Title Page

  • Conducted on

  • Prepared by

  • Location

Walk In

  • Walk-in shelving clean and well maintained?

Dishwasher

  • Is the Dishwasher clean, free of build-up & well-maintained?

Freezer

  • Freezer shelving clean and well maintained?

Dry Storage

  • Dry storage shelving clean and well maintained? (Prep Side)

  • Dry storage shelving clean and well maintained? (Breading Side)

  • Dry storage shelving clean and well maintained? (Secondary)

Fryers

  • Pressure fryer #1 gasket well maintained?

  • Pressure fryer #1 wheels well maintained?

  • Pressure fryer #2 gasket well maintained?

  • Pressure fryer 2 wheels well maintained?

  • Pressure fryer #3 gasket well maintained?

  • Pressure fryer #3 wheels well maintained?

  • Pressure fryer #4 gasket well maintained?

  • Pressure fryer #4 wheels well maintained?

Hood-vents

  • Are the Hood-vents cleaned and well maintained?

Thaw Cabinet

  • Thaw Cabinet Door #1 gasket well maintained?

  • Thaw Cabinet Door #1 wheels well maintained?

  • Thaw Cabinet Door #2 gasket well maintained?

  • Thaw Cabinet Door #2 wheels well maintained?

  • Thaw Cabinet Door #3 gasket well maintained?

  • Thaw Cabinet Door #3 wheels well maintained?

  • Thaw Cabinet Door #4 gasket well maintained?

  • Thaw Cabinet Door #4 wheels well maintained?

  • Thaw Cabinet Door #5 gasket well maintained?

  • Thaw Cabinet Door #5 wheels well maintained?

Breading Table

  • Breading Table gaskets well maintained?

  • Breading Table interior cleaned?

  • Breading Table hinges cleaned and well maintained?

Boards

  • Pepper Jack Cheese gasket well maintained?

  • American Cheese gasket well maintained?

  • Colby Jack Cheese gasket well maintained?

  • Honey Butter gasket well maintained?

Ice Machine

  • Ice Machine free of mold & well maintained.

Low-boy's

  • Secondary Low-boy door #1 gasket well maintained?

  • Secondary Low-boy door #2 gasket well maintained?

  • Prep Low-boy door #1 gasket well maintained?

  • Prep Low-boy door #2 gasket well maintained?

  • Prep Low-boy door #3 gasket well maintained?

  • Prep Low-boy door #4 gasket well maintained?

  • Prep Low-boy door #5 gasket well maintained?

  • FOH Low-boy door #1 gasket well maintained?

  • FOH Low-boy door #2 gasket well maintained?

  • FOH Low-boy door #3 gasket well maintained?

  • FOH Low-boy door #4 gasket well maintained?

  • FOH Low-boy door #5 gasket well maintained?

  • FOH Low-boy door #6 gasket well maintained?

Ice-Cream

  • Ice-Cream Machine Spinner #1 well maintained?

  • Ice-Cream Machine Spinner #2 well maintained?

Dumpster Pad

  • Is dumpster pad cleaned and well maintained?

Water Softener

  • Is water softener filled to an appropriate amount? (3/4 Full)

  • How many bags of water softener are there remaining?

  • Need to purchase any bags?

  • If so how many bags are needed?

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.