District Champ Safety Visit

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Select date

  Date

Executive Summary

Coaching was given today on the following?

Other issues noted by auditor?

• Business BUN GM RBM RD Persons seen
  Address

Bin yard

• Is waste & waste oil stored satisfactorily?

  Yes

  No

  N/A

• Is team member smoking policy in place?

  Yes

  No

  N/A

• Is bin area clean & tidy?

  Yes

  No

  N/A

• Is their bungs in bins?

  Yes

  No

  N/A

Bar & Glasswash

• Are the WHB clean and full stocked?

  Yes

  No

  N/A

• Is day dotting / labelling satisfactory?

  Yes

  No

  N/A

• Are all products in date?

  Yes

  No

  N/A

• Has fruit been sanitised?

  Yes

  No

  N/A

• Is bar shelving, matting & floor clean?

  Yes

  No

  N/A

• Is glass wash machine clean?

  Yes

  No

  N/A

• Is ice machine clean? Is scoop stored submerged in clean microchlor solution?

  Yes

  No

  N/A

• Is glass wash machine clean?

  Yes

  No

  N/A

• Are all the bar seals not good condition?

  Yes

  No

  N/A

• Are the disabled toilets clean?

  Yes

  No

  N/A

Cellar

• Is PPE for line cleaning available?

  Yes

  No

  N/A

• Is there a safe walkway between kegs?

  Yes

  No

  N/A

• Are the cellar buoys and couplers clean?

  Yes

  No

  N/A

• Are gas cylinders secured?

  Yes

  No

  N/A

• Are all products in date & rotated?

  Yes

  No

  N/A

• Is cellar clean & tidy?

  Yes

  No

  N/A

Team areas

• Are team WC's clean & WHB's fully stocked?

  Yes

  No

  N/A

• Are clean uniforms & personal clothing segregated?

  Yes

  No

  N/A

• Is changing room clean & tidy?

  Yes

  No

  N/A

• Is laundry room clean & tidy?

  Yes

  No

  N/A

• Is tumble dryer free from lint & poster displayed?

  Yes

  No

  N/A

• Are cleaning cloths being disposed of & not laundered?

  Yes

  No

  N/A

Kitchen

• Are WHB's clean & fully stocked?

  Yes

  No

  N/A

• Are team members in correct uniform?

  Yes

  No

  N/A

• Is dishwasher clean & operating at correct temp?

  Yes

  No

  N/A

• Is all food covered, labelled correctly and in date?

  Yes

  No

  N/A

• Is all food temperature controlled?

  Yes

  No

  N/A

• Are all raw products stored below cooked / RTE?

  Yes

  No

  N/A

• Is all equipment clean?

  Yes

  No

  N/A

• Are floor wall junctions & under equipment clean?

  Yes

  No

  N/A

• Are hand contact points clean?

  Yes

  No

  N/A

• Are chopping boards in good condition & stored correctly<br>

  Yes

  No

  N/A

• Are knives stored correctly?

  Yes

  No

  N/A

• Is a raw prep area in operation & understood?

  Yes

  No

  N/A

• Is all raw prep PPE available & in use?

  Yes

  No

  N/A

• Is PPE for oven cleaner available & in good condition?

  Yes

  No

  N/A

• Are correct coloured cloths & equipment in use?

  Yes

  No

  N/A

• Have products been decanted from external packaging?

  Yes

  No

  N/A

• Is all glass stored on lowest shelf?

  Yes

  No

  N/A

• Have all opened dry goods been decanted into airtight containers?

  Yes

  No

  N/A

• Is all food off the floor in the freezer?

  Yes

  No

  N/A

• No in house freezing taking place?

  Yes

  No

  N/A

• Are cook matrices overwritten & displayed?

  Yes

  No

  N/A

• Is all equipment in good condition & well maintained?

  Yes

  No

  N/A

• Are there 2 robust probes & probe wipes available and being used?

  Yes

  No

  N/A

Working Practices

• Has good hand washing & hygiene been observed?<br><br>

  Yes

  No

  N/A

• Correct use of coloured tongs, boards, knives, cloths to control e-coli?<br>

  Yes

  No

  N/A

• No cross contamination risks identified?

  Yes

  No

  N/A

• Are the cook book instructions being followed?

  Yes

  No

  N/A

• Are roast joint cooking procedures being followed?

  Yes

  No

  N/A

• Grill mapping is in operation & understood<br>

  Yes

  No

  N/A

Fire Safety / H&S

• No significant hazards identified / no repairs required

  Yes

  No

  N/A

• Are fire escape routes clear & fire doors not locked or propped open?

  Yes

  No

  N/A

• Are 7 tread ladders secured to prevent unauthorised access?

  Yes

  No

  N/A

• Are evacuation notices displayed at call points?

  Yes

  No

  N/A

• Is boiler room free of any storage?

  Yes

  No

  N/A

• Are all the hazard management tools available?

  Yes

  No

  N/A

• Is fire evacuation pack available?

  Yes

  No

  N/A

• Are fire extinguishers at location points and serviced in last 12 months?

  Yes

  No

  N/A

• Are the high chair straps all secured

  Yes

  No

  N/A

DD & Blue Sky Records

• Is the Samsung tablet being used?

  Yes

  No

  N/A

• Business Checks are being completed?

  Yes

  No

  N/A

• Has an RBM check been completed in the last quarter?

  Yes

  No

  N/A

How does the GM monitor completion of Blue Sky DD business checks?

• Shaam DD in good order? Carvery brands only

  Yes

  No

  N/A

• Does the cleaning scehdule reflect standards seen?

  Yes

  No

  N/A

• Risk assessment folder in good order?

  Yes

  No

  N/A

• COSHH regulations being followed & COSHH folder up to date?

  Yes

  No

  N/A

• E-Pest corrective actions competed and any pest activity being well managed?

  Yes

  No

  N/A

• Is allergen information displayed and guides available?

  Yes

  No

  N/A

• Is the Health & Safety poster displayed with correct information?

  Yes

  No

  N/A

• Is the Liability Insurance Poster & Phil Urban safety note displayed?

  Yes

  No

  N/A

• Can duty manager log on to E-Pest and NSF portal?

  Yes

  No

  N/A

• Auditor's signature

  Sign

• Manager's signature

  Sign

• E-mail back to Glynn Wallis once all actions have been completed at :- Glynnwallis@mbplc.com