Title Page

  • Educare Kellom

  • Conducted on

  • Performed by

Personal Dress and Hygiene

  • Employees wearing proper uniform including slip resistant shoes

  • Hair restraint is worn (hairnet, beanie, chefs toque)

  • Fingernails are short, unpolished, and clean

  • Jewelry is limited to watch, simple earrings, and plain ring

  • Staff are practicing appropriate hand hygiene and glove use when<br>necessary during food preparation activities, such as between handling<br>raw meat and other foods, to prevent cross-contamination.<br>

  • Staff are employing hygienic practices (e.g., not touching hair or face<br>without hand washing) and then handling food.<br>

  • Open sores, cuts, or splints and bandages on hands are clean and<br>completely covered<br>

  • Eating, drinking, or chewing gum are observed only in designated areas away from work areas

Equipment

  • Ice machine is clean and free of mold

  • Food slicer is clean to sight and clear of debris

  • Food slicer is sanitized between uses when used with potentially

  • Can opener is clean to sight and touch

  • Steamer is clean and free from excess scale build up

  • Stovetop burners are clean and free of debris

  • exhaust hood and filters are clean and a quarterly professional

  • Electrical boxes are easily accessible and not blocked

  • Equipment (e.g., food grinders, choppers, slicers, and mixers) are cleaned, sanitized, dried, and reassembled after each use.

  • All small equipment and utensils, including cutting boards, are sanitized between uses

  • Work surfaces are clean to sight and touch

  • Dishes, pots, pans, and utensils are cleaned and stored properly

  • Work surfaces are washed and sanitized between uses

  • Hot holding units are clean inside and out

  • Sprinklers are clean and free of dust

  • All light fixtures are clean and free of debris, with working light bulbs

  • Sinks are cleaned & sanitized

  • Dishwasher was cleaned after use

  • Wiped down and disinfected (if needed) the kitchen counters, table, and stove top

  • Oven spills and debris are removed and cleaned

  • Kitchen floors were mopped, swept and sanitized

  • Cleaning rags washed after use or placed on dirty laundry bin

  • All tools were cleaned, locked and inventoried

  • Cleaning equipment properly stored after use

Garbage Storage and Disposal

  • Waste bins has lids on

  • Kitchen garbage cans are clean

  • Garbage cans are emptied as necessary

  • Boxes and containers are removed from site

  • Loading dock and area around dumpster are clean

  • Dumpster is closed

Completion

  • Overall Assessment

  • Name & Signature of Kitchen Manager

Food Handling

  • Frozen food is thawed under refrigeration or in cold running water

  • Food is not allowed to be in the “temperature danger zone” for more than 4 hours

  • Utensils are handled to avoid touching parts that will be in direct contact with food

  • Food is tasted using proper methods

  • Food is not allowed to become cross-contaminated

  • Food is heating to 165ºF before placing in hot holding

  • Temperature of food being held is above 140ºF

  • Thermometers are sanitized between each use

  • Prepared foods are handled with utensils or clean, gloved hands

Food Storage and Dry Storage

  • Floor, walls, and ceiling are clean and free of debris in hard to see areas

  • Dry storage temperature is between 50 and 70 degrees

  • There is no bulging or leaking canned goods in storage

  • The handles of scoops in bins are not touching product(ex. sugar, flour,

  • All supplies are stored 6 to 8 inches off the floor and no more than 18inches from the ceiling

  • Chemicals are stored away from food and other food-related supplies

  • The FIFO (First In, First Out) method of inventory is being practiced

  • All open food is labeled and dated correctly. No expired products are visible

Coolers & Freezers

  • Floor, walls, and ceiling are clean and free of debris in hard to see areas

  • Refrigerators set to maintain a temperature of 40 °F or below

  • Freezers set to maintain a temperature of 0 °F or below.

  • Contains working thermometer

  • Temperature is accurate for piece of equipment and temp log is filled out daily

  • All open food is labeled and dated correctly. No expired products are visible

  • Raw meat, poultry, and seafood are stored in a sealed container or<br>wrapped securely, below prepared or ready to eat foods.

  • Storage racks clean and free of mold

  • Speed racks free of mold and clean including wheels

  • There are no signs of negative outcome (e.g., freezer burn, foods dried<br>out, foods with a change in color)

Cleaning & Sanitizing

  • Hand washing facilities with soap and water are separate from those used for food preparation. (Must have soap and hand towels available at hand sink

  • Drawers and racks are clean and free from debris

  • Quat sanitizer buckets are present at all work stations

  • Three-compartment sink is properly set up for warewashing (wash, rinse, sanitize

  • Chlorine test kit or thermometer is used to check sanitizing rinse

  • Reusable towels are used only for sanitizing equipment surfaces and not<br>for drying hands, utensils, floor, etc

  • Wiping cloths are stored in sanitizing solution while in use

  • The water is clean and free of grease and food particles

  • If heat sanitizing, the utensils are allowed to remain immersed in 170ºF water for 30 seconds

  • Dish machine reaching correct temperatures. Wash 150-160 Rinse 180

  • If using chemical sanitizer, it is the proper dilution

  • Dish machine shows no signs of excessive scale build up

  • Hand sink hot water temperature reaching 120 degrees

  • The utensils are allowed to air dry

  • Floor, walls, and ceiling are clean and free of debris in hard to see areas

Cooks Line

  • The wall behind equipment is clean and well maintained

  • The floor is clean and free of debris (Look under equipment)

  • Plates stored under shelving is clean and free of debris

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.