Title Page

  • Conducted on

  • Prepared by

  • Location

  • Add location
  • Health Inspection Score (List any Criticals)

  • Health Inspection Date

  • Franchisee

  • Franchisee ServSafe Certified

  • Manager on Duty

  • Manager on Duty ServSafe Certified

  • General Manager

  • General Manager ServSafe Certified

Inspection Recap

  • This inspection has 14 days for the action plan to be submitted by the franchisee before it will be archived as incomplete. All missed items must be addressed and corrected. Your action plan must be submitted by email to your Business Coach by the 14th day.

Exterior (2)

  • Store Front- Exterior lights and signage working properly.<br>

  • Store Front- Building exterior in good condition. (no broken bricks or chipped paint, etc.)Pressure washed

  • Store Front- Sidewalks in good condition. (no trash, weeds or build up) Parking lot clean and in good condition with fresh paint. <br>

  • Store Front- Operating hours clearly posted.

  • Store Front- All windows clean and in good repair. (not broken, no smudges, clean trim etc.)<br>

  • Store Front- Front door clean and in good condition. (not broken, no chipped paint, clean door frame, etc.)<br>

  • Store Front- Landscaping free of trash and debris. No dead plants<br>

  • Store Front- Parking lot in good condition. Sealed and Stripped<br>

  • Patio- flooring clean and in good repair. Pressure Washing

  • Patio- Awning/ceiling clean are in good repair. All lights clean and working properly. Ceiling fans clean and working properly.

  • Patio- Server Stations cleaned and organized

  • Patio- Tables and chairs clean and well maintained. (no rust, umbrellas in good repair, etc.)<br>

  • Back Door- locked and in good condition

  • Back Dock- Free of debris, garbage, and boxes. Area is washed. <br>

  • Dumpsters- Are kept closed with drain plugs in place.

  • Dumpster- Area clean and free of build up. (boxes are broken down, no trash bags, pressure washed etc.)

Bar (6)

  • Bar Seating Area- Stools clean and the upholstery in good repair.<br>

  • Bar Seating Area- TV's, Ceilings and vents clean and dusted.<br>

  • Bar Seating Area- Bar tops clean and in good repair.<br>

  • Compliance- Correct LBW menu in place

  • Compliance- Draft and Bottle Beers <br>

  • Compliance: Wine<br>

  • Compliance- Liquor <br>

  • Compliance- Approved glassware being used. <br>

  • Compliance- Approved ice cube specs used for cocktails (7/8x7/8x7/8)<br>

  • Compliance- High gravity beer must be a 10oz pour in approved glassware. <br>

  • Compliance- Draft beer served below 39 degrees<br>

  • Compliance- All natural, fresh, and approved juices and mixers being used.<br>

  • Compliance- Drink build sheets available and mixer recipes being made correctly.

  • Compliance- Bar line check done with rolling 60 days on hand<br>

  • Compliance- Observe the bartender carding guests<br>

  • Inside Bar- Hand sinks stocked and working. Proper signage in place.

  • Inside Bar- Drains/ pipes clean and working properly.<br>

  • Inside Bar- Service wells clean and organized.

  • Inside Bar- Soda gun(inside and out), holster and line clean, no mold, and sanitary.<br>

  • Inside Bar- Beer taps clean on the inside and the outside. Grates beneath the taps clean and in good condition. Tap drains clean and working properly. <br>

  • Inside Bar- Coolers exteriors and vents must be clean.<br>

  • Inside Bar- Necessary garnishes available and in shelf life. (fresh fruit and correct rimmers)<br>

  • Inside Bar- Floors clean and in good condition <br>

  • Inside Bar- Observe the procedures, presentation and taste of a specialty craft cocktail.<br>

  • Inside Bar- Bottle/ can coolers clean and below 41 degrees. Functioning hanging thermometers in all coolers.<br>

  • Inside Bar- Beers faced and pulled to the front.<br>

  • Inside Bar- Glass chiller clean, free of broken glass and below 41 degrees.<br>

  • Inside Bar- Blenders clean, sanitary and in good repair<br>

  • Inside Bar- Sanitizer bucket @ 200 ppm Quat sanitizer, all towels in sani bucket<br>

  • Bar Training- Has the bartender on duty completed the required bar section of Shroom U online? <br>

  • Bar Training- Pour testing being done daily.<br>

  • Keg Cooler- Floors clean and well maintained. (no broken tiles, chipped baseboards, etc.)<br>

  • Keg Cooler- Ceilings/ walls clean and free of mold. <br>

  • Keg Cooler- All lights working properly and covered.<br>

  • Keg Cooler- Condenser housing clean and condensers working properly.<br>

  • Keg cooler- Maintains 33 to 38 degrees with a hanging thermometer.<br>

  • Keg Cooler- Shelves throughout the cooler clean and in good repair? (no rust, chipped paint, mold build-up, etc.)<br>

  • Keg Cooler- Documentation of a company that cleans the lines. Are lines clean and free of build up.<br>

FOH (7)

  • Host- Front door clean and working properly.<br>

  • Host- All windows and ledges cleaned and smudge free.<br>

  • Host- Host stand clean and organized.<br>

  • Host- Waiting area clean and seating in good condition. (benches clean, upholstery in good repair, etc.)<br>

