Title Page

  • Site Conducted

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  • Conducted On

Exterior

  • Start Time of Report (Please Select Yes and enter actual start time in Notes)

  • OCB working and clean, correct message\image, surrounding area clean and all signage in good shape

  • Garbages clean, changed and not overflowing

  • Drive Thru Menu Board Layout to spec

  • Reader board & POS to standard and hanging level

  • Garbage and grease area clean outside (to guest)

  • Garbage and grease area clean inside (inside shed)

  • Walkways and entryway SAFE and CLEAN

  • Drive thru lane and lot clean

  • All lights working outside after dark (Harj only)

  • Landscaping (April-Sept Only)

  • Other cleaning and Maintenance

Dining Room

  • WiFi working and music on and loud enough in dining room

  • No more than 2 unclean tables in dining room

  • Tables sides, table & chair legs, table bases

  • Floor including edges, corners and baseboards

  • Ceilings including vents if applicable

  • Doors clean and no stickers peeling off

  • Lights in working order and dust free

  • Windowsill clean and free of crumbs

  • Rugs swept properly and regularly

  • Wet floor sign visible from every part of dining room

  • Wet Floor signs are clean

  • Sofa seats in good condition

  • Sofa seats and gaps clean

  • Guest Handwash Station stocked and clean

  • Dish area clean and cleared regularly

  • Mug tub clean

  • Garbage bin and cubicle clean inside and out

  • Condiment Station stocked and clean

  • High chairs clean

  • Menu boards clean and lit up

  • Walls clean and painted

  • Front counter clean

  • Other cleaning and Maintenance

  • Rootbeer bottles on display are all in date

Guest Washrooms

  • Urinal/Toilet/Baby Change Table

  • Sink, mirror, hand dryers

  • Floors including corners

  • Baseboards

  • Vents

  • Fully stocked (toilet paper, 2 soaps, garbages changed, sanitary disposal not full)

  • All walls and doors in good condition

  • Washrooms free of unpleasant odours

  • No toilet cleaning brush left in public washrooms

  • Other cleaning and Maintenance

Behind Counter

  • Clean behind and under Front Cooler

  • Grey and Brown condiment containers are clean

  • Pin Pads and Register hardware is clean

  • Orders bumped on time. Not early and not late either.

  • Front Staff all in correct uniform

  • Coffee Machine

  • Coffee timed using timer or pencil

  • No stirring spoon being kept except stores 4297, 4830, 4593 and 4574. If allowed to keep is it being tracked and changed hourly?

  • Chute (Top/Inside/Front/Back/Lamps)

  • Food placed in proper areas of chute and chute labelled

  • Juice machine clean inside, outside and nozzles

  • Cupboard Doors and Shelves Clean

  • Inside of cupboards clean and organized

  • Under Pop Machines including syrup lines

  • Sink and Cup Holders

  • Check pour levels on both machines of the following on each day for regular size: Mon:Coke ; Tues:Rootbeer ; Wed:Diet Coke ; Thurs:Diet Rootbeer ; Fri:Iced Tea & Sprite

  • Corners, Baseboards and Floors

  • Guest name in use at all times for dine-in and take out

  • Every cash register contains a cash float and has an extra roll of all change going into rush periods

  • Patties being held inthermodyne during peak times but only peak times (12-2pm & 6-8pm)

  • All vacant headsets being used and all fully operational

  • Drive Thru area free of clutter

  • DT Window and ledge is clean

  • Ketchup packaged only when asked/automatically asked for takeout orders

  • At least 2 headsets are on front or cross-trained persons

  • Guest is never asked to and is never left to wait at speaker post before their order is taken

  • Drinks poured as soon as ordered of DT

  • Guest addressed at window right away

  • Serve button only pressed after order is given out

  • Guest parked according to parking rules

  • Guest addressed within 10 seconds of entering store/approaching counter: "Hi there I can help you whenever you are ready!"

  • No guest in line more than 5 mins unless both registers already being used

  • All upsells done for all guests (Chs&Bacon, gravy, Turnovers, Donations (when applicable))

  • Eye contact, genuine smile and happy attitude

  • Cashiers/Mods having a small chat with guests during slower times: "Isn't it a gorgeous day today?"

  • Cashiers delivering meals to the table if guest has taken a seat. Never calling guest back to counter to pick up their own food.

  • Energetic closing greeting for all guests: " Have a great day, hope to see you soon!"

  • Cashier is asking “Is that with a hash brown and $2 latte?” for breakfast combos and BB drinks for lunch and dinner combos.

  • Delivery orders rung into till starting with order code (or name), then arrival time and only then is order rung in.

  • Delivery Order stays on screen until completed and packed. NO receipts to kitchen.

  • Delivery orders (including food) are not made until there is 5 mins or less on arrival time.

  • Packed delivery orders are left in chute until driver is visibly present in store (unless very busy time and there is no space in chute)

  • Dine-in dishes in use automatically without asking guest

  • Brew Bar drinks filled to top of cup

  • FS Pop Nozzles Clean

  • Brew bar and farnky nozzles and machines clean

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  • FS All cutlery handles one way

  • FS All dates correct in mini fridge

  • FS Mini Cooler thermometer present

  • FS Mini Cooler temp below 40F

  • Apple Slices available for kids packs

  • FS Creamer temping below 40F

  • Creamer Machine Clean

  • Hot Choc Level (Franke) should be at least 1 inch below max line

  • Open bags of hot chocolate and chai tea powder are dated

  • FS Front sanitizer ppm correct

  • FS Front handwashing station fully stocked and correct signage

  • Soap Dispensers and Paper Towel Dispensers are clean

  • FS Front handwash sink hot water above 110F

  • FS Food Facts available (Nov 2023 version) and up to date for any LTO items

  • FS Manager can explain proper procedure for Food-Borne illness concern

  • FS Temperature Checklists completed and all issues noted and trouble-shooted

  • Temperature Instruction Sheet in binder

  • Food Borne Illness sheet in temp binder

  • Behind Counter Ceiling Tiles are clean

  • Other

Prep Kitchen

  • Dishwasher clean in and out

  • Dishwasher temping over 160F

  • Microwave Clean

  • Kettle clean inside and outside

  • Lower walls

  • Upper walls

  • Door clean

  • Betcher Machine is clean

  • Baseboards and floors including edges & corners.

  • Counter legs/shelves clean

  • Prep tubs and containers all in good condition

  • FS Cutlery drawer clean

  • FS Cutlery in drawer handles all one way

  • FS Knives in rack clean

  • FS Sani sink set up

  • FS Grease Trap clean

  • Chemicals all labelled

  • Ketchup and Mustard Nozzles and Holsters Clean

  • FS Clean dishes on shelf clean including stickers removed

  • FS Tubs/Containers holding clean dishes clean and no standing water

  • FS Slicers on shelf actually clean

  • Slicers in good working order and not a food safety or health and safety hazard

  • FS No pests visibly present in store

  • FS Produce wash to spec and at proper concentration

  • Cooler and Freezer doors not left open unless ACTIVELY putting away delivery

  • Prep Kitchen Ceiling Tiles are clean

  • Other

Kitchen

  • Hustle to make all orders efficiently. Teamwork by all employees when needd and items dropped as soon as they come up when required.

  • Upper walls

  • Back of monitors and monitor arms are clean and dust free.

