Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Receiving Area
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Receiving area/dock clean and orderly?
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Select date
Storeroom
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Orderly, free of empty cartons/boxes?
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Items 6" off floor, 2" away from wall, 18" away from ceiling (spinkler heads)?<br>
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Temperature between 50°F-70°F; Temperature recorded?
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Temperature:
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Wall clean, free off peeling paint, no holes or cracks?
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Items in original containers or properly packaged/labeled?
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No damaged cans for use and are damaged cans placed in a separate location labeled "damaged"?
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No open containers or unwrapped food products?
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Storage containers (rice, flour, beans, etc.) covered and labeled?
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Shelving clean, free of corrosion and dust?
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Floor/baseboards clean?
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Stock dated and rotated properly? (First-in, First-out)
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No chemicals in store room?
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Free of rodent/insect activity?
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Emergency food supply on hand (located in separate area)?
Walk in Refrigerator
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Thermometer located to measure warmest part of cavity?
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Current Temperature?
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Refrigerator door/handles clean?
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Floors clean/no rust?
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Gaskets clean/not cracked/doors seal tightly?
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Shelves clean/free of corrosion?
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All food covered, labeled, and dated?
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Is there any outdated food or beverages?
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Any outside food or beverages?
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Is anything stored within 6" of the floor?
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Fans/Housing clean, no restricted air flow?
Freezer Walk-In
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Thermometer located to measure warmest part of the cavity?
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Current Temperature:
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Doors and handles clean?
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Floors clean, no rust?
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Gaskets clean/not cracked/doors seal tightly?
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Shelves clean, free of corrosion?
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Food covered, labeled, and dated?
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No outside food or beverages?
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No outdated food?
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Items stored within 6" of the floor?
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Minimal ice build up?
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Fans/Housing clean: Air flow unobstructed?
Mop Storage Closet
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Mops clean/sanitized?
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Mops/brooms/deck brushes etc. stored on wall?
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Mop sink clean and odor free?
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Used rags covered/stored away from food/supplies?
Second Walk-In Refrigerator (Prepped Food)
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Food from appropriate sources?
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Leftover perishable food used within 3 days?
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Cooked food cooled rapidly (shallow pans)?
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Frozen food thawed properly?
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Thermometer located at warmest part of the cavity?
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Current Temperature:
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Doors/handles clean?
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Floors clean, no rust?
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Gaskets clean/Not cracked/Doors seal tightly?
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Shelves clean, free of corrosion?
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Food covered, labeled, and dated?
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No outdated food or beverages?
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No outside food/beverages?
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Any items stored within 6" of the floor?
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Fans/Housing clean; Air flow unrestricted?
12 Door Reach-In Refrigerator
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Thermometer located to measure warmest part of the cavity?
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Current Temperature:
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Doors/handles clean?
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Floors clean, no rust?
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Gaskets clean/Not cracked/Doors seal tightly?
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Shelves clean, free of corrosion?
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Food covered, labeled, and dated?
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No outdated food/beverages?
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No outside food/beverages?
Staff Area, Recipes, Log Book
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Temperature logs up to date for all freezers, refrigerators, warmers/equipment?
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Temperature on freezers at or below 0°F?
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Temperatures on refrigerators at or below 41°F?
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Temperatures in hot food warmers 160°F or above?
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Manuals, recipe books clean and organized?
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Food, drinks, tobacco products used and stored in designated area only?
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Microwave clean inside/out?
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Food processor and blender clean, covered when not in use?
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Mixer clean inside and out; covered when not in use?
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Toaster clean?
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Scales clean and working properly?
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All food labeled, dated, no outdated food?
General Kitchen Area
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Sprinkler heads dust free?
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Fans dust free?
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Fire extinguishers dust free and inspected?
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Procedure for turning on and off gas posted?
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Cleaning schedule dated, signed, and complete?
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Lighting adequate, no bulbs out, lights covered with protective covering, no cracks?
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Wall clean, free of peeling paint, no holes or cracks?
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Floors clean?
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Floor drains free of debris and draining adequately?
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Vents free of dust?
