Title Page

  • Conducted on

  • Prepared by

  • Location:

Guest Areas

Double Door Foyer

  • Is the Foyer clean?

  • Is the Fly Light Working and is Glue board in good condition?

Side Dining Room

  • Is trash can Clean

  • Is the Drain Clean

  • Are Floors Clean

  • Is the Fly Light Working and is Glue board in good condition?

  • Is Condiment Bar Clean and stocked?

Restroom Lobby

  • Is the lobby clean?

  • Is the cabinet clean and free of unauthorized chemicals?

  • Is the Fly Light Working and is Glue board in good condition?

Men’s room

  • Soap

  • Sanitizer

  • Paper towels

  • Is the bathroom clean?

  • Is the Drain Clean

  • Hot Water Temp
  • Is the water at the right temperature?

Women's Room

  • Soap

  • Sanitizer

  • Paper towels

  • Is the bathroom clean?

  • Is the Drain Clean

  • Hot Water Temp
  • Is the water at the right temperature?

Main Dining Room

  • Is trash can Clean

  • Is the Drain Clean

  • Are Floors Clean

  • Is the Fly Light Working and is Glue board in good condition?

  • Is Condiment Bar Clean and stocked?

Men’s room

  • Soap

  • Sanitizer

  • Paper towels

  • Is the bathroom clean?

  • Is the Drain Clean

  • Hot Water Temp

Playland

  • Are Floors Clean?

  • Is Play Equipment Clean?

  • Hand wipes stocked

  • Are handles and Door Clean?

  • Does it smell Clean?

Order Queue Area

  • Are Floors Clean?

  • Is 'Pick Up' sign clean?

  • Are Poles and Cords Clean and Sanitized?

  • How does the order counter look?

Single door Foyer

  • Is the Foyer clean?

  • Is the Fly Light Working and is Glue board in good condition?

Front Counter and Drive Thru

Hand Wash Sink

  • Soap

  • Sanitizer

  • Paper Towels

  • Hot Water Temperature
  • Is there Hot water available?

  • Is the Cabinet under it Clean and no unapproved/ unlabeled Chemicals?

Drink Fountain #1

  • Are the Fountain Nozzles and area Clean?

  • Are ice Scoops Clean and Sanitized

  • Is the Drain Clean

  • Is the Counter top clean?

  • Are The Registers Clean and area around?

Drink Fountain #2

  • Are the Fountain Nozzles and area Clean?

  • Are ice Scoops Clean and Sanitized

  • Is the Drain Clean

  • Is the Counter top clean?

  • Are The Registers Clean and area around?

Drink Fountain #3

  • Are the Fountain Nozzles and area Clean?

  • Are ice Scoops Clean and Sanitized

  • Is the Drain Clean

  • Is the Counter top clean?

  • Are The Registers Clean and area around?

Drive Thru Drink Area

  • Is trash can clean and empty?

  • Are the Fountain Nozzles and area Clean?

  • Are ice Scoops Clean and Sanitized

  • Is the Drain Clean

  • Is the Counter top clean?

  • Are The Registers and area around them clean?

  • Is the Ice Dream Machine Clean?

  • Temperature of Ice Dream in Hopper
  • Safe?

  • Is the Drain Clean

  • Is the Shake base Machine Clean?

  • Are all Labels Good?

  • Temperature of Shake base out of Dispenser:
  • Safe?

  • Are Tea Urns Clean?

  • Are Lemon Dispensers Clean?

  • Is reach in Low Boy Clean?

  • Are all Labels Good?

  • Is there a Thermometer present?

  • Temp of Unit
  • Is the coil Blocked?

  • Temp of Milk:
  • Safe?

Bagging Area

  • Is air Curtain on?

  • Is the Counter top clean?

  • Are the sauce bins clean and free of sticky residue?

  • Is Dessert Low Boy Clean?

  • Are all Labels Good?

  • Is there a Thermometer present?

  • Temp of Dessert Fridge
  • Is the coil Blocked?

  • Temp of Ice Dream in Reach in
  • Safe?

  • Is Primary Fry Chute Clean

  • Is Wrap Low Boy Clean?

  • Are all Labels Good?

  • Is there a Thermometer present?

  • Temp of Wrap Fridge
  • Is the coil Blocked?

  • Temp of Wrap
  • Safe?

  • Is Nuggets Chute Clean

  • Is Fruit Low Boy Clean?

  • Are all Labels Good?

  • Is there a Thermometer present?

