God's Love We Deliver KITCHEN

• Conducted on

  Date

LOADING DOCK

• Floors are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Garbage receptacles are covered and clean?

  Yes

  No

  N/A

• Door sweepers are installed and in good repair?

  Yes

  No

  N/A

• Nothing stored on the floor?

  Yes

  No

  N/A

• Air curtains are on and in good repair?

  Yes

  No

  N/A

• sufficient vermin traps are in place?

  Yes

  No

  N/A

• Fly lights are on and in good repair?

  Yes

  No

  N/A

• Grease trap is clean, sealed and in good repair?

  Yes

  No

  N/A

• no evidence of rodents or pest?

  Yes

  No

  N/A

• floor and walls are in good repair?

  Yes

  No

  N/A

BAKERY AREA

WALK IN

• Fan guards are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Plastic curtains are clean?

  Yes

  No

  N/A

• Shelves are clean?

  Yes

  No

  N/A

• Temperature is 41 degrees or below?

  Yes

  No

  N/A

• Light shields are in good?

  Yes

  No

  N/A

• Floor tiles are in good repair?

  Yes

  No

  N/A

• Work table is clean?

  Yes

  No

  N/A

• Wood table is clean?

  Yes

  No

  N/A

• all work table are in good repair?

  Yes

  No

  N/A

BLODGETT OVEN #RA3Z99

• oven is clean?

  Yes

  No

  N/A

• Top and sides are clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

BLODGETT OVEN #RA32AF

• Oven is clean?

  Yes

  No

  N/A

• Top and sides are clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

RATIONAL #RA32AK

• Inside is clean?

  Yes

  No

  N/A

• Top and sides are clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

BAXTER OVEN #RARBX2

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean?

  Yes

  No

  N/A

• Back wall is clean and polished?

  Yes

  No

  N/A

• Hoods are clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

DRY STORAGE 2-07

• Dunnage racks are clean?

  Yes

  No

  N/A

• Drain is clean?

  Yes

  No

  N/A

• Walls are clean and in good repair?

  Yes

  No

  N/A

• Floor is clean and in good repair?

  Yes

  No

  N/A

• no fruit flies present?

  Yes

  No

  N/A

• light shields are good?

  Yes

  No

  N/A

• ceiling tiles are good?

  Yes

  No

  N/A

IRINOX BLAST CHILLER #101054

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean?

  Yes

  No

  N/A

• Floor drains are clean?

  Yes

  No

  N/A

• no fruit flies present?

  Yes

  No

  N/A

JANITOR CLOSET

• Slope sink is clean?

  Yes

  No

  N/A

• mop and brooms are hung on wall mount?

  Yes

  No

  N/A

• walls are clean?

  Yes

  No

  N/A

• floor is clean?

  Yes

  No

  N/A

• no fruit flies present?

  Yes

  No

  N/A

DRY STORAGE (KITCHEN)

• Dunnage racks are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Ceiling is clean and no broken tiles?

  Yes

  No

  N/A

• Floor drain is clean?

  Yes

  No

  N/A

• No fruit flies present?

  Yes

  No

  N/A

• light shields are good?

  Yes

  No

  N/A

• no signs of rodents or pest?

  Yes

  No

  N/A

ELECTRICAL CLOSETS

• Floor is clean and in good repair?

  Yes

  No

  N/A

• no sign of rodents or pest?

  Yes

  No

  N/A

BAKERY AREA #2 NEXT TO WINDOW

BLODGETT OVEN #RA3Z98

• Inside is clean?

  Yes

  No

  N/A

• Top of unit is clean?

  Yes

  No

  N/A

• The unit is in good repair?

  Yes

  No

  N/A

BLOGETT OVEN #RA32AE

• Inside is clean?

  Yes

  No

  N/A

• Sides are clean?

  Yes

  No

  N/A

• The unit is in good repair?

  Yes

  No

  N/A

BLODGETT OVEN #RA32AM

• Inside is clean?

  Yes

  No

  N/A

• Top of unit is clean?

  Yes

  No

  N/A

• The unit is in good repair?

  Yes

  No

  N/A

BLODGETT OVEN #RA32AL

• Inside is clean?

  Yes

  No

  N/A

• HOODS ARE CLEAN?

  Yes

  No

  N/A

• BACK WALL IS CLEAN?

  Yes

  No

  N/A

• The unit is in good repair?

  Yes

  No

  N/A

BAXTER OVEN #RA32D3

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean?

  Yes

  No

  N/A

• Hood is clean?

