Title Page
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Name of Establishment
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Conducted on
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Performed by
Placement of stuffs
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Is all pots and pans placed in it designated spot
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Has all the tongs and kitchen spoons been placed in its designated spot
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Did the employees follow the food safety procedure and cleaned and sanitised there work space
Facilities & Equipment
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Dishes, pots, pans, and utensils are cleaned and stored properly
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Sinks are cleaned & sanitized
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Dishwasher was cleaned after use
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Tray return window and surrounding area is cleaned
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Wiped down and disinfected (if needed) the kitchen counters, table, and stove top
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Oven spills and debris are removed and cleaned
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Kitchen floors were mopped, swept and sanitized
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Cleaning rags washed after use or placed on dirty laundry bin
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All tools were cleaned, locked and inventoried
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Cleaning equipment properly stored after use
Food handling
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Are all foods thawed and cooled appropriately?
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Are chemicals stored away from food?
Facilities
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Is floor cleaned and free from spillage?
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Is the pass been cleaned properly?
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Are freezer, refrigerator and dishwasher temperatures checked and recorded?
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Are all stoves cleaned after used?
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Are all sinks cleaned and sanitized after use?
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Are all work counters cleaned and sanitized after use?
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Are ovens turned off after usage?
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Are mixers cleaned and stored after used?
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Is stick blender cleaned after used?
Waste Disposal
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Waste bins are properly segregated
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Waste bins are emptied & taken to the dumpster
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Waste bins are cleaned and sanitized
Completion
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Overall Assessment
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Name & Signature of Kitchen Manager