Flint Genesee Job Corps Center – Food Services Safety Officer Inspection Form

• Site conducted

  Select

• Frequency

  Weekly

  Monthly

• Date

  Date

• Inspector

• Location
  Address

• YES if safe. Note HAZARD IDENTIFIED/COMMENTS & WORK ORDERS SUBMITTED

• GENERAL CLEANLINESS & PRACTICES<br>Floors, ceilings, tables, work areas, lighting, pest control, food holding, temperatures, food protected, wet mops stored outside to dry (or hung properly), free from graffiti.

  Yes

  No

  N/A

• FOOD STORAGE AREA<br>Clean, no food on floor, labels, no pests, no leaks, no toxins, food protected.

  Yes

  No

  N/A

• REFRIGERATORS AND FREEZERS<br>Clean, thermometers, correct temperature, labels, lighting, food protected.

  Yes

  No

  N/A

• Temp on Milk Fridge

• Did you have to remove any milk?

  Yes

  No

• Date on Freezer Foods:

  Date

• Are any lights out in the freezer?

  Yes

  No

• EMPLOYEES<br>Clean clothes, hair covers, good hygiene, no smoking, no unauthorized personnel.

  Yes

  No

  N/A

• EQUIPMENT<br>Clean, in good repair, protected.

  Yes

  No

  N/A

• DISHES/POTS WASHING FACILITIES/DISHWASHING<br>Clean, protected in storage & dispensing, correct temperature air drying.

  Yes

  No

  N/A

• RESTROOMS <br>Clean, paper towels, hot & cold water, antibacterial soap, toilet tissue, waste cans.

  Yes

  No

  N/A

• GARBAGE AREAS<br>Cans cleaned & covered, surrounding area clean, no pests.

  Yes

  No

  N/A

• FIRE PROTECTION <br>Portable fire extinguishers, fire alarm systems and emergency lighting operational.

  Yes

  No

  N/A

• CLEANING SUPPLIES/SDS BOOKS<br>Properly stored and labeled.

  Yes

  No

  N/A

• LIGHTING<br>Cafeteria, kitchen, storage rooms and restroom adequate lighting.

  Yes

  No

  N/A

• PLUMBING<br>Pipes, faucets, drains, traps, toilets, urinals, water temps.

  Yes

  No

  N/A

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• Inspected by

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