Information

  • Franchisee

  • Store

  • Location
  • Document No.

  • Conducted on

  • Prepared by

Exterior Cleanliness

  • Is the car park free from litter and weeds?

  • Is the drive thru menu board clean and in good repair?

  • Is the drive thru lane clean and free of litter? No gum, cigarette butts or build up along the curbs or under windows.

  • Does the drive thru window area appear to be clean and free of clutter? No fingerprints.

  • Does the landscaping appear to be clean and well maintained?

  • Do the sidewalks appear to be clean and in good condition?

  • Does the building appear to be clean and in good condition?

  • Comments:

Drive Thru Experience

  • Did the order taker try to up sell?

  • Did your order appear on the DMB?

  • Did you see a smile at the window?

  • Did the employee say thank you?

  • Was a parting phrase used?

  • Was the drive thru time 2:30 or less? Record actual time?

  • Comments:

Product Observations

  • What product(s) did you order?

  • Was the build correct?

  • What your order hot and Fresh?

  • We're your chips properly salted?

  • Comments

Interior Cleanliness

  • Are the restrooms clean and stocked? Free of odor? baby change table secure and stocked?

  • Are the floors, tables and seating clean and in good condition?

  • Are the bins clean and in good condition? Liners tucked? No odours?

  • Is the front counter clean and clutter free?

  • Is all lighting working and in good repair?

  • Are the highchairs clean ready to use with crowns and bibs in place?

  • Are the highchairs in good condition with functioning safety belts?

  • Is the playground area clean and well maintained?

  • Is the playground area in good condition and safe to use?

Team Image

  • Are all employees wearing a complete uniform. Hat, shirt, name tag, belt, black pants, dark socks, slip-resistant shoes. No excessive jewelry. Hair restrained. Good hygiene and grooming standards are practiced?

  • Are all managers wearing a complete uniform?

  • Are all open sores and wounds properly covered with blue bandages?

  • Are all food handlers wearing gloves?

  • Comments:

Safety

  • Are GPO's clean and free from damage?

  • Are there any frayed or damaged cords visible?

  • Is equipment in safe working order?

  • Are WFS used when necessary?

  • Are floors around fryers kept clean and oil free?

  • Are there any cracked/broken tiles/flooring?

  • Is the CCTV operational?

  • Is there a lockable door to prevent access to the burger room?

  • Are all managers fire and 1st aid trained? (with certificates in store)

  • Are all managers serve safe trained? (with certificates in store)

Jack's Cafe

  • Is the does set to 22g?

  • Is the grind set to achieve a 22-26sec small pour?

  • Barista towels available and clean?

  • Correct milk jug used?

  • Coffee is presented attractively without drips/spills?

  • Coffee is presented with correct topping? eg latte art, choc dusting?

  • Coffee station is kept clean and organised?

Kitchen Cleanliness

  • Are the floors, walls and baseboards clean and in good condition?

  • Is the broiler & Hoods being properly cleaned and maintained?

  • Is all lighting working and in good repair? No bugs, dust or cracked lenses?

  • Are PHU's clean and free of grease build up? And being used correctly?

  • Is the microwave clean, labeled correctly?

  • Are the fryers clean and free of carbon and grease build up?

  • Is the fry station clean, chips salted correctly and are hold times followed?

  • Is the ice machine clean and functioning properly?

  • Is the shake machine cleaned throughout the day as needed?

  • Are the toaster belts and Teflon cleaned frequently? Are the toaster settings correct?

  • Is all refrigerated equipment clean and functioning properly? Gaskets, fan guard, shelving, stocked correctly, no expired products.

  • Are the boards clean and well maintained? Stainless, wrap holders, condiment holders, shelves.

  • Is the prep area and equipment clean and well maintained?

  • Is the break/training area clean and organized?

  • Are all storage areas clean and organized? Box flaps, shelving labeled?

Restaurant Systems

  • Are travel paths being completed at a minimum of every 30 minutes?

  • Are temperature checks being completed as required?

  • Are beef cookouts being completed as required?

  • Is the command station set up correctly? Is all information up to date?

  • Are crew rosters completed and posted at least 1 week in advance?

  • Are all available headsets in use at all times? Is the MOD wearing a headset?

  • Are both main boards open during peak periods?

  • Is the 1st window open with 5 crew?

  • Do the crew know what today's PCC goal is? Do they know what the average is for the month?

  • Are table touch's being completed frequently?

  • Comments:

Top 12 Critical Safety Factors

  • Are hand washing procedures being properly executed correctly and consistently at a properly stocked hand washing sink?

  • Are all health inspection violations corrected within 10 days of the citation?

  • Do all sinks meet the minimum hot water requirement and are they in good repair?

  • Is food product temperature not in the danger zone? (5 -60 degrees C)

  • Does sanitizer meet the correct PPM at all sinks and open stations with properly labeled spray bottles and buckets?

  • Are approved, clean shake brushes available and stored properly? Are they in good condition and free of rust? Is the restaurant using the green pack sanitizer? Are carburetor tubes free from build-up?

  • Is the restaurant only using approved products?

  • Are items held at room temperature marked with proper holding times and discarded when expired?

  • Is cross-contamination not apparent In any stations or storage areas?

  • Is the restaurant free of any rodent, insect and pest activity?

  • Are cookouts and temperature checks Recorded consistently and correctly?

  • Is the restaurant free of other critical food safety violations? (drains backed up, all chemicals labeled)

  • Comments:

Goal Achievement

  • Is the restaurant meeting or exceeding their sales plan?

  • Is food waste at or below 0.4% of sales?

  • Is the restaurant at or under their labour plan?

  • Is the monthly PCC > 55?

  • What is the monthly PCC?

  • Comments:

Administration/Brand Standards

  • Are P&L's supplied and up to date ?

  • Is the OHS noticeboard up to date?

  • Is the OHS schedule up to date?

  • Does the store have SICOM chef?

  • Does the store have DMB inside/out?

  • Does the store have Jack's Cafe?

  • Does the store have a merry chef oven?

  • Does the store have kiosks? (min 3 for as FSDT)

Overall Visit Comments

  • FBL Comments:

  • FBL Signature

MOD Comments and Acknowledgement

  • Manager On Duty

  • Manager on Duty Comments:

  • By signing this form you acknowledge that you have been through this report with your FBL.

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