Information
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Restaurant Name & Number
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Conducted on
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Managers On Duty
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Prepared by
Manager on Duty
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Is a manager present on the floor at time of arrival?
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Select date
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Does MOD have Food Safety Certification in compliance with local laws?
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Picture of Food Safety Certification
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Is Department of Health Inspection folder prepared for inspection?<br>- Thermometer<br>- Sanitizer and Detergent Test Strips<br>- Restaurant Permit<br>- Copies of Food Safety Course Cards/Certificates<br>- Any other materials as required by local laws
Exterior
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Awnings are clean, set up properly and damage free.
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Picture of Awnings
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Sidewalk outside of storefront is swept and free of stains.
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Picture of Sidewalk/Storefront
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Windows and door are clean and streak free.
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Appropriate signage is posted.<br>- Hours of operation<br>- Free Wifi<br>- LPQ App<br>- LPQ Catering<br>- CO2 neutral
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Picture of Signange
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Take Away Menu is available at retail counter.
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Picture of Take-Away Menus
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A-Frame is in place and posting currents specials.
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Picture of A-Frame
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All required permits, postings and inspections are in proper place and up to date
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Picture of permits
Retail Quality/Service
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Catering display is up by retail.
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Picture of catering display
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Condiment station is fully stocked and clean.
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Picture of condiment station
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Picture of retail display
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Retail blackboards are up to date with correct prices.
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Picture of blackboards
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Picture of bread display
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Picture of cold pastry display
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Picture of ambient pastry display
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What time of day is it?
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Pastries and bread are served to specification in proper packaging.
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Picture of hot beverages
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Picture of cold beverages
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Seasonal beverage is prepared to spec
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Picture of seasonal beverages
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Garnishes are prepped to spec and are kept cold on ice?
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Photo of garnishes
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Coffee timers are in place and being used.
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Picture of coffee timers
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Is espresso machine water filter clean and in good condition?
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Picture of filter
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Is espresso machine properly calibrated? <br>- Single Shot of Espresso 16-20 seconds<br>- Double Shot of Espresso 23-27 seconds<br>
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Wine storage guidelines are being followed. Opened bottles are dated.
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Retailer Knowledge Book is available for team members.
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Opening, Mid, and Closing retailer checklist is posted and regularly follwed.
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Picture of posted checklists
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Pastry waste log is filled out daily.
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Picture of waste log
Retail Food Safety
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Container of sanitizer for steam wand only is near the espresso machines.
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Steam wand is properly cleaned inside and outside. All holes on the base of the wand produce steam.
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Walls behind equipment are clean and free of stains. Areas under equipment are free of debris.
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Two thermometers are present and calibrated in each refrigerator.
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Beverages (Milk, Juices and batches) are FIFOed, held below 41F, and clearly organized. No products should be expired.
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Area under coolers is free of debris. Counters are organized and clear of clutter.
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Baseboards are well maintained.
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Garbage cans are cleaned inside and outside.
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Sanitizer solution is at room temperature or cooler. Test strips indicate 150-200PPM. Rags in bucket are completely submerged.
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Running hot water is available at hand washing sink. Hand washing signs are posted by sink areas. Soap and paper towel dispensers are properly functioning. Trash can is nearby for soiled towels.
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Ice bin is clean and free of debris. Scoop is held in a separate container.
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All dry goods are stored at least 6 inches off the ground.
Dining Room Service
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Are there any signs of pests - rodents, insects, or other animals?
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Dining room chalk board is up to date with most current specials, and soup of he day.
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Picture of chalk board
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Picture of communal table
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Table top chalk boards are used to communicate any current specials.
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Picture of table top chalk boards
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Completed dishes in the window are being run in a reasonable time period. Food should not be sitting in the window for more than 1 minute.
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Server Knowledge book is available for team members.
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Opening, Mid and Closing Server checklists are posted.
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Picture of Opening, Mid and Closing server checklists
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Servers have signed credit card receipts on them at all times (not in drawers, cups or anywhere exposed)
Dining Room Food Safety
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Are there any signs of pests - rodents, insects, or other animals?
