Title Page

  • Date

  • Restaurant/Bar

  • Observer

Personal Hygiene

  • Hands are washed properly, frequently, and at appropriate times.

  • Eating, drinking, chewing gum, smoking, or using tobacco are allowed only in designated areas away from preparation, service, storage, and ware washing areas.

  • Hand sinks are unobstructed, operational, and clean.

  • Hand sinks are stocked with soap, disposable towels, and warm water.

  • A hand washing reminder sign is posted.

Food Preparation

  • Food equipment utensils, and food contact surfaces are properly washed, rinsed, and sanitized before every use.

  • Food is handled with suitable utensils, such as single gloves or tongs.

  • Clean reusable towels are used only for sanitizing equipment and surfaces and not for drying hands, utensils, or floor.

Cold Holding

  • Refrigerators are kept clean and organized.

  • Temperature of cold food being held at or below 41 degree Fahrenheit.

  • Food is protected from contamination.

  • Thermometers are available and accurate.

  • Temperature is appropriate for pieces of equipment.

  • The FIFO (First In, First Out) method of inventory management is used.

  • Refrigerator and freezer units are clean and neat.

  • All food is properly wrapped, labeled, and dated.

  • Ambient air temperature of all refrigerators and freezers is monitored and documented at the beginning and end of each shift.

Food Storage and Dry Storage

  • All food and paper supplies are stored 6 - 8 inches off the floor.

  • All food is labeled with name and received date.

  • Open bags of food are stored in containers with tight fitting lids and labeled with common name.

  • The FIFO (First In, First Out) method of inventory management is used.

  • There are no bulging or leaking canned goods.

  • Food is protected from contamination.

  • All food surfaces are clean.

  • Chemicals are clearly labeled and stored away from food and food related supplies.

  • There is a regular cleaning schedule for all food surfaces.

  • Food is stored in original container or a food grade container.

Clean and Sanitizing

  • Three-compartment sink is properly set up for ware-washing.

  • Dish machine is working properly ( such as gauges and chemicals are at recommended levels ).

  • Water is clean and free of grease and food particles.

  • Water temperatures are correct for wash and rinse.

  • If heat sanitizing, the utensils are allowed to remain immersed in 171 degree Fahrenheit water for 30 seconds.

  • If using a chemical sanitizer, it is mixed correctly and a sanitizer strip is used to test chemical concentration.

  • Wiping cloths are stored in sanitizing solution while in use.

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.