Information
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Store location reviewed:
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Document No.
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Store Number:
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Franchisee/Manager Name
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Date of Visit
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Time of Visit
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Day-part Observed
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Prepared by
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Location
Evaluation
CRITICALS / NON NEGOTIABLES / FOOD SAFETY TWO FAILED CRITICALS RESULTS IN AUTOMATIC FAILURE
Required Alcohol
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(2) Sam Adams Taps: Lager and Seasonal
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PBR Tap (5 taps or more) or cans
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Barefoot Wine- full line as required by menu
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Food Obtained from approved source?
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Product properly labeled, dated and stored?
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Food Handler Gloves - worn in food handling
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Hands washed and cleaned, good hygienic practices observed.
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Toxic substances properly stored and labeled.
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Coolers properly maintain product temperature.
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Thermometers, gauges and test kits available.
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Dish Washing sanitizing concentration and temperature.
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Proof of hourly employee food safety / handling training (if applicable).
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No presence of insects/rodents.
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NOT selling non-approved, off menu items.
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Is a current State Certified Food Handler Card available?
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Operations Kitchen Forms used consistently ( temp logs / line checks / prep list / waste sheet / wing count )
SIGNATURES
SIGNATURES AND ACKNOWLEDGMENT BY:
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Franchise owner / Manager - Information reviewed and complete
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Hurricane AMT Representative
