Title Page
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Conducted on
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Prepared by
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Location
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INSTUCTIONS:
1. Answer the applicable questions.
2. Click Add photos and notes.
3. To add a Corrective Measure click on "Add Action", provide a description, assign to a member, set priority and due date.
4. Complete audit by providing
FSRA Store Guidance Document -
**Critical Observations can be found and scored in all areas of the store, however, will only count toward FSRA score ONCE per audit.**
For Example: A101 observed at both Coffee island and Walk-in Cooler = 3 point loss from total FSRA score ( Not 6)
Critical Observation
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A101 Temperature Control - Non Process Related Cold TCS foods are not maintained at 41°F or below.
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A103 Temperature Control - Non Process Related Hot TCS foods are not maintained at 140°F or above.
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A107 Temperature - Process Related Temperature Issue TCS foods properly handled at proper temperature & not temperature abused before being displayed.
- Express Case
- Hatco/ Hot Dog
- Coffee Island
- Self-Serve Drink Area
- Spec Bev.
- Food Service
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A105 Temperature Control - Process or Equipment TCS foods are not maintained at 41°F or below.
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A109 Temperature Control - Equipment Check Hot-held foods reheated to 165°F for 15 seconds. HACCP Check of Rethermalized products & Sizzli
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A115 Food Handling Foods not protected from contamination.
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A117 Food Handling - Contamination Foods on display not protected from contamination
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A119 Food Handling TCS foods in code.
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A121 Food Handling Foods from approved commercial suppliers & in sound condition.
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A123 Equipment & Utensils Food contact surfaces of equipment & utensils durable, nontoxic & made of safe materials.
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A125 Cleaning & Sanitation Food contact surfaces are cleaned & sanitized.
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A127 Equipment & Utensils Chemical sanitizer solutions maintained at proper concentration & temperature
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A129 Cleaning & Sanitation Chemicals are used correctly & used only for intended purpose
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A131 Personal Hygiene Hands washed after contamination or changing gloves
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A133 Personal Hygiene Food service gloves worn when handling food/food contact surfaces
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A135 Personal Hygiene Associate health policy followed.
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A139 Facilities & Controls Air gaps/backflow prevention devices in place.
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A140 Food Handling HACCP logs completed properly & available.
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A143 Facilities & Control Pest management is effective.
- Walk-in Cooler
- Beer Cave
- Express Case
- Hatco/ Hot Dog
- Coffee Island
- Bakery Case
- Self-Serve Drink Area
- Retail Floor & Lobby
- Restroom
- Mop Sink Area
- Internal Trash
- External Trash
- External Customer Area
- Dishroom
- Back Storage
- FS Coffee
- Spec Bev.
- Food Service
Completion
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Completed by
