Title Page

  • Conducted on

  • Prepared by

  • Location
  • Was Food Safety completed correctly today? Check 60 days if needed

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • During your observations was food safety always handled properly?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • A system in place to have a Production Leader when 2 or more are in the kitchen? <br>

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Did the Production Leader do a Pre-Shift?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Is the grill staffed effectively for all dayparts? If not, what daypart and plan?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Day part

  • Right # of Staff & People positioned appropriate for sandwich ranges?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Did crew follow procedures correctly? – note training needs separately

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • TRAINING NEEDS NOTED:

  • Ask 3 grill members is equipment working?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • EQUIPMENT NOT WORKING:

  • Equipment in the right place? (BWS) (coolers/freezers have thermometers)

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Small equipment minimums?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • SMALL EQUIPMENT MISSING:

  • Fryer Recovery – Routine in Place - Boil-Out & Filtered Daily

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Grill Recovery Routine in Place (date of last recovery)________ No Carbon Build Up – remove one Teflon - quality of Teflon’s and platen

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Blade Changing Routine in Place - i.e., every Thursday

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • KVS Monitors (Beep) & Bump Bars working and in proper place? (BWS)

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Grill Printers in right place and working? (BWS)

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Label Maker used correctly & current version?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Taste a couple of products – are they gold standard?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Bake/Prep chart used correctly – no products made during the Peak?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • Prep person(s)- correctly used and trained?

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • R2D2 in place – new ½ hour charts? UHC set-up for success

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

  • HOTG dialed in for Quality? Check Gap Setting Go-No Go Tool

  • FIX NOW

  • ACTION PLAN

  • ROOT CAUSE

Prescription to your success

  • Select 1 to 2 on above outcomes for an action

Action 1

  • Action1:

  • Who will own & write a plan:

  • Attach plan & date to start to email or completed printed form

Action 2:

  • Action 2:

  • Who will own & write the plan:

  • Attach plan & date to start

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.