Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Form Date
GENERAL INFORMATION
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Year
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Name of Auditor:
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Round
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Manager Name :
SECTION 1 - TOP RED LIGHTS
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1. No Evidence of pest infestation Found in Shop (rodents, cockroaches, insects and ant
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No Cockroaches
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No Flies
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No Rat or Rat evidence
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2. Menu Preparation
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Salad Preparation
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Fried Items preparation
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Boiled Items preparation
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Sauce prepared not in prober way
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3. Correct handling of glassware, crockery, glass, hard plastic (No storage above preparation area, no chipped pieces, correct stacking)
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Chipped hard plastic found in the shop
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Chipped glass found in the shop
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Glassware stored above food preparation area
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Glassware in Bain marie during Service
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4. Thawing process
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ice must be used to calibrate water temperature
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ice must be used to during product cleaning time
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ice must be used to during product portioning time
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ice must be used to during buffer storing at fridge
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Buffer should place at strainer canister
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5. Approved Chemicals Used / Correct Sanitizers & Concentrations/ Clearly labeled / Correct Storage
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6. No Metal Scrubbers / No Wire Brushes / Sponges used in Shop / No wooden tools
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A metal scrubber found in the shop
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Wooden tools found in the shop
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A sponge found in the shop
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A wire brush found in the shop
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Cotton towels found in use in the shop
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7. Water Potability
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No Potable water in place, as per country’s requirements.
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N o proper / yearly maintenance of water filters, as applicable.
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8. All food items and food contact packaging in the Shop must be from Shrimplus Approved Suppliers
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9.Product preparation (Quantity ) .
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Sea bass weight X>55 to 75 grams or X<45 to 50 grams above
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Shrimp quantity boiled 13 pc or 9 pcs and fried 10 pc
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French fries served portion (145-155)
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Mussels portion (10 pc )
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Crap portion (470 g )
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lobster portion 1 pecs (285-400 g) 2 pecs 150 to 274
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Calamari Portion (140 - 150 )
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10. No Foreign Matter observed in Product – No micro cross contamination risks observed
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Cooked food stored with uncooked food
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Insect in food product
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Hair found in food product
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Foreign matter found in product
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11. Correct Hand Wash Practices Must Be Observed & Dedicated Hand wash basins to be in place per working Station
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Staff observed not following correct hand washing practices
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Soap not available
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No dedicated hand wash basin in each working station (front line / back of house)
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hand basin is not hot water
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Dedicated hand wash basin is hand operated
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12. No out of date product , semi-finished product or ingredient in use .All food products must be labeled (product name),and date coded,
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Out of date product found in the shop
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Food product found unlabeled in the shop
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Food product found with insufficient label.
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13. products cooking time
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Boiled shrimp (50 S )
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boiled crab (5 minute )
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Boiled lobster (9 minute ) temp 85 °C
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boiled mussels (1:30 minutes )
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Boiled corn (12 minutes )
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Fried Sea bass (3:30 minutes )
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fried calamari (3:30)
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French fries ( 3:30 )
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Fried shrimp ( 45 s )
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14. Storage Freezers / Walk-in Freezers at –18°C or colder
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15. Equipment Temperature
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Bain Marie Temp 65- 75 °C
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Soup Heater 65- 75 °C
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Boiler Machine 95- 100°C
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16. Chilled products / Milk / Whipped cream / Eggs / Sauces (tartar and dynamite ) must be between 0 to 4°C – unless any stricter local legal requirements in place
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17. refrigerator Temperature at 0 to 4°C
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18. Receiving Temperature of Seafood is documented and -18°C (0°F) or colder <-15°C of chilled products must be documented and 4°C
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19. knife and cutting bored
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Blue Knife for sea food
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Green knife for vegetable
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blue cutting board Fish & Seafood
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Green cutting board for vegetables and fruits
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20. Oil TPM Record and temperature
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Oil temperature between 165 to 175
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Oil TPM over 20%
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No Record For TEMP or TBM
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21. Marketing Elements at the Shop
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Tissue Dispenser Element
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WC Signage
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Front Door Marketing Elements ( Shop Hours , Pull , Push …etc )
SHOP EXTERIOR - WELL MAINTAINED/CLEAN
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A1 SHOP EXTERIOR - WELL MAINTAINED/CLEAN
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External sign was not lit (at night time)
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External signage was dirty/ Damaged
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A2 Building structure / Entrance (Doors / Rubbish Bin / Mat)
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Building structure was dirty /Damaged
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Rubbish bin was dirty/full/poor condition/not covered /smelled
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Entrance was dirty/ damaged
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A3 Terrace (furniture’s, material, equipment.)
