MCDONALDS - FOOD SAFETY PROCEDURES VERIFICATION

• Conducted on

  Date

• Prepared by

• Location
  Address

• Notes: Critical Food Safety questions are highlighted in RED. If not compliant, these questions result in automatic failure and must be corrected immediately with auditor agreement to remove the risk before leaving the premises.
  A follow up visit is required within 14 days. If the overall score is below 80%, the visit results in a failure and a follow up is required between 30 - 90 days. Food
  Safety Review Guide is available for this section.

CRITICAL FOOD SAFETY

• FS1-US | Is the restaurant infested or does it have signs of active pest infestation? Is the restaurant building, adjoining corral, and any area within 10 feet (3m) from the building (i.e. inside the drive thru lane) clear from animal or insect infestation?

  Yes

  No

• Select applicable

  Select • Inside the restaurant has visible infestation • Inside the restaurant shows signs of infestation • Outside the restaurant has visible infestation • Outside the restaurant shows signs of infestation • Other

  • • Inside the restaurant has visible infestation
  • • Inside the restaurant shows signs of infestation
  • • Outside the restaurant has visible infestation
  • • Outside the restaurant shows signs of infestation
  • • Other

• Specify Other

• FS2-US | Are the internal temperatures of beef patties after cooking at or above 155°F and fresh beef patties at or above 175°F?

  Yes

  No

• Select applicable

  Select • Frozen 10:1 • Frozen 4:1 • Fresh 4:1 • Other

  • • Frozen 10:1
  • • Frozen 4:1
  • • Fresh 4:1
  • • Other

• Specify Other

• FS3-US | Are the internal temperatures of raw chicken products after cooking at or above 165°F?FS2 -US |

  Yes

  No

• Select applicable

  Select • Chicken Tenders • McNuggets • Crispy Chicken • Grilled Chicken • McChicken • Other

  • • Chicken Tenders
  • • McNuggets
  • • Crispy Chicken
  • • Grilled Chicken
  • • McChicken
  • • Other

• Specify Other

• FS4-US | Are the internal temperatures of breakfast steak and breakfast sausage after cooking at or above 155°F for sausage made from beef or pork and 165°F for sausage made from poultry?

  Yes

  No

• Select applicable

  Select • Breakfast steak • Breakfast sausage • Other

  • • Breakfast steak
  • • Breakfast sausage
  • • Other

• Specify Other

• FS5-US | Do cooked round eggs have gelled yolks (are not runny)? Are internal temperatures at or above 155°F?

  Yes

  No

• FS6-US | Can managers (or staff assigned to complete the checklist) demonstrate they have been trained on properly completing the procedures on the Food Safety Daily Checklist and can take corrective action? Assess through observation, questioning, and demonstration of knowledge (key is completed training, knowing and demonstrating food safety checks and corrective actions are done appropriately).

  Yes

  No

• Select applicable

  Select • Manager does not know how to correctly meet Non-Critical question's requirements • Manager does not know how to correctly meet Critical question 's requirements • Other (List areas of manager lack of knowledge )

  • • Manager does not know how to correctly meet Non-Critical question's requirements
  • • Manager does not know how to correctly meet Critical question 's requirements
  • • Other (List areas of manager lack of knowledge )

• Specify Other

HYGIENE & SANITATION

• FS7-US | Is there warm running water and required supplies at all handwashing sinks? Are hand wash sinks easily accessed by employees and only used for hand washing, not preparing food, or storing equipment?

  Yes

  No

• Select applicable

  Select • Hand washing sink knobs/automatic tap not working well • Soap dispenser empty / not working • No warm running water • No paper towel/working hand dryer • Soap dispenser does not contain Ecolab approved hand soap • Hand washing sink/tap obstructed and not accessible • Hand washing sink used for other purposes • Other

  • • Hand washing sink knobs/automatic tap not working well
  • • Soap dispenser empty / not working
  • • No warm running water
  • • No paper towel/working hand dryer
  • • Soap dispenser does not contain Ecolab approved hand soap
  • • Hand washing sink/tap obstructed and not accessible
  • • Hand washing sink used for other purposes
  • • Other

• Specify Other

• FS8-US | Are hands properly washed following hand washing procedures at the appropriate times and is a system in place to ensure hourly hand washing by all employees?

