Title Page

  • Store

  • Conducted on

  • Prepared by

  • Location
  • Manager in charge

1. Hand washing / Hand Sinks

  • Hand sinks stocked with green paper towel, antibacterial soap, sanitizer and 2 packs of gloves?

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  • Hands correctly washed at least once and hour or more frequently if needed?

  • Basin free from obstruction?

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  • Hand washing sheet completed today?

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2. Health Violations

  • Most current health inspection report available?

  • Follow up actions documented?

  • All non-critical and critical violations corrected and maintained?

3. Hot Water

  • All sinks meet hot water requirements and in good repair?

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4. Temperature Control

  • Temperature checks on the Blue Print and completed in full and on time?

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5. Sanitizing

  • Approved and properly labeled containers and bottles used for sanitizer solution?

  • Sanitizer test strips readily available, clearly dated and date visible?

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  • Manager in charge can demonstrate correct use of sanitizer test strips?

  • All open stations have accessible sanitizer solutions at proper PPM (100-200) with correct colour wipe cloths fully immersed in solution?

  • Manager in charge can demonstrate how to change the sanitizers?

  • All required smallwares changed and W/R/S every 4 hours?

  • Take a picture of smallwares 4 hour sticker?

6. Shake Machine / Soft Serve

  • No build up evident in carburettor tube?

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  • All required brushes present, clean, stored properly, in good repair with K5 Sanitizer?

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  • Agitators and lid free of build up?

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  • Manager in charge can demonstrate how to clean agitators?

  • Are agitators cleaned every 4 hours?

  • Take a picture of the agitator 4 hour sticker?

7. Approved Product

  • All food, packaging and chemicals in use are listed in the Approved Brands List unless otherwise state in OPS Manual or OPS Alert?

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8. Time Control

  • Are PHU buttons in use?

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  • Are all products in the chillers in date?

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  • Are all products on boards, front counter and stock room in date?

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9. Cross Contamination

  • Are all required tongs available and stored correctly?

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  • Cooked and raw product tongs kept separate and stored so that handles do not touch cooked or raw product?

  • Manager in charge can explain the system of 4 hour change out of tongs, pans, utensils and specified equipment?

  • Are metal tongs in meat well stored in dedicated container and labeled?

  • Is FIFO being observed?

  • Are allergens store correctly in the stockroom?

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  • Are allergens stored correctly on the shop floor?

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  • Are allergens stored correctly in the freezer?

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  • Are allergens stored correctly in the chiller?

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  • Is allergen training up to date? Are all staff on schedule trained?

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10. Pest Activity

11. Cook Outs

  • Manager in charge can correctly demonstrate and cook out, pass and fail?

  • Cook outs performed for pre-open, peak then every three hours?

  • Take a picture of the cook out log on the Blue Print?

  • No more than 3 cookouts missed or corrective action not taken in a 30 day window, any missed cookout has an incident form completed?

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12. Other Critical Violations

Uniform

  • Do all managers have a hat, white BK shirt, name badge, tie or cravat, black trousers and shoes?

  • Do all crew have a hat, name badge, BK polo shirt, black trousers and shoes? Do kitchen crew have an apron?

Staff Room

  • Is the staff room clean and tidy?

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  • Are the staff toilets clean, stocked and free from odour?

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Toilets

  • Are the customer toilets clean, free from litter and odour free?

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  • Are the disable toilets clean, free from little and odour free? Is the alarm cord loose?

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  • Are both toilets in good repair?

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.