Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Exterior Image

  • Are all the Lights working ?

  • Is the Back Parking Lot Free From Litter?

  • Is The Drive Side Parking Lot Free From Litter?

  • Is The Front Side Parking Lot Free From Litter?

  • Is the Side Parking Lot Free from Litter?

  • Is The Drive Thru Menu Board and Speaker Stand Clean?

  • Is The Drive Thru Menu Board Pad Free From Litter, Oil Stains and Gum?

  • Is The Drive Thru Trail Free From Litter and Oil Stains

  • Are The Drive Thru Windows Clean and Free of Finger Prints.

  • Are The Dumpster Area Enclosure Walls Clean and Doors Closed?

  • Is The Dumpster Area Enclosure Walls and Doors in Good Repair?

  • Is The Dumpster Exterior Clean?

  • Is The Used Oil Tank Clean And Is The Lid Closed?

  • Is The Dumpster Area Concrete Clean?

  • Are The Flower Beds Free from Litter and Weeds?

  • Is The Back Delivery Area Concrete Clean

  • Are The Sidewalks Clean?

  • Are The Windows and Sills Clean?

  • Are The Entrance Area Rugs Clean?

  • Are The Entrance Glass Doors Clean And Free From Finger Prints ?

  • Is The Threshold Clean?

Interior Lobby

  • Are The Entrance Door Frames And Handles Clean?

  • Are The Entrance Door Closing Assist Devices Clean?

  • Are All Lobby Lights Working With Clean Light Shields?

  • Are Lobby Ceiling Tiles and Grid Unstained And In Good Repair?

  • Are All The Unoccupied Tables Clean?

  • Is The Floor Clean Under Every Unoccupied Table ?

  • Is The Clean?

  • Are A/C Vents Clean And In Good Repair?

  • Is The Return Air Vent Clean and In Good Repair?

  • Are The Interior Window and Sills Clean?

  • Are Wall Decorations and Pictures Free of Dust And Spider Webs?

  • Are The Booths and Chair Seats Clean And In Good Repair?

  • Are The Chair Backs, Legs and Table Pedestals Clean and In Good Repair?

  • Are The Condiment Table Caddies Clean ?

  • Is The Drink Station Clean With Flavor Labels In Good Repair?

  • Are The Tea and Coffee Urns Clean and In Good Repair.

  • Self Service Condiment, Cup And Straw Dispensers Clean and In Good Repair.

  • Is The Front Counter Area Clean?

Restrooms

  • Is The Door and Harware Clean?

  • Are The Lights Working?

  • Is The Ceiling and Grid Clean Unstained and In Good Repair?

  • Is The Mirror Clean and In Good Repair?

  • Is There Soap, and Paper Towels Available?

  • Are The Main Area Walls Clean And In Good Repair?

  • Is The Sink, Faucet And Counter Clean And In Good Repair?

  • Are The Stall Doors Clean And In Good Repair.

  • Are The Toilets Clean and In Good Repair?

  • Is The Toilet Paper Dispenser Stocked?

  • Are The Walls Inside The Stall Areas Clean, Free Of Stains and Foreign Objects?

  • Are The Urinals Clean And In Good Repair?

  • Are The Walls In The Urinal Area Clean, Free From Stains and/or Foreign Substances?

  • Are The Floors Clean

Women's Room

  • Is The Door and Door Hardware Clean?

  • Are The Lights Working?

  • Is The Ceiling and Grid Clean Unstained and In Good Repair?

  • Is The Mirror Clean and In Good Repair?

  • Is There Soap and Paper Towels Available?

  • Are The Main Area Walls Clean And In Good Repair?

  • Is The Sink, Faucet And Counter Clean And In Good Repair?

  • Are The Stall Doors Clean And In Good Repair.

  • Are The Toilets Clean and In Good Repair?

  • Is The Toilet Paper Dispenser Stocked

  • Are The Walls Inside The Stall Areas Clean, Free Of Stains and/or Foreign Substances?

  • Are The Floors Clean?

Cashier Area

Front Cash

  • Is The Front Counter Clean And Free Of Clutter?

  • Is The POS Clean and In Good Repair?

  • Are all the Lights Working?

  • Is The Ceiling Tile and Grid Clean Unstained and in Good Repair?

  • Is The Menu Board Clean and are all the light bulbs inside working?

  • Is The Coffee Brewer Clean?

  • Are The Pie Cabinets Clean Inside And Out?

  • Is The Microwave Clean Inside And Out?

  • Are The Cinnamon Roll and Cookie Storage Containers Clean?

  • Is Under Counter Storage Clean, Organized And Free From Clutter?

  • Storage Cabinet Clean, Organized And Free of Clutter?

  • Is The Floor Clean ?

Drive Thru

  • Is The Drive POS Area Clean And Free from Clutter?

  • Is The Bubble Area Clean and Free from Clutter

  • Is The POS Clean and In Good Repair?

  • Are all the Lights Working?

  • Is The Ceiling Tile and Grid Clean Unstained and in Good Repair?

  • Is The Drive Thru Window and Track Clean?

  • Is Under Counter Storage Clean, Organized And Free From Clutter?

  • Are Cup and Lid Dispensers Clean?

  • Is Shake Machine Clean To DKT Standards?

  • Storage Cabinets Clean, Organized And Free of Clutter?