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Sanitizer solution is at room temperature or cooler. Test strips indicate 150-200PPM. Rags in bucket are completely submerged.
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Table bases are well maintained.
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Tables are quickly cleared when guests leave. The surface is wiped down with sanitizer solution.
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Picture of server station(s)
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Picture of dining room
Kitchen Quality
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Cook Position Book is available for team members.
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Line setup sheet is updated and followed.
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Picture of line setup sheet
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Picture of quinoa taboule and lentil batches
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Pictures of prepped produce items
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Pictures of core menu items
Kitchen COGS
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Prep sheets are filled out correctly. Pars set are appropriate for business.
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Picture of prep sheets
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Order sheets are up to date and being utilized. Par levels are established and updated frequently.
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Picture of order sheets
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Deliveries from production and outside vendors are checked, put away in a timely manner, and FIFOed.
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Scales are working. Portioning tools are in place and being used.
Kitchen Food Safety
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Are there any signs of pests - rodents, insects, or other animals?
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Sanitizer solution is at room temperature or cooler. Test strips indicate 150-200PPM. Rags in bucket are completely submerged.
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Soup and oatmeal are held above 140F. Each container has a lid and appropriate tool for service. Oatmeal scoop is held in a separate container.
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All items are stored at proper temperatures (below 41F and smoked salmon below 38F). Do a line check and check at least 8 cold items.
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Two thermometers are present and calibrated in each refrigerator.
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Is walk-in 41F or lower? Check the temperature of 5 ingredients. Is walk-in temperature log in use?
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Picture of temp log
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Picture of kitchen line
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Cutting boards are free of stains and divots
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Picture on merry chef - inside and outside
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Running hot water is available at hand washing sink. Hand washing signs are posted by sink areas. Soap and paper towel dispensers are properly functioning. Trash can is nearby for soiled towels.
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Opening, Mid and Closing checklists are posted.
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Picture of checklists
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Egg temperature logs are being filled out every hour during peak times. Sous Vide is set to 143.5F.
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Picture of egg temperature logs
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All Daily Book temperature logs are completed for AM and PM daily. (Retail, kitchen and Grab&Go)
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Picture of today's pages in daily book
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Allergen policy is posted and followed (Quiz or drill with an order)
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Dishwasher is working properly with temperature and ppm reading correctly. Machine and area cleaned and maintained properly. Testing strips are available for use. Smallwares cleaned and sanitized for business needs.
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Garbage cans and dust pans are clean, and free of debris or standing water.
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Cleaning supplies are stored properly and away from food.
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Dry goods are stored at least 6 inches off of the ground.
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All pest control products are approved and provided by pest control company.
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KM/LKS has food safety certification as required by local health laws?
Dry Storage/Walk-In
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Are there any signs of pests - rodents, insects, or other animals?
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Ice machine is clean inside and out. Filter has been changed recently and dated. Ice scoop is held in a separate container outside of the machine.
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Picture of ice machine set up
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No expired products can be found in the walk-in, storage areas, or kitchen.
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Food storage is zoned correctly. (Ready to eat foods on top shelves, proteins and any uncooked eggs on bottom shelves). Shelves organized using FIFO and grocery store method. Floor is clean and free of debris.
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Picture of walk-in refrigerator
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Shelves in the walk-in are maintained, free of rust or mold.
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Picture of mop sink
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Picture of cleaning supplies
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All boxes are stored 6 inches off the ground. Area is cleaned and organized.
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Picture of dry storage
Team Member Areas
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All personal belongings are stored properly and off of the floor.
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Picture of employee lockers/shelves
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Break area is clear of any leftover food or dirty dishes.
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Picture of employee break area
Bathrooms and Facilities
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Running hot water is available at hand washing sink. Hand washing signs are posted by sink areas. Soap and paper towel dispensers are properly functioning. Trashcan is nearby for soiled towels.
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Picture of guest bathrooms
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Bathroom Log is in Place and filled out every 30 minutes?