  Yes

  No

• Select applicable

  Select • Hands not washed on hourly basis • Hand washing clock / timer not working / not in use / system not in place • Hand washing activity not monitored • Hands not washed after using restroom / taking a break • Hands not washed after handling raw products and working on other station , e.g., prep table • Hands not washed after tasks (i.e. handling waste, touching face, hair, picking items off floor, etc.) • Other

  • • Hands not washed on hourly basis
  • • Hand washing clock / timer not working / not in use / system not in place
  • • Hand washing activity not monitored
  • • Hands not washed after using restroom / taking a break
  • • Hands not washed after handling raw products and working on other station , e.g., prep table
  • • Hands not washed after tasks (i.e. handling waste, touching face, hair, picking items off floor, etc.)
  • • Other

• Specify Other

• FS9-US | Do sanitized towel buckets contain towels and sanitizer solution at the correct concentration checked with a chlorine test strip?

  Yes

  No

• Select applicable

  Select • Fresh bucket with sanitized towels not prepared • Buckets not labeled • No towels in fresh bucket • Used towels mixed with fresh towels • Bucket is soiled • Sanitizer level is not at correct concentration • Test strips not available / damaged / expired / not in usable condition • Other

  • • Fresh bucket with sanitized towels not prepared
  • • Buckets not labeled
  • • No towels in fresh bucket
  • • Used towels mixed with fresh towels
  • • Bucket is soiled
  • • Sanitizer level is not at correct concentration
  • • Test strips not available / damaged / expired / not in usable condition
  • • Other

• Specify Other

• FS10-US | Are sanitizer-soaked towels and grill cloths used at food, beverage preparation, and service areas placed into the soiled towel bucket after using and not left sitting out on surfaces?

  Yes

  No

• Select applicable

  Select • Grill towels left out on kitchen surfaces • Cloth towels left out on kitchen surfaces • Cloth towels left out on beverage/service areas • Other

  • • Grill towels left out on kitchen surfaces
  • • Cloth towels left out on kitchen surfaces
  • • Cloth towels left out on beverage/service areas
  • • Other

• Specify Other

• FS11-US | Are all UHC trays, grill utensils, prep table utensils, and utensil holders clean (no build up), washed, and sanitized at least every 4 hours as per approved procedure? Do the back sink and soap/sanitizer dispensers or dishwashers function (hot water 110 ˚F or higher) with all required supplies? Does the sanitizer solution have the right concentration when checked with an appropriate test strip?

  Yes

  No

• Select applicable

  Select • UHC trays, utensils, and utensil holders are not clean • Items are not being cleaned and sanitized every 4 hours • Back sink dispenser/ware washer not operating properly • Sanitizer solution not at the correct concentration • Water at back sink is not 110˚F or hotter • Test strips not available or damaged / expired / not in usable condition • Other

  • • UHC trays, utensils, and utensil holders are not clean
  • • Items are not being cleaned and sanitized every 4 hours
  • • Back sink dispenser/ware washer not operating properly
  • • Sanitizer solution not at the correct concentration
  • • Water at back sink is not 110˚F or hotter
  • • Test strips not available or damaged / expired / not in usable condition
  • • Other

• Specify Other

• FS11-US-01 | All soiled raw wares that came into contact with raw proteins (such as fresh beef and raw chicken) are washed and sanitized last (unless a warewasher is used). Soiled blue raw beef trays and lids are kept in blue bus box until cleaned. Back sink is properly sanitized after washing wares that came into contact with raw proteins.

  Yes

  No

• Select applicable

  Select • Raw ware equipment not cleaned last • Raw ware equipment not washed separately • Soiled raw beef tray(s) / lid(s) are not stored in blue bus box • Back sink / Powersoak sink not cleaned after washing raw ware equipment • Raw ware equipment is soaking in Powersoak sink • Other

  • • Raw ware equipment not cleaned last
  • • Raw ware equipment not washed separately
  • • Soiled raw beef tray(s) / lid(s) are not stored in blue bus box
  • • Back sink / Powersoak sink not cleaned after washing raw ware equipment
  • • Raw ware equipment is soaking in Powersoak sink
  • • Other

• Specify Other

CONTAMINATION PREVENTION

• FS12-US | Are floors, walls, ceilings, and equipment in good repair (not cracked or damaged) and clean (free of excessive soil, grease, or food debris build-up)? Are floor drains functioning (not clogged)? Are the floors free of standing or puddling water?

