Title Page

  • Site conducted

  • Manager

  • Date

  • Time in


  • INSTRUCTIONS:
    -------------------------------------

    1. Answer "Yes", "No", "N/A" for the questions below.
    2. Fill out required fields and answer other questions as needed.
    3. Add photos and notes/comments by clicking on the paperclip icon.
    4. To add a Corrective Measure, click on the paperclip icon then click on "Add Action". Provide a description, assign to a member, set priority and then set the due date.
    5. Complete audit by providing a digital signature.
    6. Share your report by exporting as PDF, Word, Excel or Web Link.

Accountability

  • Does the school have a trained back-up cashier?

  • Does the school have an emergency roster no more than 1 month old?

  • Are students identified at POS per Meal Collection & Accountability Process?

  • Are meal counts taken at the time of and at the point of sale?

  • Are only meals that meet meal pattern requirements counted and claimed for reimbursement?

  • Edit Check Procedure:

  • - For any day, does the number of lunches exceed the number of approved eligible?

  • Is there an acceptable reason documented why the number exceeded the number of eligible students?

  • Was documentation maintained?

  • - For any day, does the number of lunches exceed the attendance adjusted eligible?

  • Is there an acceptable reason documented why the number exceeded the number of eligible students?

  • Does the school follow the menu plan as approved and published?

  • Are the "Must offer Daily" items available for every student?

  • Are "Group One" items available for every student?

  • Are "Group Two" items available for every student?

  • Are all food items and condiments listed on the production record?

Production Records, Do all production records include:

  • Meals Planned adjusted?

  • Serving Size correct?

  • Amounts prepared accurate?

  • Amounts used entered?

  • Leftovers (if any) acccurate?

  • Leftovers coded correctly?

  • Are there enough components to build all the meals claimed?

  • What components are missing?

  • Are production records accurate based on above A – F?

  • Do production records document sufficient amounts of prepared food to meet requirements for reimbursable meals for the number of meals claimed?

  • How many meals are claimed?

  • How many fruit and vegetable components are listed?

  • How many Bread/Grain or Meat/Meat Alternates are listed?

  • Are there other items missing from the Production Record? What are they?

  • Are all menu items available to every student on day of visit?

  • Is the vegetable of the day available at all serving lines?

  • Are correct portions being served?

  • Does each POS have an up-to-date allergy list available?

  • Is an after school attendance roster available monthly for Snack or Supper programs?

  • Are charge procedures being used following the "Charge Management Plan"?

  • What is the current Charge Balance?

  • Is the "Charge Management Activity Log" up to date and in use?

  • Have charge letter mailings and phone calls been tracked on the Log?

  • Are the cashiers following the Charge Management Plan correctly?

Staff

  • Have hours in excess of the allocation been communicated?

  • Was overtime and extra regular pay from last pay period clearly explained?

  • Are Time Edit requests documented with staff having no more than 5?

  • Do staff members review their time punches each Friday and Payroll Deadline dates?

  • Are school hours used within weekly allocation?

  • Is there a staff cross training plan in place?

  • Is there a job rotation plan in place?

  • Are all staff members on track to meet the Professional Standards training hour requirements?

  • Are all staff in the correct uniforms? Only the current District Logo is allowed.

Inventory

  • Are food orders completed on time?

  • Are food orders accurate?

  • Are receiving procedures followed as written?

  • Is there more than one person completely trained to receive?

  • Are storage areas clean, organized, and temperature maintained/recorded?

  • Is FIFO (first in-first out) being used for all food items?

  • Is inventory being managed within best practice guidelines?

Miscellaneous

  • Are correct procedures being followed for field trips, ISS/Clinic, and other rosters?

  • Are the Charter School accountability steps being followed correctly?

  • Are current recipes, single item spreadsheet, and fruit & veggie cost sheet printed and available?

  • Are the correct Snack Program or Supper procedures followed?

  • Are recipes being followed?

  • Are all of the back stock items available?

  • Green Beans

  • Sweet Potato fries

  • Baked Beans

  • Mini Pancakes

  • French Toast

  • Max Sticks

  • Macaroni and Cheese

  • Carrot Coins

  • Frozen Broccoli

  • Raisins or Craisins

  • Is the Food Quality procedure being followed? (Appropriate items saved as leftovers)

  • Is the daily menu posted for students at the beginning of the line?

  • Is the serving line labeled with components?

  • Are ala-carte choices charged for correctly?

  • Is there a variety of ala-carte choices available?

  • Have the End of Day reports (all-in-one) been reviewed?

  • Do the individual TILL REPORTS balance with the daily BANK DEPOSIT REPORT?

  • Are all daily cash procedures followed?

  • What procedures need to be reinforced?

  • Does the site display the current “Justice for All” poster?

  • Does the change fund balance?

  • Is the Communication Center up to date?

Wellness

  • Do the students have 10 minutes to eat Breakfast and 15 minutes to eat lunch?

  • Are vending machines turned off at the appropriate times?

  • Are students using ID cards at the secondary schools?

  • Are the hand sanitizer stations in an accessible location?

  • Are parents being directed to our Smart Snack program rather then being allowed to bring in food for students other than their own?

HACCP

  • Are all staff wearing hair restraints and/or Beard Guards?

  • Are staff changing gloves as needed?

  • Are equipment Temperature Logs up to date?

  • Are cooking temperatures recorded?

  • Are Hot Holding and Cold Holding temperatures recorded?

  • Are Cooling Temperatures documented correctly?

  • Are Temp-Taker logs downloaded each day?

  • Have any SFSPac Non-compliant comments been addressed?

  • Have any Pest Control comments been addressed?

  • Is there a cleaning schedule in place?

  • Are chemicals stored in a clean and organized manner?

  • Are food and drinks in designated areas only

  • Is staff food stored separately, and correctly, from food designated for students?

  • Are preparation areas organized in a manner that prevents contamination from physical containments?

  • Required Health Department posters are displayed

  • What posters are missing?

Supervisor Notes/Comments

  • leave supervisor notes/comments here

Completion

  • Manager's Name and Signature

  • Supervisor's Name and Signature

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