  Yes

  No

  N/A

• The unit is in good repair?

  Yes

  No

  N/A

HOBART LEGACY MIXER #RA32DU

• Mixer is clean?

  Yes

  No

  N/A

• No Fruit flies present?

  Yes

  No

  N/A

• Windows are clean?

  Yes

  No

  N/A

• Work tables are clean?

  Yes

  No

  N/A

• Ingredient bins are clean?

  Yes

  No

  N/A

Handsink

• paper towel and soap provided?

  Yes

  No

  N/A

• Has hot water?

  Yes

  No

  N/A

WALK IN FREEZER

• Fan guards are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Plastic curtains are clean?

  Yes

  No

  N/A

• FLOOR DRAINS CLEAN?

  Yes

  No

  N/A

• LIGHT SHIELDS ARE CLEAN AND GOOD?

  Yes

  No

  N/A

• NO FRUIT FLIES PRESENT?

  Yes

  No

  N/A

• CEILING TILES ARE CLEAN?

  Yes

  No

  N/A

• WOOD TABLE IS CLEAN?

  Yes

  No

  N/A

• Ingredient bins are clean?

  Yes

  No

  N/A

• Hobart Mixer #RA32EA is clean?

  Yes

  No

  N/A

• Windows are clean?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Unit is in good repair?

  Yes

  No

  N/A

CUTTING BOARD AREA

• shelves are clean?

  Yes

  No

  N/A

• cutting boards are not pitted?

  Yes

  No

  N/A

• 3 compartment sink is clean and sanitizer at proper concentration?

  Yes

  No

  N/A

• Walls and floor tiles are in good repair?

  Yes

  No

  N/A

IRINOX BLAST CHILLER #101053 #4

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean and polished?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

IRINOX BLAST CHILLER # 101052 #3

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean and Polished?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

IRINOX BLAST CHILLER #101050 #2

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean and Polished?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

IRINOX BLAST CHILLER #101366 #1

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean and polished?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

HAND SINK AREA

• All hand sinks are clean?

  Yes

  No

  N/A

• Paper towels/soap/ hot water is provided?

  Yes

  No

  N/A

• Windows are clean?

  Yes

  No

  N/A

• Baseboards are clean?

  Yes

  No

  N/A

• Floor and wall tiles are in good repair?

  Yes

  No

  N/A

PACKING AREA

• Windows are clean?

  Yes

  No

  N/A

• Work tables are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Walls are Clean?

  Yes

  No

  N/A

• Ceiling tiles are clean and good?

  Yes

  No

  N/A

• Light Fixtures are clean and good?

  Yes

  No

  N/A

• Elevator tracks are clean?

  Yes

  No

  N/A

• Walls and floor tiles are in good repair?

  Yes

  No

  N/A

BAXTER OVEN #17750

• Inside is clean?

  Yes

  No

  N/A

• Hoods # 370 is clean and polished?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

MONTAGUE 4 BURNER RANGE #17753 RA32DU

• Top is clean?

  Yes

  No

  N/A

• Oven is clean?

  Yes

  No

  N/A

• Back wall is clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

MONTAGUE OVEN # RA32AC

• Inside is clean?

  Yes

  No

  N/A

• Top and sides are clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

MONTAGUE OVEN #RA32AJ

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

MONTAGUE OVEN #RA3Z97

• Inside is clean?

  Yes

  No

  N/A

• Top and side is clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

MONTAGUE OVEN #RA32AD

• Inside is clean?

  Yes

  No

  N/A

• Sides are clean?

  Yes

  No

  N/A

• Hoods are clean and polished?

  Yes

  No

  N/A

• Drains are clean?

  Yes

  No

  N/A

• No fruit flies present?

  Yes

  No

  N/A

• Base boards clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Ceiling tiles are clean and good?

  Yes

  No

  N/A

• Light fixtures are clean and good?

  Yes

  No

  N/A

• wall and floor tiles are in good repair?

  Yes

  No

  N/A

CLEVELAND SOUP KETTLE # RA32D9

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean?

  Yes

  No

  N/A

• back splash wall is clean?

  Yes

  No

  N/A

• unit is in good repair?

  Yes

  No

  N/A

CLEVELAND SOUP KETTLE # RA32D2

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean?

  Yes

  No

  N/A

• Back splash wall is clean?

  Yes

  No

  N/A

• HOODS #425 B is clean and polished?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

RATIONAL COMBI MASTER #RA32DW

• Inside is clean?