  Yes

  No

• Select applicable

  Select • Floors/walls/ceiling not in good repair • Equipment cracked or damaged • Build up of dirt/grease on floors/walls/ceiling • Build up of dirt/grease on equipment • Floor drains not functioning • Standing/Puddling water on the floor • Other

  • • Floors/walls/ceiling not in good repair
  • • Equipment cracked or damaged
  • • Build up of dirt/grease on floors/walls/ceiling
  • • Build up of dirt/grease on equipment
  • • Floor drains not functioning
  • • Standing/Puddling water on the floor
  • • Other

• Specify Other

• FS13-US | Are appropriate measures taken to protect water and ice from foreign material, chemicals, and/or bacterial contamination? Are water filters in date and ice machines free from mold or build up

  Yes

  No

• Select applicable

  Select • Water filter not in date • Water filters bypassed • Ice transfer bucket not clean • Water / ice not protected from possible contamination • Ice machine has visible mold or build up • Other

  • • Water filter not in date
  • • Water filters bypassed
  • • Ice transfer bucket not clean
  • • Water / ice not protected from possible contamination
  • • Ice machine has visible mold or build up
  • • Other

• Specify Other

• FS14-US | Are opened packages of food in storage, (including dry storage, refrigerators, and freezers) covered/wrapped, labeled, off the floor and away from walls and stored according to proper procedures? If no, mark what product is not stored properly:

  Yes

  No

• Select applicable

  Select • Frozen beef • Fresh beef • Frozen chicken • Thawed chicken • Fish • Breakfast meats • Potato products • Bakery/Buns • Produce / Salad ingredients • Cheese / Eggs / Dairy • Other

  • • Frozen beef
  • • Fresh beef
  • • Frozen chicken
  • • Thawed chicken
  • • Fish
  • • Breakfast meats
  • • Potato products
  • • Bakery/Buns
  • • Produce / Salad ingredients
  • • Cheese / Eggs / Dairy
  • • Other

• Specify Other

• FS15-US | Are blue disposable glove procedures or dedicated tongs used to prevent cross-contamination when handling all raw meat or poultry products (including shell eggs) at the grill station and fryer station? Are dedicated utensils used for raw products (e.g. the yellow yolk breaking tool is only used to break egg yolks)?

  Yes

  No

• Select applicable

  Select • Gloves not discarded when removed/are being reused • Double set of gloves being worn • Proper blue glove procedures not being followed • Yellow yolk breaking tool not available • Yellow yolk breaking tool used for items other than raw eggs • Utensils other than yellow yolk breaking tool used to break raw egg yolks • Bare hands used with raw product at grill / fryer • Other

  • • Gloves not discarded when removed/are being reused
  • • Double set of gloves being worn
  • • Proper blue glove procedures not being followed
  • • Yellow yolk breaking tool not available
  • • Yellow yolk breaking tool used for items other than raw eggs
  • • Utensils other than yellow yolk breaking tool used to break raw egg yolks
  • • Bare hands used with raw product at grill / fryer
  • • Other

• Specify Other

• FS16-US | Are clear/white disposable gloves worn for food preparation of ready to eat foods at the sandwich prep table and salad prep table to prevent bare hand contact with any cooked or ready-to-eat foods?

  Yes

  No

• Select applicable

  Select • Gloves not worn when preparing sandwiches, salads, or burritos • Gloves not replaced when damaged / contaminated • Gloves not discarded when removed or being reused • Gloves not changed and hands not washed if they become contaminated • Clear gloves are used for handling raw products • Double set of gloves being worn • Other

  • • Gloves not worn when preparing sandwiches, salads, or burritos
  • • Gloves not replaced when damaged / contaminated
  • • Gloves not discarded when removed or being reused
  • • Gloves not changed and hands not washed if they become contaminated
  • • Clear gloves are used for handling raw products
  • • Double set of gloves being worn
  • • Other

• Specify Other

• FS17-US | Are chemicals stored away from food and packaging?

