Title Page
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Restaurant
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Conducted on
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Prepared by
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Location
1. HAND WASHING
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Hand washing sink properly working
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Hand washing sink clean no evidence of other use different to hand washing
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Soap available
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Sanitizer available
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Paper towel available
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Employees doing hand washing when required
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II hand washing sink temperature over 55C (safely risk), no evidence of failure to hand washing procedure
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Employees following correct procedure as per standard: nailbrush use, duration, steps sequence...
2. SANITIZING SOLUTION
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Approved sanitizing test strips available and within expiration date
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Sanitizer buckets approved and properly labelled
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Sanitizer buckets/bottles according to concentration limits (Chl 100-200/0UAT 450-600 ppm) (1 fail allowed} All open required stations having designated bucket
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Cloths totally submerged in each bucket (1 fail allowed}
3. CROSS CONTAMINATION
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Onion/tomato/lettuce slicers clean No tongs burnt or smallware cracked
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Soft drink machine nozzle and BIB connectors clean in part in direct contanct with food
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Interior of ice machine is clean and ice not used as storage for other items Ice scoop is clean and properly stored in a pan
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Correct tongs in use: frozen vs cooked
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No tongs handler in touch with food inside freezers/coolers No evidence of new and old product mix
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Allergen disclaimer and content poster available in front counter
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Allergen disclaimers available in at least 1 door, DT pay window and DT menuboard
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Allergen BOH training poster completed with: list of products, hospital route map. all employees signature
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All allergen storage areas labelled with appropriate disclaimer Minimum of 1 POS sticker for cashier reference in case of Guest doubts Smallwares used for allergen product identified as per OPS Alert
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No other evidence of cross contamination
4. SOFT SERVE MACHINE
5. HOT WATER
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Hand washing sink temperature is reaching a minimum of 38 °C. If failure, wait 15 minutes before measuring temperature again.
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3-compartiment sink temperature is reaching a minimum of 100'f. If failure, wait 15 minutes before measuring temperature again.
6. COOKOUT
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Reef cookout register log all temperature logs completed or no more than 3 highlighted missing
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No registered temperatures out of range
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Cookout performed every 3 hours, prior to open and prior to peak hour
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MIC Knowledge' both during physical demonstration or verbalization
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Minimum temperature 135'f
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Maximum temperature 41'f
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Duration of cookout 15 sec, monitored by use of digital tool (stopwatch/mobile stop watch)
8. TIME CONTROL (PHFs: proteins. dairy products, sliced vegetables)
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All PHF's products on board marked with PTO and not expired. 10 minutes allowance for employees to realize if no one on board, not to use.
9. UNAPPROVED ITEMS
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No unapproved food present in the restaurant
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No unapproved chemicals present in the restaurant
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No unapproved equipment present in the restaurant No unapproved smallware/tools present in the restaurant
10. PEST CONTROL
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No evidence of pest infestation
11. HEALTH INSPECTION REPORT
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No Health Deparment report failures not amended within 10 days or specific date
12. OTHER FSC
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No evidence of water back-up in the kitchen
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No evidence of employees working in sick condition
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No cleaning supplies/chemicals stored close to food
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No yellow cleaning tools for toilets (yellow brush or cloth) in touch with anything else
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ServSafe Certificate available and in use for Manager on duty
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Roof in good repair in all preparation and storage areas
COMPLETED BY
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Name & Signature