Food Safety Quick Check

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date and time of visit:

  Date

• Manager in charge:

Handwashing / Hand Sinks

• Hand sinks stocked with paper towels, antibacterial soap, and sanitizer.

  Yes

  No

  N/A

• Hands correctly washed at least once per hour (or more frequently if needed).

  Yes

  No

  N/A

• Free from obstruction (including basin).

  Yes

  No

  N/A

Health Violations

• Most current health inspection report available.

  Yes

  No

  N/A

• Follow up actions documented.

  Yes

  No

  N/A

• All non-critical & critical violations corrected and maintained.

  Yes

  No

  N/A

Hot Water

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

  Yes

  No

  N/A

Temperature Control

• Temperature checklist are completed accurately and on time.

  Yes

  No

  N/A

Sanitizing

• Approved, properly labeled containers/spray bottles used for sanitizer solution.

  Yes

  No

  N/A

• Sanitizer test strips readily available.

  Yes

  No

  N/A

• Shift responsible person can demonstrate proper use of sanitizer test strips.

  Yes

  No

  N/A

• All open stations have accessible sanitizer solutions at proper PPM (50-200) with towels immersed in solution.

  Yes

  No

  N/A

Pest Activity

• Restaurant free of insects, live or dead rodents, visible rodent droppings or nesting birds.

  Yes

  No

  N/A

• Most recent pest control operator report on file in restuarant.

  Yes

  No

  N/A

Other Critical Violations

• No evidence of communicable diseases involving team members (e.g., cold, flu, stomach disorders).

  Yes

  No

  N/A

• No cleaning products / chemicals improperly labeled or stored by food.

  Yes

  No

  N/A

• Drainage back-up prevented in all areas.

  Yes

  No

  N/A

Other Observed Criticals (not listed above)

• List other critical violations observed that are NOT listed above

Visit Summary

• Overall visit comments:

• Total number of food safety opportunities identified:

  Select None 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 10

  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 10

• Auditor Signature

  Sign

Acknowledgement

• By signing below, you acknowledge that the above findings have been discussed with you and corrective actions are being taken to immediately resolve any findings. You are also acknowledging that critical violations are a violation of company policy and that you may be subject to disciplinary action up to and including termination for any negative findings contained in this report.

  I Agree

  I Disagree

• Manager in Charge Signature

  Sign