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Windows/window ledges clean/no clutter?
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Doors clean?
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Counter-tops clean/sanitized?
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Table legs clean?
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Shelves clean, free of rust, organized?
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Drawers clean/organized?
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Cabinets clean/organized?
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Hand sink clean?
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Hand sinks/dispensers stocked?
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Food contact surfaces cleaned/sanitized?
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Non-food contact surfaces clean?
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Garbage cans clean with lids, no odors, not overfilled?
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Dry rags stored in clean container?
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Knife rack/Knives clean and dry?
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Cutting boards clean/sanitized, no cross contamination?
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Pots, pans, baking sheets clean, free of grease and food particles? Dry, not pitted?
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Pitchers clean? No stains, dry?
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Thermometers clean/sanitized/stored correctly/calibrated?
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Plates, bowls, trays, glasses, mugs and silverware clean and dry?
Large Equipment, Misc.
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Stove top clean/operates correctly?
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Convection oven clean inside and out: operates correctly?
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Hood/filter clean, no grease build up?
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Broiler clean inside and outside; operates correctly?
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Steamer clean inside and outside; operates correctly, de-limed?
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Grill clean; operates correctly?
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Deep fat fryer clean inside and outside; operates correctly?
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Last time oil changed:
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Steam table clean inside and outside; operates correctly?
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Ice Machine clean/free of rust/gasket clean/makes adequate ice?
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Ice scoop clean/stored separately in clean container with lid?
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Can openers clean; blades not nicked/strained?
Three Compartment Sink
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Cleaning procedures posted?
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Pot washing technique correct? (scrape/wash/rinse/sanitize)
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Test Kit present?
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Chemical sanitize PPM recorded?
Warmers
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Scales clean/working properly?
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Current Temperature:
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Handles and doors clean?
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Floors clean, no rust?
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Gaskets clean, not cracked, seal tightly?
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Shelves clean, free of corrosion?
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Food covered?
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No outside food/beverages?
Dishwashing
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Walls clean/free from dirt and build-up?
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Floors/baseboards clean?
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Floor mats clean and intact?
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Dish machine clean inside and outside, de-limed/clear jets/nozzles clear?
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Conveyor belt clean?
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Sink clean?
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Proper temperatures? (Pre-wash 120°F, Wash 160°F, Rinse 180°F, or proper PPM)
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Proper dish washing techniques? (racking/loading/silverware washing)
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Proper unloading techniques? (clean/dirty loading and unloading; no cross contamination)
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Dish carts clean?
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Trays clean/dry?
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Plates, silverware, glasses clean and dry?
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Dish storage orderly?
Chemical Storage and Handling
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Chemicals organized?
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Chemicals stored in labeled container only (including spray bottles)?
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Chemicals stored separately from food or supplies?
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Hazardous chemicals list posted?
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MSDA sheets accessible?
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Staff in-serviced on hazardous chemicals (documented)?
Tray Carts
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Carts and wheels clean?
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Dispensers and condiment caddies clean?
Cafeteria Service Area
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Tray/tray slide clean/dry?
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Counters clean?
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Hot food wells clean?
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Shelves under counters clean/orderly?
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Display shelving clean/orderly?
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Sneeze guards free of debris/dust/marks?
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Plates, bowls, cups, silverware clean and dry?
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Menu board/signs accurate and clean?
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Posters/printed material clean/neatly posted?
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Ticket stand clean and orderly?
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Coffee dispensers clean inside and out? (gaskets, tubing)
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Cold drink dispensers clean? (fountain heads/spray jets, etc.)
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Syrup tank storage area clean and dry?
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Salad bar tray slides clean?
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All other counters clean?
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Hot food and cold food wells clean?
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Dining room tables and chairs clean, in good repair?
Employee Practices
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Proper hair restraints?
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Clean uniforms?
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Appropriate hand washing?
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Proper sanitary procedures used for handling /serving food?
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Use of gloves, spoons, scrapers, tongs, etc. to minimize direct food contact?
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Finger nails clean, trimmed, no polish, no artificial finger nails?