Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Outlet

  • Outlet

  • Day

  • Date and Time

  • Shift

Environmental, walls, Ceilings and floors

  • Walls

  • Ceilings

  • Hoods and Filters

  • Air Vents

  • Ventilation Hoods / Pot Wash Hoods

  • Floors

  • Drains and Grates

  • Sinks

  • Hand Wash Basins, Soap Dispensers and Towels

Fixtures, Fittings & Work Surfaces

  • Stainless Steel Workbench

  • Stainless Steel Shelves

  • Rack Shelves

  • Stainless Steel Splash Backs

Equipment

  • Rational Oven / Combi Oven

  • Pasta Boiler

  • Double Grill / Broiler

  • Ovens and Stove Top

  • Targa Top Flat

  • Salamander

  • Microwave Oven

  • Deep Fryer

  • Cry Vac Machine

  • Brat Pan(s)

  • Boilers / Kettles

  • Under Bench Hot Boxes and Hot Cupboards

  • Meat Slicers

  • Salad washers & spinners

  • Hobart & other Food Mixers

  • Tallboy and Oven Trolleys

  • Wok Section

  • Wok Steamer

  • Robot Coupe

Food Storage

  • Bain Marie

  • Hot Boxes & Cold Cabinets

  • Under Bench Hot Boxes

  • Hold O Mat Cabinet

Refrigeration

  • Walk in Cool Room / Freezer (s)

  • Blast Chiller(s)

  • Stand Alone Fridges and Freezers

  • Under Bench Refrigerators

  • Ice Machine(s)

  • Does the kitchen area meet HACCP standards: Supervisor Signature iD no ..

Dish washing checklist

  • Have dish-wash checklists been checked for completion

  • Have any AMPRO requests been lodged or followed up

  • Has the dish-wash or pot-wash area been checked (walls, floors, surfaces & storage)

  • Does the dish-wash area meet HACCP standards: Supervisor Signature iD no ..

  • Does the dish wash area meet HACCP standards: Supervisor Signature iD no ..

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.