Title Page

  • Conducted on

  • Prepared by

  • Manager on Duty

Site Visit

Allergy Kitchen

  • Are hands being properly washed upon entering of the allergy kitchen

  • Are the allergy procedures being followed - who is preparing food, storage of ingredients, communication with residents

  • Are the color coded allergy items being used and stored in the allergy kitchen

  • Is the allergy kitchen being swept and mopped daily using the broom and mop for the allergy kitchen

  • Any cross contact concerns in allergy kitchen - give details if yes

Main Kitchen and Front of House

  • Food deliveries being put away in a timely manner and stored properly if no give details

  • Are heavy items stored between waist and shoulder height

  • Are floors clean and free of standing water and trip hazards

  • Are staff members in proper uniform ( College Fresh jacket or shirt, hat and slip resistant shoes )

  • Is the kitchen prep area clean and free of hazards

  • Are the MOD checklist being utilized for the proper closing of the kitchen each day

  • Are Kitchen Appliances clean and functioning properly give specifics if no

  • Are all refrigerators and freezers clean and free of tripping hazards such as ice build up on the floor, boxes stored on the floor etc.

  • Are step ladders used for reaching high items

  • Are safety cues being used such as behind, hot, sharp

  • Are boxes broke down and removed immediately out of the work stations

  • Are the garbage cans emptied throughout the day to keep from getting to heavy

  • Is hot food being help above 135 degrees at all hot stations

  • Is cold food being held at 41 degrees or below at all cold stations, by use of mechanical refrigeration

  • Are service ware items stored properly ( plates, bowls inverted , utensils stored handles up )

  • Are knives stored properly in knife rack when not in use.

  • Are the knives being washed properly either by wash, rinse, and sanitize or being ran through the dish machine.

  • Is each person responsible for cleaning their knives properly either in the dish machine or 3 compartment sink and not leaving it for the stewards.

Dish Room

  • Is standing water kept cleaned up to avoid slipping hazard

  • Are dishes being air dried before being put away.

  • Is the dish machine reaching 180 degrees in the final rinse

  • Is the tray conveyor clean and free of food debris

  • Is the 3 compartment sink stocked with the proper chemicals for wash, rinse and sanitize

  • Are test strips available to test sanitizing solution

  • Are mops being stored properly with the wet end stored up or hanging to allow to drip dry.

  • Is the mop bucket clean and free of debris in the bucket

  • Is the mop room clean and organized

  • Are chemicals stored properly in chemical closet and correctly labeled

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.