High Care Operational Verification Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Record Temperature in ALC

• Record Temperature in CM Storage

• Record Temperature in Prep Storage

• Record Temperature in Recipe Weigh

• Record Temperature in Kettles

• Is there condensation or standing water in ALC?

  Yes

  No

  N/A

• Is there condensation or standing water in CM Storage?

  Yes

  No

  N/A

• Is there condensation or standing water in Prep Storage?

  Yes

  No

  N/A

• Is there condensation or standing water in Recipe Weigh?

  Yes

  No

  N/A

• Is there condensation or standing water in Kettles?

  Yes

  No

  N/A

• Is any line in ALC missing Pot Crush Paperwork?

  Yes

  No

  N/A

• Is any line in ALC missing Changeover paperwork?

  Yes

  No

  N/A

• Is any line in ALC missing weight check paperwork?

  Yes

  No

  N/A

Kettles HACCP Temperature Verification (Chesters, Kettles, Steamers, Cryovac)

• Is the HACCP Temperature paperwork in Kettles complete?

  Yes

  No

  N/A

Ovens HACCP Temperature Verification(Spiral/Ovens 1-4)

• Is the HACCP Temperature paperwork in Ovens complete?

  Yes

  No

  N/A

WIP Cooler Check

• Are allergens separated and labeled (dots) in the WIP Cooler?

  Yes

  No

  N/A

• Are the bottom three spaces of the racks not in use?

  Yes

  No

  N/A

• Are there covers over every rack?

  Yes

  No

  N/A

• Is the area neat and organized?

  Yes

  No

  N/A

• Are the doors to the WIP cooler closed?

  Yes

  No

  N/A

Observational Checks

• Housekeeping

  Good

  Fair

  Poor

  N/A

• Floor organization

  Good

  Fair

  Poor

  N/A

• Material rotation/condition

  Good

  Fair

  Poor

  N/A

• Workforce utilization

  Good

  Fair

  Poor

  N/A

• GMP conformance

  Good

  Fair

  Poor

  N/A

• Sanitizing powder on the floor

  Yes

  No

  N/A

• Hose nozzles off the floor

  Yes

  No

  N/A

• Black pallets (clean) away from dirty equipment

  Yes

  No

  N/A

• Are the utensils damaged?

  Yes

  No

  N/A

• Utensil storage (Clean/dirty/appropriate)

  Yes

  No

  N/A

• Floor drains clear and functioning?

  Yes

  No

  N/A

Other Issues

• Do you see any other Issues?

  Select Yes No N/A

  • Yes
  • No
  • N/A