Food Safety Checklist Copy

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Food temperatures

• Is the holding unit clean?<br>

  Yes

  No

  N/A

• Hot holding unit is pre-heated before hot food is placed in the unit

  Yes

  No

  N/A

• Temperature of hot food is being held at or above 135F

  Yes

  No

  N/A

• Proper reheating procedures in evidence

  Yes

  No

  N/A

• Temperature of cold food is being held at or below 41F

  Yes

  No

  N/A

• Proper cooling procedures in evidence

  Yes

  No

  N/A

Refrigerator , Freezer and Walk in Cooler

• Thermometers are available and accurate

  Yes

  No

  N/A

• Temperature is accurate for all equipment

  Yes

  No

  N/A

• Food is stored 6 inches off the floor or in walk-in cooling equipment

  Yes

  No

  N/A

• Refrigerator and freezer units are clean and neat

  Yes

  No

  N/A

• Proper chilling procedures are used

  Yes

  No

  N/A

• All foods are properly wrapped, labelled and dated

  Yes

  No

  N/A

• Gaskets inside the units are clean

  Yes

  No

  N/A

Personal Hygiene

• Check all in which you observed a deviation:

  Select Uniform Hair Shoes Jewelry Open wounds Sick employees Employee restroom and handwash

  • Uniform
  • Hair
  • Shoes
  • Jewelry
  • Open wounds
  • Sick employees
  • Employee restroom and handwash

• Employees are aware to not wear or launder their uniforms at home

  Yes

  No

  N/A

• Employees are aware of proper response to any health conditions that occur during work

  Yes

  No

  N/A

Cleaning and Sanitation

• Dishmachine temperature logs being maintained.

  Yes

  No

  N/A

• Are the temperatures acceptable

  Yes

  No

  N/A

• Sanitizing buckets maintained in use

  Yes

  No

  N/A

• Sanitizer in use at utensil sink/concentration/test strips

  Yes

  No

  N/A

• Three compartment sink is properly set up for ware washing

  Yes

  No

  N/A

• Wipe cloths are clean and sanitized

  Yes

  No

  N/A

Documentation

• Food temperature log being maintained

  Yes

  No

  N/A

• Visible , accurate thermometers on:<br>

  Yes

  No

  N/A

• Refrigeration temperature logs being maintained

  Yes

  No

  N/A

• Logs indicate maintenance of acceptable temperatures

  Yes

  No

  N/A

• Cleaning schedules are maintained

  Yes

  No

  N/A

Training

• EHS

  Yes

  No

  N/A

• Servsafe

  Yes

  No

  N/A

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