Information

  • Store/Location

  • OT rating

  • Food TvA

  • LBW TvA

  • Conducted on

  • Prepared by

  • Personnel

Facilities - exterior

  • Outside entrance is clean, well kept and welcoming

  • No cigarettes or trash in parking lot or gum on sidewalks

  • Parking lot Striping

  • Parking lot Curbs

  • Parking lot Handicap signs

  • Parking lot cracks or potholes

  • Awnings

  • Building

  • Exterior lighting working and turned on/off at appropriate times

  • Building Signs are working and turned on and off at appropriate times

  • Windows and ledges are clean

  • Roof and gutters are free of debris

  • Landscaping

  • Back gate

  • Grease trap

  • Dumpster pad

Terrace

  • Music on, set to an appropriate level

  • All lights and fans are on and working properly

  • Floors, walls and ceiling are clean, free of dirt, dust and residue

  • Awnings/Umbrellas clean

  • Chairs

  • Tables

  • Planters/plants

  • POS system

  • Sidestands

  • Paint walls and railings

Facilities Interior- Host stand/Waiting Area

  • All lights are on and working properly

  • Music on, set to an appropriate level

  • Pagers

  • Menus/dessert

  • Feature cards

  • I-pads

  • Front doors clean

  • Licence displayed

  • Soft seating

  • Rosters/ floor plans

  • Phone answer prompt and correct

  • Crayons/Kid Menus together

  • Pizza Dough Automatic

  • High chairs clean

  • Hammocks clean

  • Booster seats clean

  • Floors, walls and ceiling are clean, free of dirt, dust and residue

  • Fixtures and furniture are clean, free of dirt, residue and gum

  • All posters and ad material is up to date, and displayed professionally

  • Host stand is set up and organized properly

  • Amazon/grub hub in place

  • To supplies stocked

Facilities-Restrooms

  • All lights are on and working properly

  • Mirrors are clean and streak free

  • Door/Frame clean

  • Employee hand wash signs in place

  • Feminine boxes

  • Drains

  • Commodes

  • Toilet seats tightened

  • Urinals

  • Toilet paper spindles

  • Soap dispenser with soap

  • Trash cans

  • Air misters

  • Ceiling

  • Changing stations

  • Soap full

  • Walls

  • Floors

  • Paper towel dispensers properly stocked

  • Vents and ducts clean

  • Counter is clean and free of water

  • Partitions are clean, free of dirt, dust, or residue

  • All lights are working properly

  • No foul odors are present

Facilities Dining Room

  • Ceiling

  • Flooring

  • Exit/emergency signs

  • Menu boxes

  • Wine boxes

  • Silver baskets

  • Lights

  • Music

  • Plants

  • Columns

  • Vents/Ducts

  • Soda fountains and below

  • Hand sinks with soap and towels

  • Side stands

  • Server cooler clean. Dairy dots in use

  • Coffee machine

  • Coffee pots

  • Coffee urns/spigots

  • Iced tea machine

  • Iced tea urns/spigots

  • Iced tea and water pitchers

  • Bread station

  • Booth seats are clean and in good condition

  • All posters and ad material is up to date, and displayed professionally

  • Tables and bases are clean and in good condition -no gum

  • Sugar caddies are clean, full and functional

  • Salt and Pepper are clean, full and functional

  • All tables are set properly and display proper table tents

  • Chairs are in good condition-not wobbly

  • Drapes curtains are in clean and in good repair

  • Mirrors are clean and streak free

  • Railings

  • Walls

  • 1/2 Walls

  • Table padding in good repair

  • Blinds or curtains

  • Windows are clean and streak free

Facilities-Bar

  • All lights are on and working properly

  • Televisions on, set to an appropriate station, volume at an appropriate level

  • Cocktail tables set up and clean

  • Floors, walls, and ceiling are clean, free of dirt, dust, or residue

  • Fixtures and furniture are clean, free of dirt, residue and gum

  • Liquor wine and beer are properly displayed and open wine dated

  • Mug chiller clean and working

  • Coolers are clean and have thermometers

  • Bar top is clean and free if dirty dishes, water and clutter

  • Menus are available to the guest

  • Equipment is in good condition and working correctly

  • Sodas are calibrated correctly - Guns are clean

  • Ice bins are clean and scoops are in use.

  • Glassware is clean, spotless, dry and frozen where applicable

  • Blenders are clean and working

  • Cutting boards are clean and sanitary (not overly grooved)

