Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Customer scales clean and free of dirt and debris?

  • Greens rack clean and free of excess debris?<br><br>

  • Display tables clean and free of buildup and debris?<br><br><br><br>

  • Case vents clean and free of buildup and dirt?

  • Cut fruits at or below 41 degrees?

  • Cut fruits in code?

  • Bagged greens (kale, spinach, etc.) at or below 41 degrees?<br>

  • Cut vegetables, fixings, and stuffed mushrooms at or below 41 degrees?

  • Cut vegetables, fixings, and stuffed mushrooms in code?

  • Bagged salads at or below 41 degrees?

  • Bagged greens (kale, spinach, etc.) in code?

  • Tofu at or below 41 degrees?

  • Juices (Bolthouse, Naked, Odwalla) at or below 41 degrees?

  • Juices (Bolthouse, Naked, Odwalla) in code?

  • Berries free of mold? <br>*Strawberries<br>*Raspberries<br>*Blueberries<br>*Black berries

  • Refrigerated case at or below load limits?

  • Country of Origin Labeling and signage in place?

  • Are the following items free of fruit flies:<br>Loose & Bagged onions?<br>Loose & Bagged potatoes?<br>Soft fruit?<br>Tomatoes?

  • Organic items divided and not in contact of non organic items?

  • 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>

  • 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?

  • 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>

  • Are chemical bottles labeled?

  • Knives clean and free of chips, cracks, and encrusted debris?<br><br>Stored properly?

  • Pineapple core unit clean and free of encrusted debris?<br>

  • Food contact surfaces clean and sanitized?<br>Cutting boards<br>Prep tables<br>Wrapper heating pads

  • Spray nozzle on 3 bowl sing free of buildup?

  • Fan guards free of dirt?

  • Walks, floors and ceilings free of dirt, and buildup?

  • Cooler racks and shelving clean and free of buildup?

  • Product in cooler free of pest activity?

  • Are non refrigerated items (bananas, potatoes, onions, peanuts, etc.) free of pest activity?

  • Potentially hazardous foods in cooler code dated?

  • Organic items stored above or away from non organic a?

  • Are TM drinks and food stored in a labeled separate container away from foods to be sold for consumption?

  • Is the department free of any non approved chemicals?<br>Goo Gone<br>Bleach<br>Windex<br>Etc.

  • Cases of product labeled with Country of Origin?

  • Thermometer present and calibrated?

  • Temp log book completed?

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