Title Page
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Document No.
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D. 61
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Client / Site
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Conducted on
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Kelly Zielbauer Food Safety Manager
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Location
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Personnel
Deli
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Proper date marking on PHF? No expired, missing, out of policy marking?
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Are store prepared cold foods held below 41 F.? Chubs, sandwich bar, grab and go.
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Are all hot foods at or above 140 degrees? Wings, tenders, mac and cheese, ribs, whole chicken, fried chicken.
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Are all food contact surfaces cleaned within the required 4 hour interval? Cutting boards, knives/utensils, slicer, sinks, dishes
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Is department maintaining require records? Compliance, chill, and sanitation?
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Are all handwashing sinks stocked, accessible, used regularly? Proper glove use and hand washing?
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Are chemicals properly stored, not on food contact surfaces?
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Are Non-food contact surfaces in the department clean? Walls, handles, shelving, scales, wrapper, fryer, fan guards.
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Are all display cases clean?
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Are facility surfaces and equipment clean and in good repair? Clogged drain, floor broken or unsealed, leaks, broken tiles or coving
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Are floors and drains clean, all the way to the wall and under equipment?
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Are cooler and freezer areas clean?
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Is the department free from physical hazards? Off shelf supplies, steel wool, sponges, chemicals.
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No additional items?
Bakery
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Proper date marking on PHF? No expired, missing, out of policy marking?
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Are store prepared cold foods held below 41 F.?
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Are all food contact surfaces cleaned within the required 4 hour interval? Mixer, dough divider, knives/utensils, sinks, dishes
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Is department maintaining require records? Compliance, and sanitation?
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Are all handwashing sinks stocked, accessible, used regularly? Proper glove use and hand washing?
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Are chemicals properly stored, not on food contact surfaces?
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Are Non-food contact surfaces in the department clean? Walls, handles, shelving, scales, wrapper, sheeter, divider, fan guards.
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Are all display cases clean?
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Are facility surfaces and equipment clean and in good repair? Clogged drain, floor broken or unsealed, leaks, broken utensils, light shields.
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Are floors and drains clean, all the way to the wall and under equipment?
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Are cooler and freezer areas clean?
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Is the department free from physical hazards? Off shelf supplies, steel wool, sponges, chemicals.
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Do the handsinks have hot water at 100 degrees in 30 seconds?
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No additional items?
Produce and Fresh Cut
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Proper date marking on PHF? No expired, missing, out of policy marking?
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Are store prepared foods held below 41 F.?
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Are all food contact surfaces cleaned within the required 4 hour interval? Cutting boards, knives/utensils, slicer, sinks, dishes, food processor
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Is department maintaining require records? Compliance, and sanitation?
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Are all handwashing sinks stocked, accessible, used regularly? Proper glove use and hand washing?
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Are chemicals properly stored, not on food contact surfaces?
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Are Non-food contact surfaces in the department clean? Walls, handles, shelving, scales, wrapper, fan guards.
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Are all display cases clean?
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Are facility surfaces and equipment clean and in good repair? Clogged drain, floor broken or unsealed, leaks, broken utensils, light shields.
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Are floors and drains clean, all the way to the wall and under equipment?
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Are cooler and freezer areas clean?
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Is the department free from physical hazards? Off shelf supplies, steel wool, sponges, chemicals.
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No additional items?
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Do the handsinks have hot water at 100 degrees in 30 seconds?
Meat and Seafood
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Proper date marking on PHF? No expired, missing, out of policy marking?
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Are all foods held below 41 F.? Cooler, Grab and go.
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Are all food contact surfaces cleaned within the required 4/10 hour interval? Cutting boards, knives/utensils, slicer, saws sinks, dishes
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Is department maintaining require records? Compliance, and sanitation?
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Are all handwashing sinks stocked, accessible, used regularly? Proper glove use and hand washing?
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Are Non-food contact surfaces in the department clean? Walls, handles, shelving, scales, wrapper, fan guards.
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Are chemicals properly stored, not on food contact surfaces?
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Are all display cases clean?
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Are facility surfaces and equipment clean and in good repair? Clogged drain, floor broken or unsealed, leaks, broken utensils, light shields.
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Are floors and drains clean, all the way to the wall and under equipment?
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Are cooler and freezer areas clean?
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Is the department free from physical hazards? Off shelf supplies, steel wool, sponges, chemicals.
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No additional items?
Grocery and Starbucks
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Is the janitorial area properly stocked, maintained clean and in good condition?
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Are Coolers and Freezers Clean? Ice, build up on shelving, fan guards, product on the floor, personal items.
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Products stored, have date marks, and stored in date?
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Are all chemicals available and at the correct concentration?
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Is the log up to date?
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Are floors and drains clean?
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Is the ice machine clean?
Safety
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Are wires in good condition, no fraying
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Are outlets in good condition, covers and plugs?
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Fire extinguishers charged, and being inspected monthly
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Compactor, Dock plate, and Baler are properly secured
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Emergency exits, pathways, electrical panels, and electric rooms clear
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Freezers and coolers in good repair including no ice build up
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PPE in place and being used properly
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Other Items