  • Is The Floor Clean ?

  • Is Drink Machine Clean with Flavor Labels in Good Repair?

Cook Lines

DRIVE SIDE

  • Are All Lights Working?

  • Are Light Shields Clean and In Good Repair?

  • Are Ceiling Tiles And Grids Clean, Unstained And In Good Repair.

  • Are The Walls Clean?

  • Is The Paper Storage Section Of The Board Clean and Organized?

  • Is the Cold Portion of the Board Clean?

  • Is The Prince Castle / Duke Warming Drawer Clean, Is The Label in Good Condition?

  • Is The Under Board Storage Clean, Organized and Uncluttered?

  • Are The Table Legs and Casters Clean?

  • Is The Vent Hood Top Clean, and Uncluttered?

  • Are The Removable Vents Clean And In Place?

  • Are All Required Small wares On the Grill for the Current Meal Period?

  • Is The Grill Clean?

  • Is The Grill Table Clean and Uncluttered?

  • Are The Grill Table Casters Clean?

  • Are The Monitors, Mounts and Wires Clean?

  • Are The Printers and Timers Clean?

  • Is The Exterior Of The Stainless Reach-In Clean?

  • Is the Interior Of The Reach-In Clean?

  • Is The Floor Clean

Front Side

  • Are All Lights Working?

  • Are Light Shields Clean and In Good Repair?

  • Are Ceiling Tiles And Grids Clean, Unstained And In Good Repair.

  • Are The Walls Clean?

  • Is The Paper Storage Section Of The Board Clean and Organized?

  • Is the Cold Portion of the Board Clean?

  • Is The Prince Castle / Duke Warming Drawer Clean, Is The Label in Good Condition?

  • Is The Under Board Storage Clean, Organized and Uncluttered?

  • Are The Table Legs and Casters Clean?

  • Is The Vent Hood Top Clean, and Uncluttered?

  • Are The Removable Vents Clean And In Place?

  • Are All Required Small wares On the Grill for the Current Meal Period?

  • Is The Grill Clean?

  • Is The Grill Table Clean and Uncluttered?

  • Are The Grill Table Casters Clean?

  • Are The Monitors, Mounts and Wires Clean?

  • Are The Printers and Timers Clean?

  • Is The Exterior Of The Stainless Reach-In Clean?

  • Is the Interior Of The Reach-In Clean?

Fry Station

  • Are All Lights Working?

  • Are Light Shields Clean and In Good Repair?

  • Are Ceiling Tiles And Grids Clean, Unstained And In Good Repair.

  • Are The Walls Clean?

  • Is The Under Fry Table Storage Clean, Organized and Uncluttered?

  • Are The Table Legs and Casters Clean?

  • Is The Vent Hood Top Clean, and Uncluttered?

  • Are The Removable Vents Clean And In Place?

  • Are All Required Small Wares Available for theCurrent Meal Period?

  • Are The Fryers Clean?

  • Is The Shortening Clean and Providing High Quality Products?

  • Is The Grill Table Clean and Uncluttered?

  • Are The Grill Table Casters Clean?

  • Are The Monitors, Mounts and Wires Clean?

  • Are The Printers and Timers Clean?

  • Is The Exterior Of The Stainless Reach-In Clean?

  • Is the Interior Of The Reach-In Clean?

  • Is The Floor Clean?

Back Of House

Kitchen

  • Are All Lights Working?

  • Are Light Shields In Clean and In Good Repair?

  • Are Ceiling Tiles And Grids Clean, Unstained And In Good Repair.

  • Are The Walls Clean?

  • Is The Tea Brewing Equipment Clean?

  • Is The Under Prep Table Storage Clean, Organized and Uncluttered?

  • Are The Table Legs and Casters Clean?

  • Is The Sink Area Clean Uncluttered and Stocked with Proper Amounts Of Soap and Sanitizer?

  • Is the Mop / Utility Sink Clean?

  • Is The Back Door Clean & Locked?

  • Are The Floors Clean?

Dry Storage

  • Are All Lights Working?

  • Are Light Shields Clean and In Good Repair?

  • Are Ceiling Tiles And Grids Clean, Unstained And In Good Repair.

  • Are The Walls Clean?

  • Are The Shelves Clean, Organized and Uncluttered?

  • Does The Inventory Look Like It Is Being Rotated Using FIFO?

  • Is All Inventory 6 inches Off the Floor

  • Are The Floors Clean?

Walk-In Cooler

  • Are All Lights Working?

  • Does This Meet Temperature Requirements 34-36?

  • Are Light Shields Clean and In Good Repair?

  • Are The Walls Clean?

  • Are The Shelves Clean, Organized and Uncluttered?

  • Does The Inventory Look Like It Is Being Rotated Using FIFO?

  • Is All Inventory 6 inches Off the Floor

  • Are The Floors Clean?

Walk-in Freezer

  • Are All Lights Working?

  • Does This Meet Temperature Requirements -10 to +10?

  • Are Light Shields Clean and In Good Repair?

  • Are The Walls Clean?

  • Are The Shelves Clean, Organized and Uncluttered?

  • Does The Inventory Look Like It Is Being Rotated Using FIFO?

  • Is All Inventory 6 inches Off the Floor

  • Are The Floors Clean?

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.