Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Customer scales clean and free of dirt and debris?
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Greens rack clean and free of excess debris?<br><br>
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Display tables clean and free of buildup and debris?<br><br><br><br>
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Case vents clean and free of buildup and dirt?
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Cut fruits at or below 41 degrees?
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Cut fruits in code?
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Bagged greens (kale, spinach, etc.) at or below 41 degrees?<br>
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Cut vegetables, fixings, and stuffed mushrooms at or below 41 degrees?
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Cut vegetables, fixings, and stuffed mushrooms in code?
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Bagged salads at or below 41 degrees?
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Bagged greens (kale, spinach, etc.) in code?
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Tofu at or below 41 degrees?
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Juices (Bolthouse, Naked, Odwalla) at or below 41 degrees?
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Juices (Bolthouse, Naked, Odwalla) in code?
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Berries free of mold? <br>*Strawberries<br>*Raspberries<br>*Blueberries<br>*Black berries
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Refrigerated case at or below load limits?
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Country of Origin Labeling and signage in place?
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Are the following items free of fruit flies:<br>Loose & Bagged onions?<br>Loose & Bagged potatoes?<br>Soft fruit?<br>Tomatoes?
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Organic items divided and not in contact of non organic items?
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Are Team Members in compliance?<br>Hats/Hairnets<br>Gloves (if applicable)<br>Personal appearance & hygiene <br>No gum or drinks<br>Hand washing<br>
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Is the hand wash sink:<br>Unobstructed?<br>Soap available?<br>Paper towels available?<br>Water reaches 100 degrees with 1 minute?<br>Caulking in tact and mold free?<br>Trash can available?<br>Glove racks mounted and in use?
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Is the 3 bowl sink:<br>Labeled. Wash-Rinse-Sanitize?<br>Sanitizer at proper Ph?<br>Ph strips available?<br>Goggles cleaned and available?<br>All chemical fill stations labeled?<br>Caulking clean and in tact?<br>Nitrile gloves available?<br>
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Are chemical bottles labeled?
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Knives clean and free of chips, cracks, and encrusted debris?<br><br>Stored properly?
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Pineapple core unit clean and free of encrusted debris?<br>
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Food contact surfaces clean and sanitized?<br>Cutting boards<br>Prep tables<br>Wrapper heating pads
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Spray nozzle on 3 bowl sing free of buildup?
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Fan guards free of dirt?
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Walks, floors and ceilings free of dirt, and buildup?
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Cooler racks and shelving clean and free of buildup?
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Product in cooler free of pest activity?
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Are non refrigerated items (bananas, potatoes, onions, peanuts, etc.) free of pest activity?
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Potentially hazardous foods in cooler code dated?
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Organic items stored above or away from non organic a?
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Are TM drinks and food stored in a labeled separate container away from foods to be sold for consumption?
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Is the department free of any non approved chemicals?<br>Goo Gone<br>Bleach<br>Windex<br>Etc.
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Cases of product labeled with Country of Origin?
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Thermometer present and calibrated?
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Temp log book completed?