Title Page
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Document No.
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Jack in the box
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Conducted on
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Prepared by
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Location
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1. Safety poster posted, Safety training guide used? Employees have knowledge of current safety topic?
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2. Triage poster Posted?
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3. Federal and State poster posted and is current?
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4. ROL employee/guest Incident Forms available?
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5. MSDS book is available, and PIC is is aware of location?
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6. First aid kit is stocked, and PIC is aware of location?
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7. Proper safety equipment is available, fryer apron, gloves and face shield or goggles?
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8. Bodily Fluid clean up kit is available?
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9. Chemicals are not stored above or with equipment, packaging or food?
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10. All chemicals are stored with common name on bottle?
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11. PIC is aware of the main water and gas shut off in case of an emergency?
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12. All fire extinguishers are currently tagged and the PFS number is available?
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13. All emplyees are wearing non slip resistant shoes?
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14. Employees are using assigned register? No more than 5 $20's in a drawer and no $50's or $100's?
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15. Cashiers are assigned an employee ID number to drop funds into the smart safe?
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16. Only authorized personnel allowed in the kitchen, employees are checking ID?
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17. Back door is secured, keys are with PIC, door is locked?
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18. Exit emergency signs are readable and are locted at the exits of restaurant?
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19. No ice build up on freezer floor?
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20. No trip hazards, missing tiles, drain covers, pallets or boxes stored on floor, and floors are swept?
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21. Separate mops and mop buckets are used for kitchen and lobby? Blue/lobby, yellow/kitchen.
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22. Wet floor signs are in good repair, clean and available?
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23. Wet floor signs are used properly and wet floor signs are not out when floor is dry causing trip hazzards?
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24.. Step stool and ladders are available, and used properly to reach high items?
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25. Safety Box cutters are being used and employees can demostrate how to cut a box? Knifes are not being used for box cutting.
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26. Employees can demonstrate how to properly lift a box, bending at the knees to lift?
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27. No heavy equipment or product stored above head level?
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28. Exterior/Interior lighting working properly?
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29. Food safety training compliance: all TM have food handler card, RM and AM Servsafe Certificates are available and current.
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30. Employee files are in a secured location?
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NOTES: