Management Restaurant Visit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Exterior Cleanliness

• Is signage in place, in good repair and clearly visible?

  Yes

  No

  N/A

• Are cctv cameras in place and in good condition?

  Yes

  No

  N/A

• Do the sidewalks appear to be clean and in good condition?

  Yes

  No

  N/A

• Does the building appear to be clean and in good condition? (including windows)

  Yes

  No

  N/A

• Attach photos of location exterior

  Media

Interior Cleanliness

• Are the restrooms clean and stocked? Free of odor? Seats Secure?

  Yes

  No

  N/A

• Are the floors, tables and seating clean and in good condition?

  Yes

  No

  N/A

• Are the trash containers clean and in good condition? Liners tucked? No odors?

  Yes

  No

  N/A

• Is the front counter clean and clutter free?

  Yes

  No

  N/A

• Is all lighting working and in good repair?

  Yes

  No

  N/A

• Attach photos of location interior

  Media

Product Observations

• What product(s) did you order most?

• Was your order prepared correctly?

  Yes

  No

  N/A

• Any spoilage, Mostly damaged items? What actions taken to prevent it?

• Attach photographs of your order

All employees

• Are all employees practicing good hygiene and grooming standards?

  Yes

  No

  N/A

• Are all employees memorized the recipe and religiously following the standard?

  Yes

  No

  N/A

• Are all employees wearing a complete uniform?

  Yes

  No

  N/A

• Are all food handlers wearing hairnet?

  Yes

  No

  N/A

• Attendance (Absences and Lates)

• Breaktime schedule

• Counter and Cash registry

Kitchen Cleanliness

• Are the floors, walls and baseboards clean and in good condition?

  Yes

  No

  N/A

• Is all lighting working and in good repair? No bugs, dust or cracked lenses.

  Yes

  No

  N/A

• Is the microwave clean?

  Yes

  No

  N/A

• Are blenders surfaces clean and free of grease build up?

  Yes

  No

  N/A

• Are the fryers clean and free of carbon and grease build up?

  Yes

  No

  N/A

• Is all refrigerated equipment clean and functioning properly? Gaskets, fan guard, shelving, stocked correctly, no expired products.

  Yes

  No

  N/A

• Are all storage areas clean and organized? Box flaps, shelving labeled.

  Yes

  No

  N/A

• Is the prep area and equipment clean and well maintained?

  Yes

  No

  N/A

• Is the break/training area clean and organized?

  Yes

  No

  N/A

• Are the employees implementing FIFO ( First in ,First out)?

  Yes

  No

  N/A

Restaurant Safety and Processes

• Is the cleaning calendar being utilized as intended on a daily basis?

  Yes

  No

  N/A

• Is cross-contamination not apparent In any stations or storage areas?

  Yes

  No

  N/A

• Is the restaurant free of any rodent, insect and pest activity?

  Yes

  No

  N/A

• Is the restaurant free of other critical food safety violations? (drains backed up, reverberator screens, all chemicals labeled)

  Yes

  No

  N/A

Comments and Sign-Off

• Employee performance

  Good

  Fair

  Poor

  N/A

• 1.

  Good

  Fair

  Poor

  N/A

• 2.

  Good

  Fair

  Poor

  N/A

• 3.

  Good

  Fair

  Poor

  N/A

• 4.

  Good

  Fair

  Poor

  N/A

• 5.

  Good

  Fair

  Poor

  N/A

• Auditor General Comments and Findings

• Attach any further media if required

  Media

• Auditor Signature

  Sign

• By signing this form you acknowledge the following; that you have reviewed this report with the auditor, that you have 10 days to correct any of the negative findings in this report. Failure to correct negative findings within the specified time will result in disciplinary action up to and including termination of employment.

  Sign