  Yes

  No

• Select applicable

  Select • Chemical spray bottles / containers stored in the kitchen • Chemical spray bottles / containers stored in the service area • Chemicals are stored in dry storage near to food and packaging • Chemicals stored in food containers • Other

  • • Chemical spray bottles / containers stored in the kitchen
  • • Chemical spray bottles / containers stored in the service area
  • • Chemicals are stored in dry storage near to food and packaging
  • • Chemicals stored in food containers
  • • Other

• Specify Other

• FS18-US | Is a pest management program and pest prevention steps and behaviors in place and being managed effectively? Is the restaurant properly pest proofed to prevent entry of pests (e.g. gap sunder doors are sealed)? Review the most recent pest control report, ensuring all recommendations have been corrected. If the pest management program and pest prevention steps and behaviors are not in place or are not complete, then mark this question as no. Include in the comments specifics on what you observed.

  Yes

  No

• Select applicable

  Select • Pest management program is not in place • Pest management program is not working effectively • Restaurant is not pest proofed • Most recent pest control report recommendations not corrected • Other

  • • Pest management program is not in place
  • • Pest management program is not working effectively
  • • Restaurant is not pest proofed
  • • Most recent pest control report recommendations not corrected
  • • Other

• Specify Other

• FS19-US | Are non-food spill clean-up procedures in place?

  Yes

  No

• Select applicable

  Select • 3N1 cleaner / disinfectant not available • Staff not trained in the use of the non -food spill procedures • Non-food spill procedures not available • Non-food spill procedures not followed • Other

  • • 3N1 cleaner / disinfectant not available
  • • Staff not trained in the use of the non -food spill procedures
  • • Non-food spill procedures not available
  • • Non-food spill procedures not followed
  • • Other

• Specify Other

STORAGE

• FS20-US | Are walk-in freezers and any other primary storage freezers operating at 0°F or below? Are secondary storage freezers keeping all products solidly frozen? If no, check which units are not at proper temperature:

  Yes

  No

• Select applicable

  Select • Walk-in freezer • Reach-in freezer • Kitchen wall freezer • Grill side freezer • Frozen fry dispenser • Other

  • • Walk-in freezer
  • • Reach-in freezer
  • • Kitchen wall freezer
  • • Grill side freezer
  • • Frozen fry dispenser
  • • Other

• Specify Other

• FS21-US | Are refrigerated products inside all refrigerated units at or below 40°F (including shake/sundae reservoir)? If no, check which units do not meet the temperature standard:

  Yes

  No

• Select applicable

  Select • Walk-in cooler • Reach-in cooler • Prep line • Grill side refrigerator • McCafé • Shake/Sundae reservoir • Milk/Beverage coolers • Salad displays • Other

  • • Walk-in cooler
  • • Reach-in cooler
  • • Prep line
  • • Grill side refrigerator
  • • McCafé
  • • Shake/Sundae reservoir
  • • Milk/Beverage coolers
  • • Salad displays
  • • Other

• Specify Other

• FS22-US | Are all refrigerated products in code (within primary shelf life)? If no, mark what product is not in code:

  Yes

  No

• Select applicable

  Select • Fresh beef • Produce • Cheese / Eggs / Dairy • Sauces • Milk • Shake/Sundae mix • Other

  • • Fresh beef
  • • Produce
  • • Cheese / Eggs / Dairy
  • • Sauces
  • • Milk
  • • Shake/Sundae mix
  • • Other

• Specify Other

• FS23-US | Are secondary shelf lives of all refrigerated products held in refrigerators and at room temperature marked and are the products being used within their secondary shelf lives? If no, mark what product is not in code:

  Yes

  No

• Select applicable

  Select • Produce • Cheese / Eggs / Dairy • Sauces • Raw poultry • Fresh beef • Canadian bacon • Other

  • • Produce
  • • Cheese / Eggs / Dairy
  • • Sauces
  • • Raw poultry
  • • Fresh beef
  • • Canadian bacon
  • • Other

• Specify Other

• FS24-US | Are leftover heated foods discarded (including any shake/sundae mix removed from heat treatment shake/sundae machines)? If no, mark what product:

  Yes

  No

• Select applicable

  Select • Shake / Sundae mix • Sauces / Soups / Gravies • Food donation products not stored in freezer • Other

  • • Shake / Sundae mix
  • • Sauces / Soups / Gravies
  • • Food donation products not stored in freezer
  • • Other

• Specify Other

COOKING

• FS25-US | Is the Pyrometer calibrated, working correctly, and is the probe clean?

