Information

  • Store Name

  • PC #

  • Conducted on

  • Prepared by

  • Manager

Exterior/Interior

  • Hot Water Running Above 110 degree?

EXTERIOR/INTERIOR

  • Parking Lot/Landscape Clean and Well Maintained?

  • FT & DT Trash Bins clean?

  • DT Menu Clean and Lights working? Outside Lights working?

  • All POP's Updated to Current Window?

  • Dumpster Area Clean and Gate Closed?

  • All Windows/Glass clean?

  • Ceilings, Lights, Floors and Vents Clean and Well Lit?

  • Tables, Chairs and High Chair Clean?

  • All Restrooms Clean?

MERCHANDISING

  • Donuts Case Organized, Clean, Stocked and All Lights Working?

STOCK AREA/BACK ROOM

  • Ice Machine/Water Filter Clean

  • Date Water Filter Changed last?

  • 3 Component Sink is Placed?

  • Sanitizer is at proper concentration at all sinks, buckets & cups

  • Coke Cooler and K-Cups Organized, Stocked and Thermometer in Place?

  • Walk-In Refrigerator and Frozon Clean and Proper Temperature?

  • Red-book & Huddle Genuine?

  • Last three months Red-book available?

COFFEE GRIND

  • Front Counter Grind Weight Between 3.20 - 3.30 oz? Target 3.25oz

  • Front Counter Grind Size According to Standards?

  • Drive-Thru Grind Weight Between 3.20 - 3.30 oz? Target 3.25oz

  • Drive Thru Grind Size According to Standards?

COFFEE BREWERS

  • All Coffee Timers in Place?

DRIVE-THRU

  • All Spray Heads Clean?

  • Drive Thru Brewer Water Temperature between 196-200 degree?

  • Drive Thru Water Volume Between 58-62 oz? Target is 60oz

FRONT COUNTER

  • All Spray Heads Clean?

  • Front Counter Brewer Water Temperature between 196-200 degree?

  • Front Counter Water Volume Between 58-62 oz? Target is 60oz

DAIRY/SUGAR DISPENSER

DRIVE-THRU

  • Sugar Weight in Par? (65-85 Grams)

  • Dairy Temperature 41 or below?

  • Dairy Weight in Par? (41-51 Grams)

FRONT COUNTER

  • Sugar Weight Between 65-85 Grams?

  • Dairy Temperature 41 or below?

  • Dairy Weight Between 41-51 Grams?

ICE COFFEE/TEA or IC3 BREWER

  • Water Temperature above 196 degree?

  • Is Water Volume between 230-250 oz? Target is 240 oz.

ISLAND OASIS/COOLATA

  • Is Mixing Blade and Rinse Spout Clean?

  • Is Drain Cleaner being used?

  • Is Island Oasis Calibrated Properly

  • Are Machines Properly Cleaned and Sanitized?

SANDWICH STATION

  • Hot Holding Temperature 145 degree or above?

  • Cold Egg Temperature 41 Degree and below?

  • Top Turbo Chef - Cooked Egg Temperature 145 degree or above?

  • Bottom Turbo Chef - Cook Egg Temperature 145 degree or above?

  • Both Turbo Chef Vents Clean?

  • Sandwich Station Equipment Clean and Well Maintained?

ESPRESSO WMF or AMBIENTE

  • Proper Measuring Cup Available?

  • Espresso Temperature between 166-185 degree?

  • Large Espresso Volume between 3.25-3.75 oz?

  • Steamed Dairy Temperature between 160-170 degree?

CURRENT WINDOW KNOWLEDGE

  • Crews Acknowledgement Signed by Each Employee and Posted on Huddle Board?

  • 1. Ask Crew Member to Demonstrate Any Current Window Product.

  • 2. Ask Crew Member to Demonstrate Any Current Window Product.

  • Is Restaurant Ready for Proper Execution of Marketing Window?

GENERAL

  • Hot Chocolate Machine Clean and Bins Dated 15 Days?

  • All item properly labeled & date with expiration dates?

  • All Employees in proper uniforms and properly groomed?

  • Is 6 Steps of service in place?

  • Is Service Equipment Clean and Sanitized?

GSS and SOS

  • SOS of DT

  • SOS of FC

OTHER

  • # of Servsafe

  • H. E. S. S. & NV Poster in Place?<br>Test Knowledge to Crew/Manager about it.<br>H = Hepatitis A<br>E = E. Coli<br>S = Shigella<br>S = Salmonella<br>NV = Nora Virus

  • All Measuring Tools and Brushes Available for Proper Assessments?

  • Bagel Topping Bins Dated 7 Days Expiration Date & Bins Clean?

  • Goals Set and Posted?

  • Last Date of Pest Control Visit?

  • Was there any issue with last pest visit

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.