Title Page
-
Restaurant Manager
-
Restaurant Number
-
PIC
-
Conducted on
-
Prepared by
Restaurant Parking Lot and Restroom Cleanliness - 13 pts possible
-
Parking lot is clean and free of trash including drive thru?
-
Dumpster gate is closed?
-
Main entrance is free of trash? Outside trash can not overflowing?
-
Restrooms are clean and stocked?
-
Restroom hourly check pad is filled out with current shift and or day?<br>- shows signatures within the 1/2 hour of employee or team leader<br>- no more than 1 hour without any initials that it has been checked
Food Safety Knowledge - 21 pts possible
-
Hand wash timer is on?<br>- how many minutes left for next hand wash?
-
PIC can name the 8 Food Safety Criticals
-
PIC knows the 4 hand wash majors (Sam's story)
Food Safety Travel Path - 21 pts possible
-
PIC knows where the Food Safety Travel Path is located?
-
PIC can walk you thru the Food Safety Travel Path?<br>- must know all 10 points<br>- cover all (8) Food Safety Criticals<br>- cover the easy major points that can be avoided easily - ServSafe<br>- cover the easy minor points that can be avoided easily - Iced Tea (self serve)<br>
-
PIC can name the 10 tools that need to be changed every 4 hours?<br>1. Protein Pans<br>2. Eggs rings<br>3. Cool cover<br>4. Yellow/White Spatula<br>5. Sear tool/pan<br>6. Tongs/pan<br>7. Yellow knife/yellow cutting board/pan<br>8. Shake spindle<br>9. Rice scoop/pan<br>10. 2 egg ladles/pan
Food Safety Checklist - 5 pts possible
-
FSC book is free of any mistakes?<br>- Check previous 5 days and assure no mistakes, proper corrective action if needed<br>- PIC knows procedure for any fryer that does not meet temp and/or NIU?<br>- White page is filled out to current filtering standards<br>- Back page weekly dial thermometer is done<br>- If any mistakes, MAJOR (-10 points) on any food safety issues seen below.
Any Food Safety issues seen (minus points if missed) - minus points (see below) - minor 5 points - major 10 points - critical 20 points
-
1st Minor seen?
-
2nd Minor seen?
-
3rd Minor seen?
-
4th Minor seen?
-
5th Minor seen?
-
6th Minor seen?
-
1st Major seen?
-
2nd Major seen?
-
3rd Major seen?
-
Any Critcals seen?
Temperature Tracking / Knowledge and Guest Standards - 20 pts possible
-
PIC can calibrate thermometer?<br>- knows temperature for calibration: +/ - 2 (30F-34F)<br>- how long do you wait to calibrate (5 mins)<br>- has a proper timer designated for thermometer calibration?<br>- what size cup(s) can you use?<br>- how much ice / water goes in the cup? (50% ice / 50% water)<br>- PIC stirs ice/water solution with probe
-
PIC knows temperature / corrective action for Shake mix?
-
PIC knows temperature / corrective action for Refrigerator?
-
PIC knows temperature / corrective action for Fryers?
-
PIC knows temperature / corrective action or Grill?
-
PIC knows temperature / corrective action for Patties?
-
Sanitizer strips available and not expired?
-
PIC knows correct strength for Sanitizer solution? (150ppm - 400ppm)<br>- can demonstrate how to check 6 solutions (Prep) if sanitizer bucket is on prep table
-
GUEST STANDARDS<br>PIC knows the temperature for fries? (150F)<br>
-
GUEST STANDARDS<br>PIC knows the temperature for burgers? (125F)
Produce / Cheese at Condiment Holding Unit - 20 pts possible
-
Everything you hold for 4 hours has a TIMER on, NOT a label?<br>- American cheese<br>- Swiss cheese<br>- Tomatoes<br>- Head lettuce<br>- Shredded lettuce<br>- Leaf lettuce<br>- Shredded lettuce for tacos<br>- American cheese for tacos
-
PIC / Employee knows proper procedure when timer expires, product gets refilled?<br>- expires; discards any remaining product. Puts new one in a new pan, restarts timer<br>- refilled; timer is not reset, product held at original remainder timer
Misc. items non-scored - 0 pts possible
-
Example<br>Cashier goes to hand out food ONLY, comes back inside, takes an order on register. Does not washes their hands<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?<br>- can you have 1 assigned employee to take out orders for dine in?
-
Example<br>Cook is making a burger, they pick their nose, continue making the burger, gets handed out to guest<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?
-
Example<br>Prep person is making a set up of any item, they cough and cover their mouth with hands. Washes hand at the prep sink.<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?
-
Example<br>Employee is drinking on the floor, makes tacos and does not washes hand<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?
-
Example<br>Cook changes gloves, does not washes hand, goes back to regular kitchen activities.<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?
-
Example<br>It is 6 am, the PIC makes a batch of iced tea for the front, there are no zip ties anywhere in the store, they decide to tie it with a rubber band.<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?
-
Example<br>Auditor shows up to do the Food Safety Audit, on FSC book they notice more than 3 mistakes with no corrective action noted. Some are missing info, improper temperatures etc.<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?
-
Example<br>Maintenance does a parking lot check, they come into the resto or to check cleanliness, then they come inside and help you take out orders for dine in.<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?<br>
-
Example<br>It is 7 pm and the auditor shows up to do your Food Safety Audit, when it comes to check the sanitizer solutions, you notice the prep sanitizer solution is still there, you have to check it, and does not meet strength. Prep employee left at 12 pm.<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?
-
Example<br>Your drive thru cashier is drinking on the floor, your front cashier keeps adjusting their glasses, your maintenance is cleaning dining room, comes inside to help take out orders.<br>- do you get a Minor? Major? Critical?<br>- did you fail the audit?<br>- why is the reason you failed or didn't fail?
PIC Signature
-
Review and Signature by PIC
