Domino's Pizza 2022 Operations Assessment

• Store Number

• Date and Time

  Date

• Evaluator Name

• Manager In Charge

• Location
  Address

CRITICAL OPERATIONS ELEMENTS

• Four (4) or more sizes/types of expired ingredients (non-dough) (-10)

  Yes

  No

• Lack of available cleaning supplies, potable water, and/or no functioning hand sink in the production area

  Yes

  No

• Refrigerated product(s), or refrigeration unit(s), over 50°F/10°C (including Alfredo sauce) (-10)

  Yes

  No

• Mold found on food products and/or on food contact surfaces (-10)

  Yes

  No

• Pest control standards past critical thresholds (-10)

  Yes

  No

• Dough management procedures neglected (-10)

  Yes

  No

• Five (5) or more core apparel, appearance, and/or hygiene violations on one (1) or several store personnel (-10)

  Yes

  No

• Mature (M-rated) content, including profanity, found on store premises (-10)

  Yes

  No

• Firearms, knives, illegal drugs, marijuana (in any form), or alcohol found on store premises (to the extent permitted by applicable law) (-10)

  Yes

  No

PRODUCT

• Dough properly managed and properly proofed (5)

  Yes

  No

• Approved product procedures in use (2)

  Yes

  No

• Product prepped for expected sales volume (2)

  Yes

  No

Pizza Great/Remake Calculation (4 per pizza)

• Pizza#1

  Great

  Remake

• Pizza#2

  Great

  Remake

• Pizza#3

  Great

  Remake

• Pizza#4

  Great

  Remake

• Pizza#5

  Great

  Remake

Sides: Great/Remake Calculation (3 per side)

• Side #1

  Great

  Remake

• Side #2

  Great

  Remake

• Side #3

  Great

  Remake

FOOD SAFETY

• All products dated properly and not expired (3)

  Yes

  No

• Pest control standards are maintained (3)

  Yes

  No

• Store personnel maintain proper appearance and hygiene standards (2)

  Yes

  No

• Hand washing and hand sanitizing procedures done properly (2)

  Yes

  No

• All food contact surfaces, small-wares, and utensils clean and sanitized (2)

  Yes

  No

• Hand washing and dishwashing supplies accessible and properly stocked (1)

  Yes

  No

• No bare hand contact with post-bake food (1)

  Yes

  No

• All food products are fully protected from cross-contamination and covered in prep, dry, and cold storage, at least 6" (15.2cm) from floor (1)

  Yes

  No

• Sanitizer concentration within specified range and temperature (1)

  Yes

  No

Temperatures

Bin Bin Bin Bin Bin Bin Cabinet Cabinet Cabinet Cabinet Cabinet Cabinet Cabinet Walk-in Walk-in Cola Cola Cola Other Other

• End Bake Temperatures

Wings Stuffed Cheesy Bread Pan BreadBowl

• All refrigerated products held within specified temperature ranges (3)

  Yes

  No

• All cooked product temperatures at least 165°F / 74°C (3)

  Yes

  No

IMAGE AND CLEANLINESS

• Domino's logo apparel (hats, shirts, shorts/pants/skirts, and outerwear) worn properly and represents a positive brand image (3)

  Yes

  No

• Aprons must be clean and worn at full-length, tied, during food preparation and not outside the store (2)

  Yes

  No

• Hot bags clean and free of debris and mold (2)

  Yes

  No

• Production area walls, floors, and baseboards are clean and free of dirt and debris (1)

  Yes

  No

• Customer area walls, floors, baseboards, windows, and windowsills are clean and free of dirt and debris (1)

  Yes

  No

• Customer area seating, counter, and surfaces are clean, sanitized, and free of dirt and debris (1)

  Yes

  No

• Restrooms are clean, sanitary, and fully stocked (1)

  Yes

  No

• Walk-in and gaskets clean, free of debris, mold, and mildew (1)

  Yes

  No

• Makeline rail, cabinets, and gaskets are clean, free of debris, mold and mildew (1)

  Yes

  No

• Store set up properly during operational hours (1)

  Yes

  No

• Parking lot and entryway sidewalk are free of debris (1)

  Yes

  No

• Bake-wares clean and free of excessive carbon build-up (1)

  Yes

  No

• Oven catch trays, oven exterior, and heat rack are free of built-up debris (1)

  Yes

  No

• Delivery vehicles represent a positive brand image (1)

  Yes

  No

EQUIPMENT AND STORE CONDITION

• Store ceiling, T-bars, and vents are clean and not broken, chipped, or cracked (1)

  Yes

  No

• Store walls, floors, and baseboards are not broken, chipped, or cracked (1)

  Yes

  No

• Hand sinks operational and handwashing reminder signage is present (1)

  Yes

  No

• Customer area seating, counter, and tables are not faded, broken, chipped, or cracked (1)

  Yes

  No

• Restrooms and fixtures are not broken, chipped, or cracked (1)

  Yes

  No

• Parking lot, entryway sidewalk, and customer-facing building exterior are clean and not damaged (1)

  Yes

  No

• Signage is clean, properly illuminated, and not damaged (1)

  Yes

  No

• Refrigeration units operational, not broken, chipped, or cracked, and free of rust, and holding temperature (1)

  Yes

  No

• Calibrated thermometer(s) available (1)

  Yes

  No

• Small-wares and utensils are not broken, chipped, or cracked (1)

  Yes

  No

• Bake-wares are not damaged (1)

  Yes

  No

• Oven fingers and hood are clean and free from excessive grease buildup and yellowing. Oven, hood, and heat rack are operational and undamaged (1)

  Yes

  No

• Sufficient number of hot bags available and are not torn, faded, or melted (1)

  Yes

  No

• Calibrated, working scale(s) and product build job aids available (1)

  Yes

  No

• Caller ID is installed and working (1)

  Yes

  No

• Safe and drop boxes are present, operational, and secured (1)

  Yes

  No

BRAND SAFETY

• Delivery experts making drops, carrying less than $20 (or international equivalent) (1)

  Yes

  No

• Security callbacks are completed for new and suspicious orders, and for orders where Caller ID is unavailable (1)

  Yes

  No

• Safe in use and deposit procedures followed (1)

  Yes

  No

• No more than $150 USD in front till (or international equivalent) (1)

  Yes

  No

• Safety equipment in use and store personnel delivering safely to customers (1)

  Yes

  No

• No weapons, including pocket knives, mace, pepper spray, and similar items (1)

  Yes

  No

• Manager Name and Signature

  Sign

• Additional Observations