  Yes

  No

  N/A

• Top and outside of unit is clean?

  Yes

  No

  N/A

• HOODS #435 is clean and polished?

  Yes

  No

  N/A

• Drains are clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

BAXTER OVEN #RA32D4

• Inside is clean?

  Yes

  No

  N/A

• Outside is clean?

  Yes

  No

  N/A

• HABART BUFFALO CHOPPER IS CLEAN?

  Yes

  No

  N/A

• Work tables are clean?

  Yes

  No

  N/A

• Slicers are clean?

  Yes

  No

  N/A

• Windows are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Drains are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• No fruit flies present?

  Yes

  No

  N/A

• Walls and floor is in good repair?

  Yes

  No

  N/A

CLEVELAND TILT SKILLET #RA32D7

• Top and Inside is clean?

  Yes

  No

  N/A

• Behind unit is clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

CLEVELAND TILT SKILLET #RA32DY

• Top and inside is clean?

  Yes

  No

  N/A

• Behind unit is clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

CLEVELAND TILT SKILLET #RA32DR

• Top and inside is clean?

  Yes

  No

  N/A

• Behind unit is clean?

  Yes

  No

  N/A

• Drains are clean?

  Yes

  No

  N/A

• Hood# 406 filters are clean?

  Yes

  No

  N/A

• Back splash wall is clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

CLEVELAND SOUP KETTLE #RA32D8

• Inside, outside and is clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

CLEVELAND SOUP KETTLE #RA32DZ

• Inside, outside and is clean?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

CLEVELAND SOUP KETTLE #RA32DT

• Inside, outside and is clean?

  Yes

  No

  N/A

• Back splash wall is clean?

  Yes

  No

  N/A

• Drain is clean?

  Yes

  No

  N/A

• Light fixtures are in good repair and clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Ceiling tiles are clean?

  Yes

  No

  N/A

• Floor and wall tiles are in good repair?

  Yes

  No

  N/A

WALK IN # 1 PRODUCE

• Fan guard are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Light shields are clean?

  Yes

  No

  N/A

• Plastic curtains are clean?

  Yes

  No

  N/A

• Temperature is 41 degrees or lower?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

WALK IN # 2 FINISHED PREP

• Fan guard are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Light shields are clean?

  Yes

  No

  N/A

• Plastic curtains are clean?

  Yes

  No

  N/A

• Temperature is 41 degrees or lower?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

WALK IN FREEZER #1

• Fan guards are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Shelves are clean?

  Yes

  No

  N/A

• Dunnage racks are clean?

  Yes

  No

  N/A

• Light shields are clean?

  Yes

  No

  N/A

• Hand sinks are clean and have soap/paper towels?

  Yes

  No

  N/A

• Ice Machine tank and shoots are clean?

  Yes

  No

  N/A

• Drain is clean?

  Yes

  No

  N/A

• Dunnage racks are clean?

  Yes

  No

  N/A

• Light shield is clean?

  Yes

  No

  N/A

• Floor and wall tiles are in good repair?

  Yes

  No

  N/A

WALK IN FREEZER #2

• Fan guards are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Temperature 0 or below?

  Yes

  No

  N/A

• Unit is in good repair?

  Yes

  No

  N/A

WALK IN #3 PROTEIN

• Fan guards are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Plastic curtains are clean?

  Yes

  No

  N/A

• Light shields are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Breakdown area is clean and Tidy?

  Yes

  No

  N/A

• Hand sink is clean, with soap and paper towels?

  Yes

  No

  N/A

• 3 compartment sink is up to standards and set up?

  Yes

  No

  N/A

• Drains are clean?

  Yes

  No

  N/A

• Walls are clean?

  Yes

  No

  N/A

• Light shields are clean and in good repair?

  Yes

  No

  N/A

• All chemicals are labeled?

  Yes

  No

  N/A

• nothing stored on floor?

  Yes

  No

  N/A

• Elevator tracks are clean?

  Yes

  No

  N/A

• Floor and wall tiles are in good repair?

  Yes

  No

  N/A

DIGESTER ROOM

• walls are clean?

  Yes

  No

  N/A

• Floor is clean?

  Yes

  No

  N/A

• ceiling tiles are clean?

  Yes

  No

  N/A

• Light fixtures are clean?

  Yes

  No

  N/A

• Fruit flies present?

  Yes

  No

  N/A

• walls and floor tiles are in good repair?

  Yes

  No

  N/A

ADDITIONAL COMMENTS

• Pass

  Fail

  N/A