Title Page

  • Name of Establishment

  • Conducted on

  • Performed by

Placement of stuffs

  • Is all pots and pans placed in it designated spot

  • Has all the tongs and kitchen spoons been placed in its designated spot

  • Did the employees follow the food safety procedure and cleaned and sanitised there work space

Facilities & Equipment

  • Dishes, pots, pans, and utensils are cleaned and stored properly

  • Sinks are cleaned & sanitized

  • Dishwasher was cleaned after use

  • Tray return window and surrounding area is cleaned

  • Wiped down and disinfected (if needed) the kitchen counters, table, and stove top

  • Oven spills and debris are removed and cleaned

  • Kitchen floors were mopped, swept and sanitized

  • Cleaning rags washed after use or placed on dirty laundry bin

  • All tools were cleaned, locked and inventoried

  • Cleaning equipment properly stored after use

Food handling

  • Are all foods thawed and cooled appropriately?

  • Are chemicals stored away from food?

Facilities

  • Is floor cleaned and free from spillage?

  • Is the pass been cleaned properly?

  • Are freezer, refrigerator and dishwasher temperatures checked and recorded?

  • Are all stoves cleaned after used?

  • Are all sinks cleaned and sanitized after use?

  • Are all work counters cleaned and sanitized after use?

  • Are ovens turned off after usage?

  • Are mixers cleaned and stored after used?

  • Is stick blender cleaned after used?

Waste Disposal

  • Waste bins are properly segregated

  • Waste bins are emptied & taken to the dumpster

  • Waste bins are cleaned and sanitized

Completion

  • Overall Assessment

  • Name & Signature of Kitchen Manager

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.