Information

  • Store Location and Date

  • Store Location

  • Conducted on

  • Prepared by

  • Opening Manager

  • Mid manager

  • Closing manager

Office

  • Organization

  • Daily Maintenance program posted & utilized

  • Cleanliness: Floors / Baseboards

  • Computer: Air vents / Fans Dust-free

Kitchen Area

  • Tile / Wall Coverings

  • Floors / Baseboards / Corners

  • Monitors / Printers

  • Garbage Cans: Clean Inside & Out

  • Lighting: Working / Covers Clean

  • Ceiling / vents / fixtures / fans

  • Drains Clean

  • Equipment Legs / Wheels

  • Toasters: Working Condition / Clean

Steam Tables

  • Lids and handles

  • Lyme - Away

  • Cleanliness / Exterior Polished

  • Wrap Holders: Clean Inside & Out

  • Mailboxes: Clean Inside & Out

  • Bump Bars: Wipe Down

  • Working Condition

Hotdog Make Table

  • Compressor Fins: Clean

  • Timer: Working / Clean

  • Temperature / Door Gasket

  • Storage / Par-stocks / Product Position

  • Cleanliness

Hotdog Roller / Bun Steamer

  • Roller Clean / Bottom Platen Clean

  • Timer: Working / Clean

  • Bun Steamer Interior Clean / Delimed / Working

  • Timer: Working / Clean

  • Roller: Working Condition / Control Box Clean

Broiler Make Table

  • Storage / Par-stocks

  • Cleanliness

  • Compressor Fins: Clean

  • Temperature / Door Gasket

  • Product Position

Round - up Bun Toaster

  • Exterior Polish

  • Cleanliness

  • Teflon Sheet: Clean / Free of Holes

Nieco Broiler

  • Working / Control Box Clean

  • Cleanliness: Bottom Burners

  • Cleanliness: Interior / Top Burner

Char Broiler

  • Cleanliness: Grates / Outside Casing

  • Reflectors / Burners / Pilots Clean

  • Working Condition / Handles

Range / Oven

  • Working Condition / Handles

  • Outside Casing / Stand Clear

  • Interior / Burners / Pilots Clean

Blodget Oven

  • Working Condition / Handles / Light

  • Exterior Casing / Stand Clean

  • Interior / Grates / Door Clean

Exhaust System - Main

  • Interior / Filters / Light Clean

  • Exterior Polished / Drip Pan Cleaned

Salad Make Table

  • Warming Drawer: Inside and Out

  • Temperatures / Door Gaskets

  • Storage / Par-stock

  • Cleanliness

Panini Grill

  • Proper Working Condition

  • Grill Surface: Clean

  • Exterior / Hinges: Clean

  • Timers: Working Condition / Clean

Cafe Sandwich Make Table

  • Temperatures / Door Gasket

  • Storage / Par-stock / Product Position

  • Cleanliness

  • Compressor Fins: Clean

Pizza Oven

  • Working Condition / Conveyor

  • Outside Casing / Leg Clean

  • Interior Clean

Pizza Make Table

  • Compressor Fins: Clean

  • Temperature / Door Gaskets

  • Cleanliness

Dough Mixer

  • Working / Safety Guard

  • Outside / Bowl / Arm Clean

Pizza Area

  • Tile / Wall Covering

  • Floors / Baseboards

  • Garbage Cans: Clean Inside and Outside

  • Drains Clean

Fryer / Dump Station

  • Working Properly

  • Cleanliness: Inside and Outside

  • Heat Lamp: Clean / Working

  • Exhaust Hood: Interior / Filters / Lights Clean

  • Exhaust Hood: Polished / Drip Pan Cleaned

  • Cheese Warmer: Clean / Working

Walk-in Cooler

  • Temperature / Lighting

  • Shelving

  • Walls / Floor

  • Compressor Fins: Clean

Small Equipment

  • Tomato Slicer: Working Condition / Clean

  • Lemon Wedger: Working Condition / Clean

  • Soap Dispensers / Sign Posted

  • Paper Towel Dispenser

Slicer

  • Condition of Blades

  • Overall Working Condition

  • Cleanliness of Equipment

Food Processor

  • Condition of Blades

  • Overall Working Condition

  • Cleanliness of Equipment

Shake Machine

  • Back - up Kit Available in Office

  • Overall Working Condition

  • Cleanliness of Equipment

  • Product Properly Rotated / Labeled

Scales

  • Accuracy of Scale

  • Cleanliness of Equipment

Storage Area / Dry Goods

  • Shelves Labeled / Organized

  • Walls / Floors Clean

  • Lighting: Clean / Operational

Sink / Dish Machine Area

  • Pots and Pans: Organized / Clean

  • Dish Machine: Working / Proper Soaps

  • Dish Machine: Clean Inside and Out

  • Sink and Faucets

Dishes / Silverware

  • Pre-soak Set Up

  • Proper procedure being followed

Back Room

  • Timers: Set / Working Condititons

  • Tile / Wall Coverings

  • Ceiling / Vent / Lighting

  • Mop Sink: Clean /Organized

  • Chemical Dispenser: Working / Stocked

  • Floors / Baseboards / Corners

  • Ice Machine: Working / Clean

  • Floors Drains Clean

  • Prep Table / Drawers / Legs Clean

  • Can Opener: Blade Clean

  • Bag in Box System / Co2 Chained Up

Catering / Dessert Display

  • Freshness / Appearance / Stocked

  • Compressor Fins: Clean

  • Cleanliness of Cooler

Service Counter / Drive Thru

  • Menu Boards / Lighting / Cleanliness

  • Counters: Clean / Product Position

  • Registers: Working / Cleanliness

  • Beer Tap / Bar Sink: Working / Clean

  • Gelato Cabinet: Working / Clean

  • Ceiling / Vents: Clean

  • Walls / Tiles: Clean

  • Floors / Baseboards

  • Soap Dispenser: Working / Clean

  • Coffee / Iced Tea Machines: Working / Clean

Restrooms

  • Toilets / Urinals / Dividers

  • Sinks / Fixtures / Counters: Clean

  • Floors / Baseboards / Garbage: Clean

  • Walls / Mirrors / Hand Dryers: Clean

  • Toilet Paper / Soap / Deodorizer: Full

  • Vents / Lighting: Working / Clean

Dining Room

  • Tables / Bases / Booths

  • Chairs / Stools

  • Floors / Baseboards / Corners

  • Tile / Wall Coverings

  • Trash Receptacles / Cans: Clean

  • Salt and Pepper / Napkin Holders

  • Doors and Windows: Clean / Thresholds

  • Thermostats: Timer Set

  • Lighting: Clean / Operational

  • Walls / Photo / Artifacts: Clean

  • Ceiling Fans / Vents: Clean

  • Janitor Closet: Clean / Organized

  • High Chairs / Booster: Clean

  • Soda Dispenser: Working / Clean

Outside

  • Garbage Cans: Clean / No Damage

  • Dumpster Area: Clean / Organized

  • Curbs / Lot / Parkway: Clean

  • Landscaping / Sprinkler System

  • Foul Weather: Shovel / Salt / Plow

  • Outside Patio: Tables and Chairs

  • DT Pads / Sidewalks: Clean / Gum Free

Building / Misc

  • Signage and Lighting: Working

  • Outside Windows / Frames / Doors

  • DT Menu: Condition / Lighting

  • Phones / On Hold Massage: Working

  • Camera Angles / Lenses

Sign Off

  • Inspector:

  • Manager on Duty:

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.