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Terrace in bad condition
B. SHOP FRONT - CUSTOMER AREA - WELL MAINTAINED/CLEAN
B1 Ceiling, Lighting and Ventilation
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SHOP FRONT - CUSTOMER AREA - WELL MAINTAINED/CLEAN
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Ceiling panels were missing
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Ceiling damaged
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Light bulb not working
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Paint flakes on ceiling
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Ceiling was dirty
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Ventilation was dirty
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Ventilation was damaged
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Presence of dead insects trapped in lights
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No cleaning frequency established
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B2 Walls, Floors
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Walls were dirty
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Walls were damaged
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Floors were dirty
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Floors were damaged
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B3 Windows
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Windows were not clean
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Windows were not in good repair
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decoration was not clean
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decoration was not in good repair
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B4 Internal Signage ( table Number Holder): no handwritten, not sticky tape
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Signage in bad condition/Damaged/Signage dirty
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Hand written signage
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B5 Furnishings and Fittings
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Chewing gum found under table in customer area
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Equipment / fitting dirty / Damaged
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B6 Service Station (area for placing Napkin’s, gloves ,Aprons , trays, cutlery etc.)
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The service station was unclean
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Service station was in poor condition
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The service station was untidy
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B7 Dustbins covered
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Rubbish bin was dirty/smelled bad/ not covered/Full/poor condition
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B8 Holders for Napkins (if present)
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Holder for napkin was dirty
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The napkin dispensers were not properly filled
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B9 Customer's Basin (If applicable) / Sanitizer dispenser
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No bactericidal soap
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No disposable paper towels
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No hand sanitizer
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No running water
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Dirty/In bad repair
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B10 Customer Toilets (For Kiosk and Shops inside shopping mall / cinemaplex , this section is NA)
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Customer facilities were dirty
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Light not working
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Unpleasant odor
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Customer facilities in poor state of repair
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No running water for the hand wash basin
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No hand soap
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No toilet cleaning record
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No toilet paper
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Rubbish bin was dirty
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Ceiling / Walls / Floors in poor conditions
C SHOP FRONT - WORK AREA (Cashier Area and kitchen area ) - WELL MAINTAINED/CLEAN
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C1 Internal signage (menu board, plasma, display…)
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Menu board with hand written information
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Menu board in bad condition
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Plasma screen dirty (front or behind)
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Plasma screen not working
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Plasma screen not showing HDS videos
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Display dirty
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C2 Walls and Floors
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Walls were dirty
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Walls were damaged
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Floors were dirty
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Floors were damaged
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C3 Ceiling, Lighting (working and protected) and Ventilation
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Ceiling panels were missing
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Paint flakes on ceiling
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Ceiling was dirty
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Ventilation was dirty/was damaged
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Light bulb not working
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Lights not protected
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C4 Furnishings and Fittings
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equipment / fitting dirty/damaged
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Defects not reported for repair
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C5 Drainage and Plumbing
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Drains were dirty
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Drainage not in good repair
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Drains smelled bad
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Water leaking from pipe
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Drains not covered
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C 6 Rubbish Bins - Foot pedal type
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Rubbish bin was dirty
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Rubbish bin smelled bad
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Rubbish bin was not covered
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Rubbish bin was not emptied when full
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Rubbish bin was in a poor state
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Rubbish bin had no liner
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Rubbish bin was not food pedal (except for cash register small rubbish bin)
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C7 Cash Register / Surrounding Area
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The cash register and surrounding area is dirty
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The cash register and surrounding area were disorganized
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Sales total not visible to customers
D Walls and floors ( Washing Room and sock room )
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D1 Walls and floors ( Washing Room and stock room )
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Walls were dirty
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Walls were damaged
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Floors were dirty
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Floors were damaged
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No coved (curved) junctions in place
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D2 Ceilings, lighting (protected) and Ventilation ( washing room and stock room )
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Ceiling was damaged/was dirty
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Ventilation was dirty /damaged
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Light bulb not working/not protected
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Lighting was considered insufficient for staff to work safely and be able to identify hazards
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Poor ventilation in back room
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Water dripping from AC units
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Direct air flow onto exposed products
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D3 Drainage & Plumbing (Kitchen and washing room)
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Drains were dirty
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Drainage not in good repair
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Drains smelled bad
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Water leaking from pipe
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Drains not covered
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D4 Equipment (Kitchen and washing room)
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Equipment not in good condition
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Equipment dirty
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Defects not reported for repair
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D5 Rubbish bins - Foot pedal type
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Rubbish bin was not food pedal
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Rubbish bin was dirty/smelled/not covered /full/poor condition
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D6 KITCHEN, WASHING ROOM - WELL MAINTAINED/CLEAN
STORAGE AREAS/OFFICE
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E1 Storage Walls and Floor
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Walls were dirty/Damaged
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Floor was dirty/damaged
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Exterior Door Gap > 6 mm underneath
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E2 Storage Ceiling, Lightening and Ventilation
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Ceiling was dirty/damaged
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Ventilation was dirty/Damaged
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Light bulb not working/not protected
