Title Page

  • Location
  • Conducted on

  • Performed by

Personal Hygiene

  • Is personal hygiene diligently maintained in the food preparation area?

  • Is there a procedure, system in place and/or checklist to verify?

Kitchen Hygiene

  • Are floors, walls, equipment, tools, storage areas, utensils, food preparation and non-food preparation surfaces cleaned?

  • Are there checklist(s) for monitoring cleaning in all areas?

  • Are tools and utensils washed, rinse and sanitize properly?

  • Is there a monitoring record for washing, rinsing and sanitizing activities performed?

Receiving

  • Is there a receiving procedure in place for the operation?

  • Is this procedure being followed diligently?

  • Is there a record for receiving materials?

Storage

  • Is temperature of chiller storage areas monitored and recorded?

  • Is temperature of freezer storage monitored and recorded?

  • Is room temperature of areas where dry food is stored recorded and monitored?

Food Preparation

  • Is there a procedure in place for proper fruits and vegetables sanitation?

  • Is there a monitoring record for fruits and vegetables sanitation?

  • Is there a procedure in place for thawing?

  • Is there a monitoring record for thawing activities?

  • Is there a procedure in place for cooking?

  • Is there a monitoring record for all cooking activities?

  • Is there a procedure for cooling?

  • Is there monitoring record for cooling?

  • Is there a procedure for hot holding?

  • Is the a monitoring record for hot holding?

  • Is there a procedure for cold holding?

  • Is there a monitoring record for cold holding?

  • Is there a procedure for reheating food?

  • Is there a monitoring record for reheating?

Maintenance

  • Is there a procedure for maintenance issues in place?

  • Is there maintenance record and monitoring?

Pest Control & Waste Management

  • Is there a system in place for pest control?

  • Is there a monitoring record for pest control issues?

  • Is there an effective waste management system in place?

  • Completed By:

  • Validated By:

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