Information
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Building Number
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Concessionaire
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Facility Location
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Conducted On
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Inspector's name
Product Ready for Sale / Temperatures.
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1. Check temperature of hot items (135° F or above)
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Item #1
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Within acceptable range?
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Item #2
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Within acceptable range?
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Item #3
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Within acceptable range?
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Hot Temperature Comments
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2. Check temperature of cold items (40° F or below)
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Item #1
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Within acceptable range?
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Item #2
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Within acceptable range?
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Item #3
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Within acceptable range?
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Cold Temperature Comments
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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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6. All freezer unit temperatures are at 0° F or below. Interior/exterior surfaces are clean, air flow not blocked, no condensation/ice build up, accurate thermometers?
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7. Outdated products discarded?
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Cold Product Storage Comments
Sanitation
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8. Blades, can opener, scissors, slicers, clean & 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. Wiping cloths stored in container of sanitizer or in use?
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15. Sanitizer at proper ppm. (Use Test Strips)
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Within acceptable range?
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16. Sink sanitizer at proper ppm. (Use Test Strips)
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Within acceptable range?
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Sanitation Comments
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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21. 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?
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Facility Comments
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. Nails 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?
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Personal - Grooming Comments
Other Issues
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38.
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Is the issue or condition acceptable?
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39.
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Is the issue or condition acceptable?
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40.
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Is the issue or condition acceptable?
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