Title Page

  • Conducted on

  • Prepared by

Back Hallway

  • Are personal items only stored in lockers , beverage rails, or office?

  • Is chemical shelf storing only chemicals. Produce wash and Release Agent NOT on Chemical shelf

  • Mop sink clear of debris

  • Mop sink mops facing upwards

  • 4 Compartment : Sanitizer concentration correct

  • Dishes are clean, dry, no label residue, stacked appropriately

  • Dish rack is clean and free of debris

  • Dishwasher is clean (check inside and out , in the crevice above, areas out of sight)

  • Dishwasher temps at 160 degrees on 1 minute was cycle

  • Hand Sink is stocked with soap and towels, temps at 100 degrees

Prep Area and Coolers

  • LABELS: All labels in prep cooler, prep low boy, and Walk-in, are correct not expired and visible. All items not in UNOPEN Original packaging need a label

  • Prep table temps: All lettuces, sliced chicken, both cheeses, grape tomatoes at or below 41 degrees on rail and below

  • Cooler Temps: Chop Lettuce, sliced tomato, milkwash, cool down chicken at or below 41 degrees on rail and below

  • Cool down racks in walk-in, pans are spaced every other with a gap

  • All produce is from approved brands list

  • No ORGANIC produce is present

  • Produce wash is dispensing correct concentration.

  • No Kay 5 or other cleaning supplies in the produce sink or catering area present

  • Sugar bin is clean, labeled, and scoop handle is out of product

  • Catering trays/lids stored upside down

  • Salad bowls/lids stored upside down

  • Lights are on , clean, and free from build up/debris

  • Prep'n'print Label Maker is on and working properly

  • Hand sink is clean, stocked, and reaches 100 degrees

  • Mixer and mixer dishes clean, free from build up or residue, and organized

  • Lettuce chopper and blades, clean and free from debris

  • Tomato slicer clean and free from debris (closely inspect between blades)

The Line

  • Cold Temps: Cheese, lettuce, tomato all at or below 41 degrees

  • Hot Temps: grill products, eggs, sausage, soup, mac all at or above 140 degrees

  • Ambient Labels: Cookies, brownies, bacon, pickles, GF buns, multigrains, breakfast breads

  • Cooler Labels: Eggs/whites, soup chicken, cobb bases, cheeses, tomatoes, sausage, bacon

  • AHA and Merco timers are in use for all products and accurate

  • Chutes Ipad is turned on and accurate

Back Corner

  • Breading tables are plugged in and temperature is displayed.

  • Holding cabinet is plugged in and temperature is displayed.

  • Handles for holding cabinet clean including build up behind handle

  • All raw chicken in breading tables at or below 41 degrees

  • All chicken in holding cabinet has control label present.

  • Fileted and/or marinated products have label for time fileted or marinated

  • Lights are on and fixtures and cords clean

  • Detergent is present in soak tank if dishes in use.

  • All chicken in cabinets is fifo, control tag present, and date label in range

  • thaw cabinets are clean, including handles, rails, and bottoms

  • area above and behind filet station including knife rack is clean and organized and free from debris

  • If milkwash is in thaw cabinet, it is stored ABOVE raw chicken

  • Grill brushes, scrapers etc bucket is stored at least 6 inches off the floor.

Front of House

  • Ambient Labels: Lemon wedges, tea buckets, cherries, oreos

  • Cold labels: shake base, coffee milk, kanban trays, shooters, open cherry jar, whip creams

  • No personal items, cleaning supplies, ipads, vests , etc on product shelves (check for Tabs near coffee brewer).

  • Hand sinks are stocked, not blocked, and reach 100 degrees

  • air curtain is on above DT door

  • Dumpster lids closed, ground is cleared, doors are closed

Dining Room/ Restrooms

  • Wet floors signs easily accessible, at least 2 wet floor signs present if mopping

  • Hand sanitizer stocked and present

  • Closet is organized, no personal items (ie drinks) present

  • Mens room: Paper towels, soap, sanitizer, toilet paper, seat covers stocked

  • Mens room overall cleanliness

  • Mens rooms sinks reach 100 degrees

  • Womens room: Paper towels, soap, sanitizer, toilet paper, seat covers stocked

  • Womens room covered trash cans present and clean in each stall

  • Womens room overall cleanliness

  • Womens room sinks reach 100 degrees

Team Member appearance/grooming

  • Non slip shoes

  • No bracelets , watches , etc

  • Hats or hairnets in BOH (visors still need hairnets)

  • no nail polish/false nails

  • uniforms clean and well fitting, jackets, sweaters, etc do not pose risk to food safety

  • beards are neat and tidy or beard net or mask is worn

  • gloves worn in all food preparation. Gloves worn in FOH to cover wounds, bandaids, etc.

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.