at the beginning and end of each day
-
Fruits and vegetables are properly washed to prevent foodborne illness
-
Appropriate food temperatures are maintained and contamination is prevented during transportation, if applicable
-
Thermometers are cleaned and sanitized after each use
Receiving and Storage
-
Temperature of dry storage area is between 70 ºF and 82 ºF
-
All food and paper supplies are stored 6 inches off the floor
-
All food is labeled with delivery date and/or pack date
-
Food containers are in good condition and open bags of food are stored in labeled containers with tight fitting lids
-
Chemicals are clearly labeled and stored away from food and food-related supplies
Sanitizing Equipment, Utensils and Facilities
-
Three-compartment sink is properly set up for washing
-
Water is clean and free of grease and food particles
-
The chemical sanitizer is mixed correctly and a sanitizer strip is used to test chemical concentration
-
Equipment and utensils are allowed to air dry
-
All work surfaces, small equipment and utensils are cleaned and sanitized after use
-
Large equipment is cleaned and sanitized routinely
-
Exhaust hood and filters are clean
Pest Control
-
Kitchen garbage cans are clean and sanitized
-
Loading dock area and dumpsters are clean and odor free
-
Outside doors are closed and fly fans are operational
-
Kitchen facility is free of any evidence of pests
-
Corrective action has been implemented to eliminate pests
Sign Off
-
General Comments
-
Full name and signature of auditor