Audit

Store Room Environmental Safety

Exits clear

Floors free from spills and tripping hazards

No items within 18” of sprinkler head

Hair Nets by exits

Fire extinguisher not blocked

Cleanliness culinary/dry storage

Floors free from spills

Vents clean

Sprinklers clean, dust free

Walls clean

Equipment

Ceilings

Hot water in hand sinks

Can opener clean
Veggie
Hot cook

Cutting boards clean/correct type
Red- Raw Animal
Green-Produce
White- Cooked/Ready to eat

Cold Prep labeling/dating

Record item type and date expired

Cut gloves being used

Walk in cooler labeling/ dating

Record item type and date expired

Cook’s cooler labeling and dating

Record item type and date expired

Culinary cooler/ freezer log

No ice build up in freezer

Proper hand hygiene/ Glove use

Sanitation bucket in use
Random check 1 bucket

Patient Services

Vents clean, free of dust

Sprinklers free from dust

Walls clean

Floors clean

Equipment working and clean
Check gaskets and vents

Ceilings clean

Patient services cooler/freezer log complete

Patient service labeling/dating
(Dippers, CA fridges)

Dipper temp logs
Correct form in use, temps taken at appropriate times and with corrective action if needed

Dish Machine log completed

Dish machine pressure log filled out

Pot sink set up and sanitizer titration

Sanitation buckets in use
Random check 1 bucket

Carts cleaned

Retail

Vents clean, free from dust

Sprinklers free from dust

Walls clean

Floors clean

Equipment dust free and working

Ceilings clean

Hot water at hand sinks

Sanitation buckets in use
Random check 1 bucket

Soda nozzles clean

Steam table labeling and dating
Check boxed lunches
Record item type and date expired

Steam table Temp logs complete

Salad bar cooler labeling and dating
Record item type and date expired

Salad bar temp logs

Grill area labeling and dating
Record item type and date expired

Grill temp logs

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.