Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Food and Single Usage Item Protection

  • Small wares/equipment food contact surfaces, approved, clean and in good repair

  • Are items held at room temperature marked with proper holding times and discarded when expired?

  • Non Hazardous Foods are all within date

  • Is the restaurant only using approved products?

  • Hazardous Foods are all within date

  • All Food names are labelled properly

  • Food items stored properly

  • Food contact items (Utensils) are properly stored when in use

  • Staff are observed changing gloves with raw meat

  • Staff using correct bowls/utensils for Vegan and meat products

  • Ice and ice utensils are protected

  • Is cross-contamination not apparent In any stations or storage areas?

Hygiene

  • Proper handwashing is taking place at regular intervals

  • All Hand sinks are accessible and used properly

  • Hot water available in store

  • All hand sinks properly stocked and soap/paper towel dispenser functioning properly

  • All Uniforms maintained clean/hair properly restrained - No jewellery or watches being worn

  • Staff not working while ill - observation & staff engagement

  • Staff personal belongings stored separately from food storage areas and not left overnight

Wiping Cloth Usage and Sanitisation

  • Sanitiser D10 is in place, diluted to strength and being used regularly

  • In-use wiping cloths are disposed of frequently

  • Approved scouring pad in use (Yellow / Green pads, brillo pads)

Food Production

  • Chopping boards are clean and changed after every use - Yellow and Green

  • Digital thermometer is working.

  • Digital thermometer has been tested/calibrated (see Jolt Calibration)

  • Hazardous food is not stored at Room temperature

  • Staff food, stored securely and separately

Refrigeration and Cold Storage

  • Refrigerated Hazardous Food ≤ 8°C

  • All Refrigeration units operate at ≤ 8°C

  • All freezers are working properly

  • Refrigeration ventilation is being maintained

Chemical Storage and Usage

  • Only approved chemicals present (D2, D10 and Sani 4 in 1)

  • Chemicals properly labelled & stored

  • Proper chemical documentation & Specs available

Food Safety Qualifications

  • All staff have completed SFFBB prior to first shift

  • Shift leader has at least Level 2 Food Safety Certificate

  • All other mandatory flexebee courses completed within 2 weeks of onboarding

  • Updated Allergen chart on the wall

Wash

  • Dish Washing process followed properly

  • Correct cleaning detergent used for each wash

Waste Handling

  • Rubbish in store disposed of as needed

Pest Control

  • No evidence of rodents

  • No evidence of flying insects

  • No evidence of cockroaches

  • No evidence of ants

Facilities Maintained and Cleaned

  • Floors/drains maintained clean

  • Walls/ceilings maintained clean/lights functioning

  • Refrigeration equipment maintained and clean

  • Mop area maintained and clean

  • Dish wash areas maintained and clean

  • Storage areas maintained and clean

  • Restrooms/Toilet floors/walls/ceiling maintained/lights functioning

  • Restrooms/ Toilet fixtures maintained

  • Cutlery stations maintained

  • Customer area furnishings maintained

  • Exterior area maintained - Observation that exterior walk has been done recently

  • Till Area equipment maintained and kept clean

  • All lights working

  • Cooking equipment maintained and clean

  • Saucing equipment maintained and clean

  • Garnish equipment maintained and clean

  • Plumbing in good repair

  • Cabinetry/shelving in customer area in good repair

  • Ice machine in good repair and clean

  • Building entrance maintained in good repair and rodent proof

  • Counter tops in good repair

  • Refrigeration in good repair/clean (indicate which refrigerator)

  • No signs of dangerous electrical issues

  • Food Station counters are clean and cleaned frequently

Record Keeping

  • Opening checks taking place (JOLT REPORTS)

  • Closing checks taking place (JOLT REPORTS)

  • Are cook and hold temperature checks recorded at least 85% of the time consistently and correctly?

  • Temperature records available on all refrigeration units

  • Raw meat deliveries probed on arrival/recorded

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.