Title Page

  • Document No.

  • D. 61

  • Client / Site

  • Conducted on

  • Kelly Zielbauer Food Safety Manager

  • Location
  • Personnel

Deli

  • Proper date marking on PHF? No expired, missing, out of policy marking?

  • Are store prepared cold foods held below 41 F.? Chubs, sandwich bar, grab and go.

  • Are all hot foods at or above 140 degrees? Wings, tenders, mac and cheese, ribs, whole chicken, fried chicken.

  • Are all food contact surfaces cleaned within the required 4 hour interval? Cutting boards, knives/utensils, slicer, sinks, dishes

  • Is department maintaining require records? Compliance, chill, and sanitation?

  • Are all handwashing sinks stocked, accessible, used regularly? Proper glove use and hand washing?

  • Are chemicals properly stored, not on food contact surfaces?

  • Are Non-food contact surfaces in the department clean? Walls, handles, shelving, scales, wrapper, fryer, fan guards.

  • Are all display cases clean?

  • Are facility surfaces and equipment clean and in good repair? Clogged drain, floor broken or unsealed, leaks, broken tiles or coving

  • Are floors and drains clean, all the way to the wall and under equipment?

  • Are cooler and freezer areas clean?

  • Is the department free from physical hazards? Off shelf supplies, steel wool, sponges, chemicals.

  • No additional items?

Bakery

  • Proper date marking on PHF? No expired, missing, out of policy marking?

  • Are store prepared cold foods held below 41 F.?

  • Are all food contact surfaces cleaned within the required 4 hour interval? Mixer, dough divider, knives/utensils, sinks, dishes

  • Is department maintaining require records? Compliance, and sanitation?

  • Are all handwashing sinks stocked, accessible, used regularly? Proper glove use and hand washing?

  • Are chemicals properly stored, not on food contact surfaces?

  • Are Non-food contact surfaces in the department clean? Walls, handles, shelving, scales, wrapper, sheeter, divider, fan guards.

  • Are all display cases clean?

  • Are facility surfaces and equipment clean and in good repair? Clogged drain, floor broken or unsealed, leaks, broken utensils, light shields.

  • Are floors and drains clean, all the way to the wall and under equipment?

  • Are cooler and freezer areas clean?

  • Is the department free from physical hazards? Off shelf supplies, steel wool, sponges, chemicals.

  • Do the handsinks have hot water at 100 degrees in 30 seconds?

  • No additional items?

Produce and Fresh Cut

  • Proper date marking on PHF? No expired, missing, out of policy marking?

  • Are store prepared foods held below 41 F.?

  • Are all food contact surfaces cleaned within the required 4 hour interval? Cutting boards, knives/utensils, slicer, sinks, dishes, food processor

  • Is department maintaining require records? Compliance, and sanitation?

  • Are all handwashing sinks stocked, accessible, used regularly? Proper glove use and hand washing?

  • Are chemicals properly stored, not on food contact surfaces?

  • Are Non-food contact surfaces in the department clean? Walls, handles, shelving, scales, wrapper, fan guards.

  • Are all display cases clean?

  • Are facility surfaces and equipment clean and in good repair? Clogged drain, floor broken or unsealed, leaks, broken utensils, light shields.

  • Are floors and drains clean, all the way to the wall and under equipment?

  • Are cooler and freezer areas clean?

  • Is the department free from physical hazards? Off shelf supplies, steel wool, sponges, chemicals.

  • No additional items?

  • Do the handsinks have hot water at 100 degrees in 30 seconds?

Meat and Seafood

  • Proper date marking on PHF? No expired, missing, out of policy marking?

  • Are all foods held below 41 F.? Cooler, Grab and go.

  • Are all food contact surfaces cleaned within the required 4/10 hour interval? Cutting boards, knives/utensils, slicer, saws sinks, dishes

  • Is department maintaining require records? Compliance, and sanitation?

  • Are all handwashing sinks stocked, accessible, used regularly? Proper glove use and hand washing?

  • Are Non-food contact surfaces in the department clean? Walls, handles, shelving, scales, wrapper, fan guards.

  • Are chemicals properly stored, not on food contact surfaces?

  • Are all display cases clean?

  • Are facility surfaces and equipment clean and in good repair? Clogged drain, floor broken or unsealed, leaks, broken utensils, light shields.

  • Are floors and drains clean, all the way to the wall and under equipment?

  • Are cooler and freezer areas clean?

  • Is the department free from physical hazards? Off shelf supplies, steel wool, sponges, chemicals.

  • No additional items?

Grocery and Starbucks

  • Is the janitorial area properly stocked, maintained clean and in good condition?

  • Are Coolers and Freezers Clean? Ice, build up on shelving, fan guards, product on the floor, personal items.

  • Products stored, have date marks, and stored in date?

  • Are all chemicals available and at the correct concentration?

  • Is the log up to date?

  • Are floors and drains clean?

  • Is the ice machine clean?

Safety

  • Are wires in good condition, no fraying

  • Are outlets in good condition, covers and plugs?

  • Fire extinguishers charged, and being inspected monthly

  • Compactor, Dock plate, and Baler are properly secured

  • Emergency exits, pathways, electrical panels, and electric rooms clear

  • Freezers and coolers in good repair including no ice build up

  • PPE in place and being used properly

  • Other Items

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