Information
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Audit Title
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Date and Time of Inspection
Inspection Details
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Building Number: TX2894ZZ
Building Name: FAA SW Regional Headquarters
Building Address: 10101 Hillwood Parkway, Fort Worth, TX -
Name of Inspector
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Is inspector a GSA associate?
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Inspector's signature
Product Ready for Sale / Temperatures
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1. Check temperatures of hot items (135*F or above)
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Item #1
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135*F or above
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Item #2
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135*F or above
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Item #3
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135*F or above
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2. Check temperatures of cold items (41*F or below)
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Item #1
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41*F or below
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Item #2
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41*F or below
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Item #3
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41*F or below
Cold Product Storage
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3. All prepackaged products are labeled and dated.
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4. Items stored properly, raw meat on bottom, prepared foods on top.
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5. Refrigerated unit temperatures are at 40*F or below. Interior/exterior surfaces are clean, air flow not blocked, no condensation, accurate thermometers.
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Refrigerator & Temperature logs have been used and are up to date.
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Item #1
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Below 40*F
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Item #2
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Below 40*F
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6. All freezer unit temperatures are at 0*F or below. Interior/exterior surfaces are clean, air flow not blocked, no condensation or ice build up, accurate thermometers.
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Item #1
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Below 0*F
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Item #2
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Below 0*F
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7. Outdated products discarded.
Sanitation
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8. Blades, can opener, scissors, slicers, clean and sanitized.
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9. All handwash sinks stocked with soap and towels.
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10. Cross contamination avoided, meats and vegetables prepared separately. Separate cutting boards and knives.
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11. 3-compartment sink used properly. Pots, pans, dishes and utensils sanitized, air dried, and stored properly.
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12. Thermometers in use.
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13. Food prep contact surfaces clean, sanitized, free of clutter.
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14. Sanitizer at proper ppm. Use test stripes.
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15. Wiping clothes stored in container of sanitizer or in use.
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16. Sink sanitizer at proper ppm. Use test stripes.
Facility
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17. Outdated products discarded.
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18. Floors clean, free of food, trash, and debris.
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19. Walls and ceilings are clean and free of spots and cobwebs.
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20. Chemical and cleaning supplies labeled, stored properly, away from food.
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21A. FOH Inspections are available.
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21B. MSDS sheets are available.
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22. Storage shelves clean, free of debris and rust.
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23. Dry goods storage is neat, clean, and orderly. Products 6 inches off floor and away from wall.
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24. Trash receptacles are clean and covered.
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25. Ceiling and ceiling vents clean and free of dust.
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26. Brooms, mops stored business end down, off the floor. Mop buckets clean.
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27. Single service items are stored and dispensed in a sanitary manner.
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28. Cups and silver/plastic ware are stored and dispensed in a sanitary manner.
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29. Exterior and interior surfaces of equipment is clean.
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30. Facility is free of pests.
Personal - Grooming
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31. Uniforms/clothing and aprons clean?
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32. No evidence of gum chewing, drinking, or eating.
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33. Hair restraints are worn.
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34. Nail clipped, no nail polish.
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35. Cuts and/or bandages covered with gloves.
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36. Gloves worn properly and changed often.
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37. Required posters visible.
Other Issues (Be Specific)
