Title Page

  • Conducted on

  • Prepared by

  • Location
  • Date and time of visit:

  • Manager in charge:

  • Walk in cooler and freezer are meeting temp.

1. Hand-washing / Hand sinks

  • Hand sinks stock with paper towels, antibacterial soap, santizer and 2 glove racks.

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

  • Free from obstruction (including basin).

2. Health Violations

  • Most current health inspection report available.

  • Follow up actions documented.

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

3. Hot Water

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

4. Temperature Control

  • Temperature checks in the coil book are completed accurately and on time.

5. Sanitizing

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

  • Sanitizer test strips readily available.

  • All open stations have accessible sanitizer solutions at proper PPM (50-200) with correct color wipe cloth(s) immersed in solution

6. Shake Machine/ Soft Serve

  • No buildup evident in carburetor tube.

  • All required brushes present, clean, stored properly and in good repair.

  • Blender/Spindle area free of dried shake mix buildup.

7. Approved Product

  • All food, packaging and chemicals in use listed in the Approved Brands List (ABL) unless specified in OPS manual

8. Time Control

  • Potentially hazardous foods held at room temperature marked with the proper hold time and discarded when expired.

9. Cross Contamination

  • Are required tongs available?

  • Cooked and raw product tongs kept separate and stored so that handles do not touch cooked or raw product.

  • All tongs, knives, PHU pans, shake spindle, iced coffee stainless mixing cup, other utensils and specified broiler parts are W/R/S every 4 hours when in use.

  • Shift responsible person can explain system of 4-hour change out of tongs, pans, utensils and specified equipment.

  • Only blue (in clean, sanitized smallware) and Lift-n-Grip( Stored on top of bag) tongs stored in meat well.

  • New or replacement product not mixed with old product.

10. Pest Activity

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

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

11. Cook-outs

  • Shift responsible person can correctly demonstrate beef cook-out.

  • Beef cook-out performed & recorded at least 3 times per day (4 times/day for late night or 24 hour restaurants).

  • No more than 3 cook-outs missed or corrective action not taken in a 30 day window / any missed cook-out highlighted and initialed by supervisor running next shift.

Other Critical Violations

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

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

  • Yellow wipe cloths used ONLY in restrooms.

  • Only yellow tools, yellow wipe cloths and yellow scrub pads (optional) stored in restroom caddy.

  • Ice machine free of mold build-up.

  • Drainage back-up prevented in all areas.

Other Observed Criticals (not listed above)

  • List other critical violations observed that are NOT listed above

Brand Standards

  • All uniforms worn by the team members and managers are approved and in good condition.

  • Required number of working headsets in-use

  • Guest is greeted within 5 seconds

  • Please and Thank You observed with every guest.

  • No Guests return with incorrect order.

  • Team members pushing correct button(s).

  • Buns are toasted to order and not held for more than 30 seconds.

  • Salting procedures are being followed

  • Fries are shook when indicated during the cooking process.

  • Main and specialty boards clean and free of build-up

  • All sandwiches marked correctly

  • Produce is held at proper temperature.

  • Onions properly separated, and grate used

Visit Summary

  • Total Number of food safety opportunities identified:

  • Overall visit comments:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.