Information
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Store Location and Date
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Store Location
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Conducted on
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Prepared by
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Opening Manager
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Mid manager
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Closing manager
Kitchen Area
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Tile / Wall Coverings
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Floors / Baseboards / Corners
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Monitors / Printers
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Garbage Cans: Clean Inside & Out
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Lighting: Working / Covers Clean
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Ceiling / vents / fixtures / fans
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Drains Clean
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Equipment Legs / Wheels
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Toasters: Working Condition / Clean
Steam Tables
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Lids and handles
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Lyme - Away
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Cleanliness / Exterior Polished
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Wrap Holders: Clean Inside & Out
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Mailboxes: Clean Inside & Out
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Bump Bars: Wipe Down
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Working Condition
Hotdog Make Table
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Compressor Fins: Clean
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Timer: Working / Clean
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Temperature / Door Gasket
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Storage / Par-stocks / Product Position
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Cleanliness
Hotdog Roller / Bun Steamer
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Roller Clean / Bottom Platen Clean
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Timer: Working / Clean
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Bun Steamer Interior Clean / Delimed / Working
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Timer: Working / Clean
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Roller: Working Condition / Control Box Clean
Broiler Make Table
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Storage / Par-stocks
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Cleanliness
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Compressor Fins: Clean
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Temperature / Door Gasket
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Product Position
Round - up Bun Toaster
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Exterior Polish
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Cleanliness
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Teflon Sheet: Clean / Free of Holes
Nieco Broiler
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Working / Control Box Clean
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Cleanliness: Bottom Burners
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Cleanliness: Interior / Top Burner
Char Broiler
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Cleanliness: Grates / Outside Casing
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Reflectors / Burners / Pilots Clean
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Working Condition / Handles
Range / Oven
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Working Condition / Handles
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Outside Casing / Stand Clear
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Interior / Burners / Pilots Clean
Blodget Oven
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Working Condition / Handles / Light
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Exterior Casing / Stand Clean
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Interior / Grates / Door Clean
Exhaust System - Main
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Interior / Filters / Light Clean
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Exterior Polished / Drip Pan Cleaned
Salad Make Table
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Warming Drawer: Inside and Out
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Temperatures / Door Gaskets
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Storage / Par-stock
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Cleanliness
Panini Grill
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Proper Working Condition
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Grill Surface: Clean
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Exterior / Hinges: Clean
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Timers: Working Condition / Clean
Cafe Sandwich Make Table
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Temperatures / Door Gasket
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Storage / Par-stock / Product Position
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Cleanliness
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Compressor Fins: Clean
Pizza Oven
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Working Condition / Conveyor
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Outside Casing / Leg Clean
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Interior Clean
Pizza Make Table
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Compressor Fins: Clean
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Temperature / Door Gaskets
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Cleanliness
Dough Mixer
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Working / Safety Guard
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Outside / Bowl / Arm Clean
Pizza Area
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Tile / Wall Covering
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Floors / Baseboards
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Garbage Cans: Clean Inside and Outside
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Drains Clean
Fryer / Dump Station
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Working Properly
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Cleanliness: Inside and Outside
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Heat Lamp: Clean / Working
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Exhaust Hood: Interior / Filters / Lights Clean
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Exhaust Hood: Polished / Drip Pan Cleaned
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Cheese Warmer: Clean / Working
Walk-in Cooler
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Temperature / Lighting
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Shelving
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Walls / Floor
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Compressor Fins: Clean
Small Equipment
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Tomato Slicer: Working Condition / Clean
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Lemon Wedger: Working Condition / Clean
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Soap Dispensers / Sign Posted
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Paper Towel Dispenser
Slicer
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Condition of Blades
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Overall Working Condition
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Cleanliness of Equipment
Food Processor
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Condition of Blades
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Overall Working Condition
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Cleanliness of Equipment
Shake Machine
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Back - up Kit Available in Office
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Overall Working Condition
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Cleanliness of Equipment
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Product Properly Rotated / Labeled
Scales
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Accuracy of Scale
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Cleanliness of Equipment
Storage Area / Dry Goods
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Shelves Labeled / Organized
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Walls / Floors Clean
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Lighting: Clean / Operational
Sink / Dish Machine Area
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Pots and Pans: Organized / Clean
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Dish Machine: Working / Proper Soaps
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Dish Machine: Clean Inside and Out
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Sink and Faucets
Dishes / Silverware
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Pre-soak Set Up
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Proper procedure being followed
Back Room
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Timers: Set / Working Condititons
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Tile / Wall Coverings
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Ceiling / Vent / Lighting
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Mop Sink: Clean /Organized
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Chemical Dispenser: Working / Stocked
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Floors / Baseboards / Corners
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Ice Machine: Working / Clean
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Floors Drains Clean
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Prep Table / Drawers / Legs Clean
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Can Opener: Blade Clean
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Bag in Box System / Co2 Chained Up
Catering / Dessert Display
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Freshness / Appearance / Stocked
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Compressor Fins: Clean
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Cleanliness of Cooler
Service Counter / Drive Thru
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Menu Boards / Lighting / Cleanliness
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Counters: Clean / Product Position
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Registers: Working / Cleanliness
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Beer Tap / Bar Sink: Working / Clean
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Gelato Cabinet: Working / Clean
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Ceiling / Vents: Clean
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Walls / Tiles: Clean
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Floors / Baseboards
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Soap Dispenser: Working / Clean
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Coffee / Iced Tea Machines: Working / Clean
Restrooms
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Toilets / Urinals / Dividers
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Sinks / Fixtures / Counters: Clean
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Floors / Baseboards / Garbage: Clean
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Walls / Mirrors / Hand Dryers: Clean
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Toilet Paper / Soap / Deodorizer: Full
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Vents / Lighting: Working / Clean
Dining Room
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Tables / Bases / Booths
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Chairs / Stools
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Floors / Baseboards / Corners
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Tile / Wall Coverings
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Trash Receptacles / Cans: Clean
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Salt and Pepper / Napkin Holders
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Doors and Windows: Clean / Thresholds
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Thermostats: Timer Set
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Lighting: Clean / Operational
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Walls / Photo / Artifacts: Clean
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Ceiling Fans / Vents: Clean
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Janitor Closet: Clean / Organized
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High Chairs / Booster: Clean
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Soda Dispenser: Working / Clean
Outside
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Garbage Cans: Clean / No Damage
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Dumpster Area: Clean / Organized
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Curbs / Lot / Parkway: Clean
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Landscaping / Sprinkler System
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Foul Weather: Shovel / Salt / Plow
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Outside Patio: Tables and Chairs
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DT Pads / Sidewalks: Clean / Gum Free
Building / Misc
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Signage and Lighting: Working
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Outside Windows / Frames / Doors
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DT Menu: Condition / Lighting
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Phones / On Hold Massage: Working
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Camera Angles / Lenses
Sign Off
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Inspector:
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Manager on Duty: