Title Page

  • Document No.

  • Audit Title

  • Manager on duty

  • Conducted on

  • Prepared by

  • Location

ecodrill

  • Select date

  • Preformed by

Front boards

  • Name of person on front boards

  • No expired product in PHU's

  • Cheese

  • Expired when?

  • Lettuce (under boards)

  • Expired when?

  • Tomatoes

  • Expired when?

  • Onions

  • Expired when?

  • Onion rings

  • Expired when?

  • Ham

  • Expired when?

  • Sanitizer buckets

  • No buns pre-sent in toaster

Specialty Boards

  • Name of person on specialty board

  • No expired product in PHU's

  • Cheese

  • Expired when?

  • Lettuce

  • Expired when?

  • Tomatoes

  • Expired when?

  • Onions

  • Expired when?

  • Fries have hold time

  • Hold time

  • Sanitizer buckets

  • No buns pre-sent in toaster

Broiler

  • Name of person on broiler

  • 3 compartment sink sanitizer

  • Sanitizer buckets

  • Blue tongs in walk in

  • Metal tongs in meat well not touching anything

  • All meat covered

Back Boards

  • Tomato's (under board)

  • Expired when?

  • Sanitizer buckets

  • Nothing In front of hand sink

  • Hand washing sink stocked

  • Dish drains cleaned

Drive thru

  • Name of people on drive thru

  • Teas timed (all 4)

  • Expired when?

  • Sugar timed

  • Photo of sugar bucket time

  • Smoothies and frappes in fridge are timed and not expired

  • Creamer timed

  • Expires when?

  • Coffee timed

  • Expired when?

  • Shake spindle clean

Expediter

  • Name of expediter

  • Cookies timed

  • Expires when

  • Dining room Sanitizer Buckets

  • Front counter sanitizer buckets

  • Smoothie sanitizer buckets

  • Hand washing sink properly stocked

Front Counter

  • Name of front counter person

  • Bathroom caddy set up properly

  • Black gloves

  • Restroom cleaner

  • Yellow scrub brush

  • Sanitizer

  • Yellow cloth

  • Glass cleaner

  • Odor neutralizer

  • Paper towels

  • Yellow toilet brush

Manager

  • Manager on duty

  • Beef cookout

  • Hand washing

  • Kitchen

  • Front

  • Shake brushes clean

  • Photo of shake brushes

  • Walk in cooler temperature

  • Walk on freezer temperature

  • Manager signature

Criticals

Hand washing/hand sinks

  • Paper towel dispensers are stocked and easily dispensed

  • Approved antibacterial soap and hand dispensers are stocked and functioning

  • Hand washing sink if free from obstruction

  • Hand washing procedure executed properly

  • Hands are washed when required

  • Sinks stocked properly, hands washed correctly, and sinks free from obstruction.

Health Violations

  • Health department inspection available and violations corrected

  • Most current health inspection report available, follow up action documented, and all critical and non critical violations corrected.

Hot water

  • The hand washing sink must meet a minimum of 100 degrees

  • The non-hand washing sinks must meet a minimum of 110 degrees

  • All washing sinks are functional

  • All sinks meet hot water requirements and are in good repair

Temperature and quality checked

  • Hot PHF must meet minimum of 140 degrees

  • Temperature of product 1temperature of product 2

  • Cold PHF's must meet a maximum of 40 degrees

  • Temperature of shake mix

  • Take the temperature of 3 PHF in the walk in cooler. If one does not meet target take the temperature of 2 more. Allow for a two degree variance

  • Daily Planner for last 30 days

  • If 4 or more day parts are missing temperature take the findings

  • Calibrated thermometer

  • Temperature control quality checks completed

Sanitizing

  • Manager is able to demonstrate use of test strips

  • 3 compartment sink meets 50-200ppm

  • Sanitizer bucket meets 50-200ppm

  • Sanitizer solutions are in properly labeled approved containers

  • Properly labeled buckets and bottles,no sanitizer strips available and not expired, all open stations have a sanitizer and test between 100-200ppm

Shake machine

  • No build up in the carburetor tube

  • All required brushes are present,clean and in good condition

  • Green pack sanitizer is available

  • Brushes are stored clean in a approved storage unit

  • All brushes present, clean, stored properly. Spindle cleaned.

Approved product

  • Approved poly or vinyl disposable gloves are in use

  • All food, utensils, and packaging approved

  • All chemicals present are found in the ABL

  • Restaurants should only have red, blue, yellow, or green wipes present

  • Approved black, elbow length disposable gloves are present

  • Only approved product, food, packaging, and chemicals on use

Time control

  • Hold times for PHF's on boards are not expired or without time

  • Potentially hazardous foods marked with proper hold time and discarded when expired

Cross contamination

  • Proper use of tongs

  • Cooked and raw products are kept separate

  • No mixing old product with new product. Lettuce, tomatoes, and onions

  • Required tong available, cooked and raw kept separate, dirty and clean kept separate.

Pest activity

  • Most recent pest control available and restaurant free of bugs and rodents

Cookouts

  • No daypart cookouts are missed in a 30 day window

  • Any temperature under the minimum 155F must be corrected

  • Manager able to perform proper cookout procedure

  • Beef cookouts preformed & recorded at least 3 times per day( 4times/day if open past 12am). Previous shifts cookouts completed, missed cookouts highlighted and initialed.

Other Critical Violations

  • drainage back up

  • Evidence of team members working while ill

  • Food prep area is free from roof leaks

  • Team member with uncovered sores

  • Dented, rusted, swollen, or leaking cams marked "Do not use"

  • No evidence of team member illiness, no cleaning products improperly labeled, only yellow tools in the restroom caddy, no drainage backup

  • Manager Signature

  • Inspectors Signature

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.