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E 3 Storage Draining and Plumbing (if present)
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The drains were dirty/Damaged
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Drains smelled bad
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Drains not covered
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Drains not working effectively (when with water seals)
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Plumbing not in good repair
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E4 Storage Furnishing and Fitting ( drawers, doors, work surfaces, shelves ,Garbage Bin
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Shelves in bad condition
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Garbage bin not foot pedal or not covered
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Shelves not removable
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Shelves not accessible for cleaning
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Defects not reported for repair
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E5 Office / Other Areas
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Not clean
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Not tidy
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Not in good repair
SANITATION
F Cleaning Equipment and Practices (wiping cloths and mops color coding)
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F1 Cleaning Equipment and Practices (wiping cloths and mops color coding)
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Cleaning equipment was dirty
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Cleaning equipment was in poor state of repair
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Cleaning equipment with wooden handle
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Colour coding system not displayed
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Colour coding not in place for wiping cloths
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Colour coding not in place for brushes and mops
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Cleaning equipment not properly stored (should be hanged separately)
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Cleaning bucket full of dirty water
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No warning notice for slippery floor
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Obsolete equipment not properly stored
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F2 Sinks (hot and cold water, clean, good repair)
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Sink not clean
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No hot water
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The tap was leaking on the sink
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The drainage / Plumbing to the sink was defective
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Sink was not in good condition
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Incorrect number of compartments.
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F3 Dishwasher (wash temp 49°C (120°F), rinse temp 82°C (180°F) and 62°C (144°F) if sanitizer)/Glasswasher (wash temp 55°C (131°
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No records of internal temperature verification in place / nor external report in place,.
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Incorrect wash temperature
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Incorrect rinse temperature
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Not clean
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Not in good repair
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F4 Refuse disposal - internal / external
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Refuse containers were dirty
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Refuse containers smelled bad
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Refuse containers were overflowing
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Area dirty
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F5 Dedicated material for glass breakage (labeled.) (If no glassware, crockery and glass bottles of drink present in shop this question is
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No dedicated material for glass breakage
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Material was not clearly labeled
SECTION 3 - SERVICE
STAFF KNOWLEDGE And General conditions
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G1 Cooking Time
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Staff failed to answer cooking timing question:
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G2 Menu
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Staff failed to answer Menu question number:
SECTION 4 - PRACTICES/PRODUCT
H French Fries Warmer
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H1 Scale for check portion is not used by employees
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French fries observed oily / burn
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hair or buddies / pieces found in French fries
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H2 Internal Lighting (covered, operational)
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Defects not reported for repair
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The heating lighting in the fryer machine was not working
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I1 Bain Marie cabinet
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Accumulation of dirt in the Bain Marie
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Bain marie in poor state
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Defects not reported for repair
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J1 Boiler Machine
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Accumulation of dirt in the Boiler Machine
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Boiler Machine in poor state
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Defects not reported for repair
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J2 Product Timing
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cooking timing not followed/Timer not available
EQUIPMENT - REPAIR, CLEANLINESS & USE
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K1 Tableware
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Table ware was dirty
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Residues on the glasses
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Storage container of disposable was dirty
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K2 Disposable Service bags or bucket (correct storage, not used as containers)
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Disposable service bucket were stored upright
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Disposable service ware was being used for storage
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K3 Cold Beverage Equipment
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Cold beverage equipment not clean
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Build up of dirt under the equipment
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K4 Refrigerators (construction/maintenance/defrosted)
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Floor under the refrigerator was dirty
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Refrigerator in poor repair
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Door seals / gaskets on the refrigerator were not working properly
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Refrigerator was dirty
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Door seals were dirty
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Defects not reported for repair
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K5 Soup warmers
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K6 Freezer Walk in or regular
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Freezer was in poor state
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Frost build up in freezer
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Freezer was dirty
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Incorrect Food security practices (walk in freezer not able to lock, kiosks with unlocked products overnight)
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Defects not reported for repair
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K7 Blender Machines / (as required)
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Blender Machines spindle was dirty
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Blender Machines was in poor state
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Spindle blade in poor condition
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Blender Machines has a strong odour
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K8Small Equipment (Scoops / spades, ladles, canister storage containers, , bags for meals, scales, Miscellaneous)
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Small equipment damaged:
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The scooper not clean
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Small equipment damaged / dirty
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Scales not operational
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K9 Ice machines (scoop outside in sanitary condition or inside with handle out of ice) / Ice cube containers
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K10. Oven
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Dirty
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In bad state of repair
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K11 Napkins dispensers
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Napkins gloves hair net masks dispensers empty at kitchen
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K12 Temperature probe (i probes) infrared, glass and mercury thermometers prohibited, accurate, good working condition, minimum of 2
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Temperature probe not working
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No temperature probe on site
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Temperature probe damaged
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Temperature probe dirty
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Temperature probe was infrared or glass or mercury
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Probe was not accurate enough
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Only one probe available in the shop
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K13 (elevators):
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Cabinet / surrounding area dirty
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Cabinet not made of stainless steel material
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Cabinet not separated to prevent cross contamination between dirty dishes and outgoing food.
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Cabinet had bad odours
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Internal building structure of elevator not of sanitary design (for open cabin cases)
L STORAGE & HANDLING
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L1 Storage (items protected, off the floor, labeled)
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Food stored on the floor
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Uncovered food
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Wooden pallets / shelves found in walk -in freezers
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L2 Stock Rotation (First Expired – First out)
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L3 Food Preparation and Handling (including allergen control)
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High risk food / drink were not being stored refrigerated after preparation
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Thawed Food uncovered / unprotected in refrigerator.
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Incorrect use of gloves.
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High risk food / drink were not being stored refrigerated after preparation
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Food handled directly with hands and not with napkins, tools or gloves
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Incorrect pass through practices (kitchen window to pass trays and food)
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L4 Foreign Material Control (other than glass / hard plastic / chinaware)
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Stapler / metal fragments found in the shop near food preparation area
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Signs in food preparation area not laminated / in poor condition
ADMINISTRATION
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M1 production and stock Checklists
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Records not signed by employees and / or manager
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Records not dated
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M 2 Ice cube machine service report (twice a year )
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M 3 Dishwasher service report (yearly as a minimum)
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M 4 Maintenance of A/C Ventilation filters in Kitchen / Preparation Areas (service twice a year / chemical cleaning once a year)
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M5 Shelf Life Table
CRISIS MANAGEMENT
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N2 First Aid Kit (colored waterproof dressings, single use gloves, cream for burns)
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N3 Fire Safety (exit unobstructed, fire extinguishers present & checked)
SECTION 5 - PEOPLE
PERSONAL HYGIENE
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O1 Appearance (no strong perfume, appearance should enhance the brand, length of fingernails, nail polish, make up)
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Staff with poor personal hygiene
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Staff wearing strong perfume
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Staff with finger nails too long
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Staff with false nails
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Staff with nail polish
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Staff in kitchen area with make up on
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O2 Hair covering / Hair tied back
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Food handler not wearing hair covering
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Shop manager not wearing hair covering while handling food
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Staff with long hair not tied back
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Staff with moustaches not short or well groomed
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O3 No Jewelry
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Staff wearing jewelry
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Staff wearing watches
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Staff with visible / uncovered piercing.
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O4 Wounds Appropriately Covered
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Wound was not appropriately covered with colored water proof dressing
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Staff with wound didn't use gloves
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O5 Habits (no eating, smoking)
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Evidence of staff smoking in food areas
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Personal Medication found in food preparation / storage areas.
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Staff eat/drink in food area
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Staff food not correctly stored in the shop (dedicated shelf or refrigerator, dedicated container, etc)
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O6 Complete & proper uniform (uniform and shoes)
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Staff not wearing the uniform
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Staff wearing dirty uniform
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Staff wearing dirty shoes
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Staff wearing open shoes
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O7 Staff facilities (clean & tidy, dedicated cupboard for employees as a minimum, toilets can't be used for employees to get changed)
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Staff facilities not clean
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Staff facilities untidy
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Toilets not properly working
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No dedicated cupbord for personal belongings
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No hand wash sign
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No hot and cold water for the hand wash basin
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Manually operated tap
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No bactericidal soap
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No disposable paper towel / No high pressure air blade dryer system
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Low pressure Air dryer present
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Staff government documents
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Baladia Card ,Iqama , Health insurance