Food Safety Test

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hand washing

• Hand washing timer is on upon arrival

  Yes

  No

  N/A

• Management can tell you corrective action is timer was off<br>

  Yes

  No

  N/A

• Hand washing is being done in between task (cleaning lobby, changing gloves, touching the face)

  Yes

  No

  N/A

FSC

• Management is checking the last 5 days

  Yes

  No

  N/A

• Corrective action is being conducted when necessary

  Yes

  No

  N/A

• Management knows where to find Answers to<br>Questions they are unsure of

  Yes

  No

  N/A

Temperatures

• Walk in cooler is within range no higher than 41 degrees

  Yes

  No

  N/A

• Freezer is within range below 20 degrees

  Yes

  No

  N/A

• POUs are maintaining temp

  Yes

  No

  N/A

Demonstration of temperatures

• Can effectively take the shake machine temp

  Yes

  No

  N/A

• Can effectively take the temperature of the grill lanes

  Yes

  No

  N/A

• Can effectively take the patty temperatures

  Yes

  No

  N/A

• Can effectively take the temperature of the fryer

  Yes

  No

  N/A

• Can effectively take the temperature of the rice

  Yes

  No

  N/A

• Can effectively take the temperature of the walk in cooler and freezer.

  Yes

  No

  N/A

• Can effectively take the temperatures of the POUs

  Yes

  No

  N/A

• Knows corrective action if the shake machine temp fails

  Yes

  No

  N/A

• Knows corrective action if a grill lane fails

  Yes

  No

  N/A

• Knows corrective action if the fryer does not reach temp

  Yes

  No

  N/A

• Knows corrective action if the walk in cooler or freezer and POUs don't reach temp.

  Yes

  No

  N/A

Tea

• Lobby tea bag has a zip tie

  Yes

  No

  N/A

• Both lobby and drive Thru tea tube has been cut off

  Yes

  No

  N/A

Final Flip

• Is Final Flip being done

  Yes

  No

  N/A

• Can team member tell you why final Flip is important

  Yes

  No

  N/A