  • Kitchen Staff all in correct full uniform

  • Fingernails all kept trimmed, clean and neat

  • Garbage and Waste Bins clean

  • Lower walls

  • Vents clean

  • Hood Cleaning done in last 6 months

  • All shelves in kitchen clean

  • Egger cooker clean (sides and ringers)

  • Fryer clean inside and outside

  • Hold timers available for fries and onion rings

  • Fryer cook time buttons all labelled

  • Onion Ring Fridge and Fry Freezer clean including behind bottom drawer inside

  • Onion ring and fry holder clean

  • Window and windowsill behind fry station is clean

  • Fryers clean underneath

  • Enough Dine In Dishes

  • Salt dispenser being used correctly (approx. 6 inches above fries, one turn of wrist and no shaking)

  • Gravy warmer clean and adequate amount of water

  • Gravy looks like the correct consistency. Not too watery and not too thick

  • Thermodyne /Chicken CVAP clean

  • Thermodyne set up with correct inserts

  • Thermodyne Hold timers correct

  • Turnovers all dated 3 hrs

  • Toaster clean

  • Condiments online not overstocked

  • Grilled onion warmer

  • Grill backs

  • Grill Sides

  • Clamshell back and front of arms

  • Grill legs/wheels

  • Behind and underneath grill clean including cord

  • CVAP clean

  • CVAP drawers all labelled

  • Batch timers all clean

  • Heated Shelf operational

  • No safety violations witnessed

  • Spatulas and utensils in use in good condition

  • Patty Freezer clean and free of ice build up

  • Patties all solidly frozen

  • Chicken items stored frozen

  • Seasoning salt shakers clean and functioning well

  • Floors and baseboards behind and under moveable equipment

  • Grill scraped and cleaned thoroughly after each time patties are picked up

  • Cooking procedures to standard

  • Assembling procedures to standard

  • Staffing Levels adequate

  • Fryer Safety Log

  • Oil Quality

  • Safety Equipment in Store ( 2 X Gloves, Apron)

  • FS Breadcrumb bin labelled and scoop handle not in crumbs

  • FS Cinnamon sugar container labelled

  • FS Onion Ring cooler temp below 40F

  • FS Onion Ring cooler has thermometer

  • FS Onion Ring cooler dates all good

  • FS Fry Freezer has thermometer

  • FS Poutine containers kept upside down

  • FS Tongs kept on side rather than in fry warmer or OR warmer well

  • FS Gravy Temp over 140F

  • FS Chicken & Grilled Onion in CVAP/Thermodyne temping over 140F

  • FS All timers on Chicken CVAP and Thermodyne

  • FS Condiment Tracking up to date

  • FS Bread & Tortilla in kitchen all dated and within date

  • FS Seasoning shakers and water bottles all labelled

  • FS Beef patties in CVAP all temping over 140F

  • FS Timers all on Beef CVAP

  • CVAP hold timers all correct and labelled

  • Patty Layout Poster posted for Clamshell and Xpress Grill

  • FS Thermometer in Grill Freezer

  • FS Counters being wiped regularly

  • FS Grill station handwash station fully stocked and correct signage

  • FS Handwash procedures to spec

  • FS Fresh Cook temps over 165F

  • FS Product tracking correct and up to date including mgr signature

  • FS Kitchen Sanitizer ppm correct

  • Soap, Rinse and Sanitizer buckets all labelled and cloths kept in bucket.

  • Kitchen Ceiling Tiles are clean

  • Other

Walk-in Cooler and Freezer

  • 2 cases glass root beer in cooler

  • Back up done and following rules

  • Prep tubs and containers all in good condition

  • FS All food dated and within date and rotated (FIFO)

  • FS Walk-in cooler and all other coolers temping below 40F

  • FS Walk-in cooler grilled onions temping below 40F

  • FS Walk-in cooler thermometer present

  • FS Walk-in cooler layout to standard

  • FS Used breadcrumbs stored in cooler dated 7 days

  • FS Walk-in Freezer everything covered

  • Food Rescue Product is kept in closed containers, labelled and off the floor.

  • FS Walk-in Freezer thermometer present

Back Area and Staff Washroom

  • Latest LTO launch checklist is being used and checked off.

  • Order guide,prep chart, back up charts ,freezer pull charts are all up to date reflect latest LTL needs.