  • Temp of Fruit Fridge
  • Is the coil Blocked?

  • Temp of Fruit
  • Safe?

  • Is Secondary Fry Chute Clean

  • Are all KPS Monitors/arms/cords Clean?

Lemonade and Tea Area

  • Is the Counter top clean?

  • Is reach in Low Boy Clean?

  • Are all Labels Good?

  • Is there a Thermometer present?

  • Temp of reach in Fridge
  • Is the coil Blocked?

  • Temp of Parfait:
  • Safe?

  • Are Tea Urns Clean?

  • Are Coffee Urns Clean?

  • Are Lemonade dispensers Clean?

Chemicals

  • Are all chemicals stored properly and marked correctly behind front counter? Away from food and food prep surfaces.

Back of House

Drink Bibs and Ice Machine

  • Are the BIB hoses and connections clean?

  • Is the Ice Machine Clean and Sanitized?

  • Is the Drain under Ice Machine Clean?

  • Is Scoop clean and sanitized?

  • Are ice buckets clean and sanitized

  • Is the Orange floor Fan Clean?

Prep Sink

  • What is the level of the Produce wash in the bottle?

  • Safe?

  • What is the Produce wash Concentration?

  • Is Prep sink Clean?

  • Is the Drain under Prep sink Clean?

Lemon Juicer

  • Is the Juicer Clean

  • Is the Drain near Lemon Juicer Clean?

Hand Wash Sink near prep

  • Soap

  • Sanitizer

  • Paper Towels

  • Hot Water Temperature
  • Is there Hot water available?

Tea Brewers

  • Are Tea Brewers Clean and in good repair?

  • Is Sugar Bin and Scoop Clean?

  • Is Scoop handle up and out of product?

Dish Area

  • Is Area Around Dishes Clean?

  • Is Drying Rack Clean and in good repair?

  • Are dishes stacked Wet?

  • Is the Drain under Dish Sink Clean?

  • What level is the Sanitize Solution at in the bag?

  • Are Chopper and slicers Clean?

  • Is Orange Floor Fan Clean?

Compactor Area

  • Is Compactor Clean and in good Repair?

  • Is compressor clean and in good Repair?

  • Storage Shelves Clean and in good Repair

  • Is the Drain Clean?

Office

  • Floors Clean

  • Counters Clean

  • Trash Emptied

Walk-in Cooler

    Outside Reading Inside Reading
  • Safe?

  • Are coils free of ice and debris?

  • Whole Chicken Temp
  • Safe?

  • Sliced Chicken Temp
  • Safe?

  • Sliced Tomato Temp
  • Safe?

  • Are all Labels correct and in date?

  • Are Floors Clean?

  • Are Shelves Clean and in good repair

  • Is Handle Clean and Sanitized?

  • Is Gasket Clean and in good repair?

  • Does top shelf allow for air flow?

  • Is the Drain outside Clean?

Mop Sink Area

  • Is the Drain Clean?

  • Are Brooms, Brushes, Squeegees, and mops hung correctly and clean?

  • Are Chemicals Clearly labeled, stored properly, and correct in content?

Walk-in Freezer

    Outside Reading Inside Reading
  • Safe?

  • Are coils free of ice and debris?

  • Are all Labels correct and in date?

  • Are Floors Clean?

  • Are Dunnage racks clean?

  • Are Shelves Clean and in good repair

  • Is Handle Clean and Sanitized?

  • Is Gasket Clean and in good repair?

  • Is the Drain outside Clean?

Thaw Area

  • Is Thaw cabinet 1 clean

  • Thaw cabinet outside reading
  • Thermometer present?

  • Thaw cabinet inside reading Chicken Temp of use next chicken:
  • Safe?

  • Thermometer present?

  • Is Thaw cabinet 2 clean

  • Thaw cabinet outside reading
  • Thermometer present?

  • Thaw cabinet inside reading Chicken Temp of use next chicken:
  • Safe?

  • Thermometer present?

  • Is Thaw cabinet 3 clean

  • Thaw cabinet outside reading
  • Thermometer present?

  • Thaw cabinet inside reading Chicken Temp of use next chicken:
  • Safe?

  • Thermometer present?

  • Is Thaw cabinet 4 clean

  • Thaw cabinet outside reading
  • Thermometer present?

  • Thaw cabinet inside reading Chicken Temp of use next chicken:
  • Safe?

  • Light cover Present?

  • Is the Drain in Thaw Area Clean?

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.