Inspected By:

  • Date & Time Inspected

  • Inspected for the month of

  • Assessor's Name & Signature

HOUSEKEEPING/GENERAL CONDITIONS

  • Coats & Aprons (Clean), clean and dirty coats stored separately

  • Back Shipping/Receiving Area (Clean, Doors Closed)

  • Front Shipping/Receiving Area (Clean, Doors Closed)

  • Gabage Cans (Clean)

  • Doors throughout facility (clean and in good condition)

  • Facility is adequately clean (i.e. no areas with excessive dust, spider webs, etc)

PRODUCTION ROOM

  • Walls (clean and in good condition)

  • Ceilings, Vents & Exhaust Fans (clean and in good condition)

  • Lights Covered & In Good Condition

  • Floors (clean and in good condition, no large cracks or damaged areas)

  • Drains (clean and in good condition), no pooling water

  • Garbage Cans (Clean and in good condition)

  • Racks (Portion cart, and other racking, clean and in good condition)

  • Sinks (Clean, warm water available, stocked with soap and paper towels)

  • Hoses off the Floor

  • Equipment clean & in good condition

  • Product containers clean and in good condition

  • No temporary repairs observed

PERSONNEL PRACTICES

  • Hairnets & Beardnets Properly Worn

  • No Jewelry, Watches, fingernail polish observed

  • Handwashing & Glove Policies Followed

  • No Evidence of Illness, Open Wounds, or Leisons on Employees

  • Employees wearing clean clothes/uniforms

FREEZER

  • Floor, walls, ceiling, chilling units clean and in good condition

  • Racking clean and in good condition

  • Items stored in proper areas (raw materials, finished product, allergens)

  • Items stored properly (covered, labelled, etc.)

  • Freezer at correct temperature:

COOLER

  • Floor, walls, ceiling, chilling units clean and in good condition

  • Racking clean and in good condition

  • Items stored in proper areas (raw materials, allergens)

  • Items stored properly (covered, labelled, etc.)

  • Thawing procedures being followed

  • Cooler at correct temperature:

PACK OUT ROOM

  • Floor, walls, ceiling clean and in good condition

  • Packaging supplies stored properly

DISH ROOMS

  • Proper segregation between clean and dirty dishes

  • Clean dishes stored properly

  • Floors, walls, ceilings clean and in good condition

CHEMICAL STORAGE ROOM

  • Restricted access

  • Chemicals stored properly (correct location, properly labelled)

ELECTRICAL/MAINTENANCE AREAS

  • Areas are neat and tidy

  • Food grade grease/lubricants stored properly

DRY STORAGE

  • Food Ingredients Properly Covered

  • Packaging (incl. part used packaging) properly covered

  • Items are properly labelled

  • Racking clean and in good condition

  • Items stored in proper areas (packaging, ingredients, allergens)

WASHROOM

  • Floors, walls, ceilings clean and in good condition

  • Sinks clean and have warm water, soap and paper towels

  • Garbage cans clean

LUNCHROOM

  • Floors, walls, ceilings clean and in good condition

  • Sink clean and has warm water, soap and paper towels

  • Food and personal items stored properly

  • Fridge clean

  • Microwave clean

PEST CONTROL VERIFICATION

  • Service Reports (Up To Date, Legible)

  • Documention (Activity Noted, Necessary Corrective Actions Taken)

  • Traps, Bait Stations (In Place, In Good Condition)

  • No evidence of pest infestation

EXTERIOR PREMISES

  • Dumpster Area (Clean, no excessive garbage buildup, dumpsters covered)

  • Grass/ weeds near building trimmed

  • Parking lot/walkways (no litter, in good condition)

  • No pooling water observed

  • Shipping/Receiving areas (no litter, in good condition, bumper pads at back dock in good condition)

  • Exterior doors locked (except retail entrance)

  • Exterior of building in good condition

  • No evidence of pests

Verification

  • Verified by:

  • Date & Time of Verification:

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.