Health Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Staff

• Your staff today is

• The following people DO NOT have non slip shoes and are written up today

• The following people DO NOT have permanent markers and will be verbally warned

• The following people DO NOT have thermometers on them

General

• All light bulbs are working

  Yes

  No

  N/A

• All lights are covered with shields

  Yes

  No

  N/A

Walk in

• Baseboards are in tact and clean

  Yes

  No

  N/A

• Walls are clean

  Yes

  No

  N/A

• Floor drains are clean

  Yes

  No

  N/A

• Are ceilings clean? And dusted?

  Yes

  No

  N/A

• Are all floors clean, swept, and mopped?

  Yes

  No

  N/A

• Is all chicken and beef stored under all ready-to-eat items?

  Yes

  No

  N/A

• Temp all cooled and wrapped fries. What is their temp?<br>

  <42degrees

  >41degrees

• Are all cooked and cooled food items covered properly?

  Yes

  No

  N/A

• Are all walk in shelves clean?

  Yes

  No

  N/A

• Kegs are neatly stacked one on top of another

  Yes

  No

  N/A

• Cooked, cooled carm onions temp at

  <42degrees

  >41degrees

• Cut tomatoes temp is

  <42degrees

  >41degrees

• Walk in door handle is clean

  Yes

  No

  N/A

Back door area

• Ice maker drain is clean

  Yes

  No

  N/A

• Walls are clean

  Yes

  No

  N/A

• Are ceilings clean and dusted?

  Yes

  No

  N/A

• Baseboards are in tact and clean

  Yes

  No

  N/A

• Floor drains are clean

  Yes

  No

  N/A

• Floors are cleaned, swept, and mopped

  Yes

  No

  N/A

• No personal items are stored on ice machine

  Yes

  No

  N/A

• Ice scoop is properly stored in holster

  Yes

  No

  N/A

• Mops are labeled properly. Boh and foh

  Yes

  No

  N/A

• Water heater is clear of debris and air is free flowing to it. Utility closet is clean

  Yes

  No

  N/A

• Mop buckets are clean and stored properly

  Yes

  No

  N/A

• Mop sink is clean

  Yes

  No

  N/A

• Empty kegs are stacked properly

  Yes

  No

  N/A

• Back walkway is clear, no boxes on ground

  Yes

  No

  N/A

• All employee items are stored properly

  Yes

  No

  N/A

Freezer

• Freezer temps under 32 degrees

  Yes

  No

  N/A

• Freezer is organized

  Yes

  No

  N/A

• Freezer is clean inside and outside. Especially door handles

  Yes

  No

  N/A

• Chicken is stored on bottom shelf by itself

  Yes

  No

  N/A

Sinks

• All sinks are working properly, no drips

  Yes

  No

  N/A

• All sinks are clean

  Yes

  No

  N/A

• All soap dispensers are full

  Yes

  No

  N/A

• All paper towel dispensers are clean, full, and working

  Yes

  No

  N/A

Dish area

• Dish area is organized

  Yes

  No

  N/A

• Chemicals are stored away from food

  Yes

  No

  N/A

• Walls are clean

  Yes

  No

  N/A

• Baseboards are in tact and clean

  Yes

  No

  N/A

• Sanitizer dish sink temp is

  200ppm

  not 200ppm

• Floor is swept and mopped

  Yes

  No

  N/A

• Floor drains are clean

  Yes

  No

  N/A

• Ceilings are clean and dusted

  Yes

  No

  N/A

Prep Area

• Ceiling is clean and vents are dusted

  Yes

  No

  N/A

• Baseboards are clean and in tact

  Yes

  No

  N/A

• Walls are clean

  Yes

  No

  N/A

• All sinks are working properly

  Yes

  No

  N/A

• Cutting boards are clean

  Yes

  No

  N/A

• Slicer is clean including blade, or its being washed in dish sink

  Yes

  No

  N/A

• Potato cutter is clean including blades

  Yes

  No

  N/A

• Cut potatoes are being washed under running water

  Yes

  No

  N/A

• All thawing foods are under cold running water

  Yes

  No

  N/A

The Line

• Hoods are clean

  Yes

  No

  N/A

• Are all prep unit door handles clean?

  Yes

  No

  N/A

• Wall is clean behind equipment

  Yes

  No

  N/A

• Are insides of prep

  Yes

  No

  N/A

• Ceilings are clean and dusted

  Yes

  No

  N/A

• Are floor drains clean

  Yes

  No

  N/A

• Temp of all cheeses are under

  <42degrees

  >41degrees

• Temp of hot hold items is

  >140 degrees

• Temp of cut tomatoes is

  <42degrees

  >41degrees

• Temp of cooked eggs under prep unit are

  <42degrees

  >41degrees

• Cutting boards are clean

  Yes

  No

  N/A

• Area behind prep units is clean

  Yes

  No

  N/A

Trash Area

• Garbage and recycle bin lids are closed

  Yes

  No

  N/A

• Recycle bin is not overflowing

  Yes

  No

  N/A

• Gate is shut and secure

  Yes

  No

  N/A

• Storage unit is shut and secure

  Yes

  No

  N/A

• Oil bin lids are shut

  Yes

  No

  N/A

• Area is organized and no trash is laying out

  Yes

  No

  N/A