  Yes

  No

• Select applicable

  Select • Probe not complete/missing • Pyrometer not in calibration • Pyrometer / probes damaged • Probe not clean • Other

  • • Probe not complete/missing
  • • Pyrometer not in calibration
  • • Pyrometer / probes damaged
  • • Probe not clean
  • • Other

• Specify Other

• FS26-US | Is the internal temperature of Filet-O-Fish portions after cooking at or above 150°F?

  Yes

  No

GENERAL

• FS27-US | Are all food, food packaging, equipment (including utensils), and cleaning chemicals from approved sources?

  Yes

  No

• Select applicable

  Select • Food not from approved sources • Packaging not from approved sources • Equipment not from approved sources • Cleaning chemicals not from approved sources • Other

  • • Food not from approved sources
  • • Packaging not from approved sources
  • • Equipment not from approved sources
  • • Cleaning chemicals not from approved sources
  • • Other

• Specify Other

• FS28-US | Do managers understand employee illness symptoms and reportable illness causes for when an employee cannot be working? Do managers also understand when an employee can return to work after illness?

  Yes

  No

• Select applicable

  Select • Manager does not know what symptoms would result in employees not being allowed to work • Manager does not know the procedures to follow when presented with an ill employee • Manager does not know when an ill employee would be allowed to return to work • Manager does not know the reportable illness causes • Other

  • • Manager does not know what symptoms would result in employees not being allowed to work
  • • Manager does not know the procedures to follow when presented with an ill employee
  • • Manager does not know when an ill employee would be allowed to return to work
  • • Manager does not know the reportable illness causes
  • • Other

• Specify Other

• FS29-US | Are all managers (including shift managers) trained and currently certified in food safety through ServSafe (or an equivalent and accredited food safety training course)? Are all employees trained and verified on food safety and sanitation per McDonald's current training program in accordance and verified on food safety and sanitation per McDonald's current training program in accordance

  Yes

  No

• Select applicable

  Select • Proof of employee food safety training not available • Certification is overdue and needs to be reissued • Not all managers have been trained and certified • Not all employees have been trained and verified • Food safety certificate not available • Other

  • • Proof of employee food safety training not available
  • • Certification is overdue and needs to be reissued
  • • Not all managers have been trained and certified
  • • Not all employees have been trained and verified
  • • Food safety certificate not available
  • • Other

• Specify Other

• FS30-US | Are at least the last 60 days of correctly completed Food Safety Daily Checklists available? Are the last two correctly completed Monthly Food Safety Procedure Verifications available? (For Digital Food Safety please reference the Food Safety Guide)

  Yes

  No

• Select applicable

  Select • Last 60 days of completed Daily Food Safety Book (records) not available • Incorrect completion of last 60 days of completed Daily Food Safety Book (records) • Last two completed Monthly Food Safety Procedure Verifications are not available • Incorrect completion of last two Monthly Food Safety Procedure Verifications • Digital Food Safety acceptance criteria not met • Other

  • • Last 60 days of completed Daily Food Safety Book (records) not available
  • • Incorrect completion of last 60 days of completed Daily Food Safety Book (records)
  • • Last two completed Monthly Food Safety Procedure Verifications are not available
  • • Incorrect completion of last two Monthly Food Safety Procedure Verifications
  • • Digital Food Safety acceptance criteria not met
  • • Other

• Specify Other

• FS31-US | When reviewing the most recent health department inspection report, have all food safety violations noted by the health department been corrected or a plan in place to correct issues?

  Yes

  No

• Select applicable

  Select • Health department inspection report not available • Violations noted by Health Department have not been corrected • Plan not in place to correct issues • Other

  • • Health department inspection report not available
  • • Violations noted by Health Department have not been corrected
  • • Plan not in place to correct issues
  • • Other

• Specify Other

• FS32-US | Are nut containing McFlurry mix-ins kept in the orange container with lid and a dedicated scoop?

  Yes

  No

• Select applicable

  Select • Orange container not utilized for nut containing mix -ins • Dedicated scoop not utilized • Nut-free mix-ins kept in the orange container • Other

  • • Orange container not utilized for nut containing mix -ins
  • • Dedicated scoop not utilized
  • • Nut-free mix-ins kept in the orange container
  • • Other

• Specify Other

SIGNOFF

• Completed (Name & Signature)

  Sign