  • FS Handles of containers/scoops not touching salt/sugar product

  • Salt and Sugar properly covered and labeled

  • FS Pop and Bread in date

  • Harj- Check water hardness from scale inhibitor. Harj plese change if required and track accordingly on tracking chart. Select Yes when done.

  • Pre-Filter is changed within 3 months

  • Replacement Filters dropped by Harj to store. Please include photo. Select Yes when done.

  • CO2 tanks secured

  • FS Staff Washroom fully stocked and correct signage posted

  • Mops hung upside down when not in use

  • Mop Bucket Clean

  • Mop Closet is kept clean and tidy

  • FS Food handlers certification available for all MODs on duty

  • FS No gaps visible under dining room door or back door

  • Back door area and storage shelves organized, clean and safe

  • All food 6 inches off floor

  • Employee food and drink is kept in designated area and area is labelled

  • Office organized and clean

  • LTO Execution (POS up, Assembly Guides Up, Other Job Aids up, Food Facts in Binder, Staff knowledgeable)

  • Employee Question-Where are MSDS Sheets and what are they used for?

  • MOD knows what to do in case of power outage and signage is posted near office

  • Inclusive language spoken amongst employees

  • New Cleaning List in Use Appropriately

  • All cash stored behind lock and key

  • Safe count correct

  • Electrical Room clean and organized and free access around electrical panels.

  • Other

First Priority Critical Audit

  • Are Food Safety Checklists complete for the last 5 days without any empty boxes and all within the ideal range?

  • Temp all coolers to ensure they are all under 40F (walk-in and reach in drawer coolers)

  • Are grilled onions that are held online temping over 140F?

  • Are grilled onions pushed at least 3 inches from the front of the pan while being held warm?

  • Is all chicken temping over 140F? Also check ambient temperatures of all hot holding equipment (CVAP, Thermodyne etc)

  • Is gravy holding over 140F?

  • Are any items cooked fresh temping over 165F?

  • Is cooler layout correct to ensure no cross-contamination?

  • Are all walk-in cooler dates good? Dont forget the juices, milk, cheese curds and Brew Bar mixes

  • Are all items in front cooler dated and within date?

  • Are all items in onion ring cooler dated and within date?

  • Are all pop syrups within date?

  • Is all bread within date in main kitchen?

  • Is all bread within dates in stock area and prep kitchen area?

  • Are grilled onions in cooler not over-portioned in the pan? Are they in a pan with vented lid? Are they temping below 40F (if not cooked within last 5 hrs)?

  • If breakfast time, are eggs positioned in sucha way on point that they are not sitting above any other food item?

  • Are all sanitizers within correct concentrations? Dont forget to check Viper too.

  • Are slicers that are on clean shelf actually clean?

  • Ask newest employee in the kitchen to wash their hands. Are they following proper procedures?

  • Is grease trap clean inside and outside?

  • Are all pop nozzles clean?

  • Are knives and scissors inthe rack all clean?

  • Is condiment tracking up to date?

  • Are all hold timers on for grill station?

  • Are all hold timers on for fryer station?

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  • Blitz call job aids followed by the staff .

  • Is the job aids from blitz call posted at a proper place.

  • Latest LTO launch checklist is being used and checked off.

  • Supervisors have all completed leadership through Climate RMTP

  • MODs have Train the Trainer

  • Station Checkliist Complete for employees on shift

  • ATO Rankings email is posted with your store highlighted and at least 1 sentence of comments.

  • 2 Climate Meetings performed each year

  • Pest Control Reports being emailed monthly

  • Exterior Maintenance Reports complete by May 31 and Sept 30

  • Check Brixing

  • Fire Inspections up to date

  • SDS all current for chemicals

  • Uniform Poster is up

  • Sales Forecast completed

  • BCA done each of the last 4 quarters

  • Service Times communicated throughout shift

  • End Time of Report (Please Select Yes and enter actual end time in Notes)

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.