  • Hand sink with soap and towels

  • Test strips available

  • Dishwasher

  • Sani bucket

  • All products labeled

  • Floor under equipment

  • Walls behind equipment

  • Hand sinks clean and stocked

  • Drains clean and covered

  • Supply levels (glassware, buckets, ect) are adequate for business

  • Bar terminal works and is in good condition

  • No foul odors are present

Facilities-Expo

  • All lights are on, covered and working properly

  • Tray maintenance

  • Tray jacks clean

  • Floors, mats, walls, and ceiling are clean, free of dirt, dust, or residue

  • Sani bucket in place

  • Tables are clean, in good condition (not worn), and are free of food debris

  • Mis em place in place and on ice

  • Heat lamps are clean and working

  • Ticket times within standard

  • Proper temps on food

  • Red lining program in place

  • Hand sinks are clean, stocked, and in good working condition

Facilities-Kitchen Hot line Sanitation

  • All lights are on, covered, and working properly

  • Floors, mats, walls, and ceiling are clean, free of dirt, dust, or residue

  • Sani buckets in place

  • Hotel Broiler-clean and working

  • Saute Ovens-clean and working<br>

  • Pizza Oven-clean and working<br>

  • Microwave Oven-clean and working<br>

  • Pasta burners-clean and working<br>

  • Oven--clean and working<br>

  • Fryer clean and at temp

  • Steam table-clean and working<br>

  • Alto sham-clean and working<br>

  • Hood lights-clean and working<br>

  • Hoods clean and working<br>

  • Back walls

  • Floors

  • Line plumbing

  • Dip well

  • Ice cream freezer/Gaskets/clean

  • Plate cooler/Gaskets/thermometer

  • Pantry cooler/Gaskets/thermometer

  • Sautee cooler/Gaskets/thermometer

  • Pizza cooler/Gaskets/thermometer

  • Pasta cooler/Gaskets/thermometer

  • Grill cooler/Gaskets/thermometer

  • Dessert cooler/Gaskets/thermometer

  • Salad cooler/Gaskets/thermometer

  • Filters coils and fans

  • Glove use

  • Labels accurate and in date

Facility- BOH Equipment

  • Stand up mixer

  • Bur mixer

  • Convection oven

  • Hot box

  • Fryer filter-clean and working<br>

  • Tilt skillet

  • Food processor clean and working

  • Slicer clean and working

  • Scales clean and working

  • Ice machine

  • Can opener

  • Floor drains clean and have inserts

Facilities- Prep area

  • Table legs

  • Flour bins labeled and clean

  • Three sink working and clean

  • Tables

  • Hands sinks are clean and in good working order

  • Shelves are clean, organized, and are free of food debris

  • Shelves are displayed in grocery store fashion

  • Floors and drains clean

  • Lighting

  • Walls

  • Ceiling/vents

  • All Builds and Recipes are current and in use

  • No foul odors are present

Mechanical Room

  • Roof inspection HVAC units closed and roof debris free

  • Hot water heater

  • Pepsi tree

  • Marlin panel free of dust

  • Roof inspection HVAC units closed and roof debris free

  • Holding tank

  • Water softener functional and filled with salt

  • RTI system

  • Bulk CO2

  • Floor drains clear of trash or debris

Facilities-Dish

  • All lights are on, covered, and working properly

  • Floors, mats, walls, and ceiling are clean, free of dirt, dust, or residue

  • Sanitizing & Cleaning materials are available and labeled properly

  • Tables are clean, in good condition, and are free of food debris

  • Shelves and racks are clean, In good condition, and are free of food debris

  • Clean dishes are stored in a sanitary way

  • Dirty dishes are stacked and organized

  • Dish machine is clean outside, gauges working, and water is changed out every 2 hours

  • Dish machine is free of lime

  • Proper chemical test strips are available and used

  • Hoods are clean and functioning

  • Mop sink is clean and organized

Dry storage

  • Food is forward and displayed on shelves in grocery store fashion

  • Walls are clean

  • Floors are clean

  • Shelves are clean and labeled

  • Product is dated, rotated, labeled

  • No clutter

Facilities-Walk-In/Freezer Cleanliness

  • Walk in Door gasket and closer

  • Freezer Door gasket and closer

  • Floors, mats, walls, and ceiling are clean, free of dirt, dust, or residue

  • Walk in All lights are on and working properly

  • Freezer lights are on and working properly

  • Swim, walk fly storage is followed

  • Speed racks and shelving are clean, in good condition, and are free of food debris

  • Cooler and Freezer are holding proper temperatures and are in good working order, thermometer present and working

  • Items are labeled with the date they were received

  • Fish is properly iced in drip tray

  • Product has the correct rotation FIFO/not out of date

  • Fans and covers are clean

  • Back up thermometer in walk in

  • Back up thermometer in freezer

  • No foul odors are present

Safety

  • Ansul inspection up to date

  • Health Inspection violations corrected

  • Fire extinguishers present and in date

  • Ecolab book-MSDS complete

  • Wash and walk in use

  • First aid kit present, stocked and includes blood borne hazard kit

  • All managers serve safe certified

Kitchen Food safety in action

  • Wash hands with glove change and throughout shift

  • Sani buckets with clean towel and checked with test strips during line check

  • Proper cooling with chart

  • Produce washed properly with victory wash

  • Pull thaw method in place

  • Ready to eat above raw

  • Colored tongs for proteins system in use

  • Allergy tongs in use

  • Cutting boards in good repair

  • Receiving temps noted on invoices

Security

  • Back door locked

  • Office door locked

  • I Pads locked

Systems in place

  • All line checks are performed by manager or certified shift leader and completed thoroughly

  • Supplies used: digital thermometer, Ph test strips, follow-up sheets, scale, Sani Bucket, spoons

  • 30 days of line checks available and complete

  • Bar banks & Petty cash correct. No IOUs

  • 30 days of sanitation checks available and complete

  • Flight plan complete

  • Daily sanitation checklist completed for today

  • Completed Linecheck is filed and held on-hand as a record for 7 days

  • Closing checklist com[plete

  • 5 in 1 Poster: (FMLA, Polygraph, OSHA, FLSA Minimum Wage Retirement, Equal Employment Opportunity)

  • Choke Poster

  • Work Related Injury Plan 6 Notification Posters - (English & Spanish)

Manager Operations-Operations & Licenses

  • Staff follows hygiene standards-Hair up, clean and trimmed nails

  • Staff food handlers complete and current

  • All Managers are serve safe certified

  • First Aid kit available, readily accessible for guest/staff members, and stocked with adequate/ample supplies

  • Entire office is clean, organized, and clutter free at all times- including file cabinets/shelving. Till/chairs are in good working condition

  • SOP Manual in office

  • Staff members are 100% ABC/TABC/Food Handler complaint where applicable

  • Most recent health inspection is kept for records and is above a 90%

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.