FY20 QA Checklist

• Rest:

  Select 0700 0702 0735 0762 0809 0810 0818 0893 1023 1097 1105 1157 1173 1334 1387 1410 1474 1519 1520 1757 1854

  • 0700
  • 0702
  • 0735
  • 0762
  • 0809
  • 0810
  • 0818
  • 0893
  • 1023
  • 1097
  • 1105
  • 1157
  • 1173
  • 1334
  • 1387
  • 1410
  • 1474
  • 1519
  • 1520
  • 1757
  • 1854

• Date and Time of Audit

  Date

• Daypart

  Select Breakfast Lunch Afternoon Dinner Late Night

  • Breakfast
  • Lunch
  • Afternoon
  • Dinner
  • Late Night

Beverage/Shake Station

• Beverage Station - Drink nozzles, tea nozzles and inside of ice chute clean/no mold

  Media

• Dipper Well/Shake Station - Spindle clean, timing of water cup cleaning procedures followed

  Media

Back Line

• Hot Holding - Temperature ≥140°f (PHF)

  Yes

  No

  N/A

• Corrective Action

  Media

• Chicken Tender Station - Raw chicken temperature ≤ 41°f (PHF)

  Media

• Tempered/Prepped Foods - PHF product used is in date / produce tagged 4 hrs.

  Yes

  No

  N/A

• Corrective Action

Dishes, Hands & Gloves

• Cleaning Dishes & Utensils - Proper Sink Set-Up - Wash water (110°F), rinse, & submerged in sanitizer (200-400ppm) for<br>60 seconds (sinks re-filled if water or sanitizer is dirty)

  Yes

  No

  N/A

• Corrective Action

• Hand Sinks - Hand sink is not blocked, used only for hand washing & fully stocked

  Media

• Hand Washing/Hygiene - Hands washed when changing duties and between glove changes<br>Proper hand washing- using soap, hot water, and washing for 20 sec.

  Yes

  No

  N/A

• Corrective Action

• Disposable Gloves -

  Yes

  No

  N/A

• Corrective Action

• Disposable Gloves - Disposable gloves changed when contaminated

  Yes

  No

  N/A

• Corrective Action

Food Prep/Storage

• Prep Sinks/Tables - Usage - Prepping food on table/sink properly cleaned/sanitized

  Yes

  No

  N/A

• Corrective Action

• Prep Sinks/Tables - Usage - Prep sink used only for food prep

  Yes

  No

  N/A

• Corrective Action

• Utensils/Pans - Utensils, pans, knives, cutting boards clean and in good repair

  Media

• Utensils/Pans - Approved scoop, ice buckets (not stacked), used for ice only, clean<br>and in good repair no cracks/chips

  Yes

  No

  N/A

• Corrective Action

• Produce Slicer/Dicer -

  Yes

  No

  N/A

• Produce Slicer/Dicer - Dicer block in good repair - no pieces missing

  Yes

  No

  N/A

• Corrective Action

• Produce Slicer/Dicer - Slicer cutting blade in good repair – no chips in the cutting edge

  Yes

  No

  N/A

• Ice Machine/Bins -

  Yes

  No

  N/A

• Ice Machine/Bins - Lid on beverage bar ice bin

  Media

• Ice Machine/Bins - Interior ice bin clean at drive thru

  Yes

  No

  N/A

• Corrective Action

Cold Storage

• Walk-in Cooler, Reach-ins, Breakfast Products on Ice Baths - Product temperature ≤41°f (PHF)

  Yes

  No

  N/A

• Corrective Action

• Walk-in Cooler, Reach-ins, Breakfast Products on Ice Baths - PHF product not out of date/stored protected from contamination

  Yes

  No

  N/A

• Corrective Action

• Walk-in Cooler, Reach-ins, Breakfast Products on Ice Baths - Proper cooling procedures (<2” shallow pans/product depth)

  Yes

  No

  N/A

• Corrective Action

Frozen Storage

• Walk-in Freezer/Reach-ins - Product hard frozen, PHF product not out of date

  Yes

  No

  N/A

• Corrective Action

Safe Cooking

• Raw Product Temps - Raw beef (160ºf) , sausage (160ºf) and raw chicken products (165ºf)

  Yes

  No

  N/A

• Corrective Action

• CharBroiler Condition - Reverberator screen not burned through/no loose wires

  Yes

  No

  N/A

• Corrective Action

General Sanitization

• Pests - No Roaches/flies/rodents/pests evident

  Yes

  No

  N/A

• Corrective Action

• Chemicals - Chemicals not stored with food, single service items, or at or above prep sink/clean side of 3- compartment sink

  Yes

  No

  N/A

• Corrective Action

• Sanitizer Availability & Usage - Quat sanitizer concentration between 200-400 ppm while in use at 3-part sink, front line, backline and chicken station

  Yes

  No

  N/A

• Corrective Action

• Employee Food/Drinks - No employee food/drinks improperly stored or in work area

  Yes

  No

  N/A

• Corrective Action

• QA Temperature Forms - Properly completed with corrective action, working thermometer

  Yes

  No

  N/A

• Corrective Action

Restrooms

• Restrooms Supplies - Soap, paper towels/operating hand dryer present

  Yes

  No

  N/A

• Corrective Action

• Toilets/Fixtures Functional - Functional toilet in each restroom

  Yes

  No

  N/A

• Corrective Action

• Toilets/Fixtures Functional - Toilet paper available

  Yes

  No

  N/A

• Corrective Action

Additional Items

• Add media

  Media

• Add media

  Media

• Add media

  Media

• Mgt. Signature

  Sign