  • Host- Boosters/ highchairs must be HGI approved, clean, and organized.<br>

  • Host- Silverware properly rolled<br>

  • Host-Text Based Paging system in place<br>

  • Host- Take out menu's present<br>

  • Host- Spec Kids menu and crayons available <br>

  • Host- All Menus clean and in good condition<br>

  • Flushrooms- Restroom checks done in 15 minute increments and documented on Restroom Checklist. <br>

  • Flushrooms- Free of odor.<br>

  • Flushrooms- Clean and lockable stall partitions and floors clean<br>

  • Flushrooms- Baby changing station must be clean, sanitized and working properly.<br>

  • Flushrooms- Mirrors, Sinks/vanity clean and in good repair.<br>

  • Flushrooms-Toilets clean and working properly, seat secure<br>

  • Flushrooms- Each stall stocked with toilet paper.<br>

  • Service stations- clean and organized.<br>

  • Service Stations- Dinner plates and silverware updated to spec.<br>

  • Service Stations- Plates and cups stored properly (upside down and separated from the surface).<br>

  • Service Stations- Hand sinks stocked and working. Proper signage in place.<br>

  • Service Stations- Sanitation bucket, 200 ppm<br>

  • Service Stations- All trash cans/receptacles in stalls, cleaned and lined.<br>

  • Service Stations- free of clutter and debris<br>

  • Service Statons- Chemicals and cleaning materials stored out of guest view.<br>

  • Drink Stations- Nozzles clean. Product stickers legible and in good repair.<br>

  • Drink Stations- Grate in good repair with no signs of rust. Drain trays must be clean and draining appropriately.<br>

  • Drink Stations- Ice bin clean and free of mold.<br>

  • Drink Stations- Ice scoop stored properly.<br>

  • Dining Room- Table set ups in place, clean, and balanced.<br>

  • Dining Room- Chairs and booths clean and in good repair. (dusted, no crumbs, no tears etc.)Upholstery in good repair. (No rips, stains, etc.)<br>

  • Dining Room- Ceilings/ vents clean and dusted.<br>

  • Dining Room- Updated and secure art package in good condition and free of dust..<br>

  • Dining Room- All lighting working properly. (no burnt out bulbs)<br>

  • FOH- Walls and baseboards free of chipped paint and clean.<br>

  • FOH- Ceiling fans and vents clean and free of debris <br>

  • FOH- Floor drains working properly and clean.<br>

  • FOH- Tiles in good repair.<br>

  • FOH- Floors clean and in good condition.<br>

  • Atmosphere- Music upbeat and playing at a reasonable volume.<br>

  • Atmosphere- Lighting Appropriate <br>

  • Atmosphere- TVs on either sports or news and clean.<br>

Service - Hospitality (4)

  • InMoment- OLO Big 3 (90 day) equal to or higher than company average. <br>

  • InMoment- Overall Cleanliness 90 day score must be equal to or higher than company average. <br>

  • InMoment- Knowledge score (90 day) equal to or higher than headquarters.<br>

  • InMoment- Accuracy of Order score (90 day) equal to or higher than headquarters. <br>

  • InMoment- OSAT score (90 day) equal to or higher than headquarters.<br>

  • InMoment- Server Attentiveness score (90 day) equal to or higher than headquarters. <br>

  • InMoment- Pace of Experience score (90 day) equal to or higher than headquarters. <br>

  • InMoment- Food Quality score (90 day)equal to or higher than headquarters average.<br>

  • InMoment- Beverage Quality Score (90 day) equal to or higher than headquarters. <br>

  • Steps of Service - Meet and greet within 30 seconds<br>

  • Steps of Service - Server Introduction. (name and drink menu)<br>

  • Steps of Service - Flag table to let manager know the table has been greeted.<br>

  • Steps of Service - Did the server suggest a specific bar drink?<br>

  • Steps of Service - Educate Guest about the "Mellow Way".<br>

  • Steps of Service - Observe 4 separate table greets. Did they suggest a Munchie? <br>

  • Steps of Service - Servers writing down orders and repeating orders back to the guests.<br>

  • Steps of Service - Observe 4 separate tables receive their food? Was the food served at the appropriate time? (ex: apps before salads, salads before entree)<br>

  • Steps of Service - Servers checking back in 2 minutes or 2 bites.<br>

  • Steps of Service - Refills brought before guests request for them.<br>

  • Steps of Service - Pre-bussing being done.<br>

  • Steps of Service - Did they suggest a dessert?<br>

  • Steps of Service - Check dropped and server returned with in 1 minute.<br>

  • Steps of Service - Change or credit card receipt returned with in 2 minutes.<br>

  • Service / Hospitality - Any bar drink served to the table within 5 minutes<br>

Pizza (4)

  • Pizza Specs - Observe from preparation to presentation on a slice pie. (From toss to table)

  • Pizza Specs - Observe the preparation and presentation of one of the following: Red Base.<br>

  • Pizza Specs - Observe the preparation and presentation of one of the following: White Base.<br>

  • Pizza Specs - Observe the preparation and presentation of one of the following: Funky Q or Buffalo Chicken Pizza <br>

  • Pizza Specs - Observe from preparation to presentation of at least one gluten free pizza.<br>

  • Pizza Specs - Observe the preparation and presentation of one of the following: Pretzel w/ Salt, Pretzel w/Parm, or Pretzel bite w/Beer Cheese<br>

  • Pizza Specs - Observe the preparation and presentation of a BYO Calzone

  • Pizza Make Line - Cooler at 40 degrees or lower. Functioning hanging thermometers in all coolers

  • Pizza Make Line - Cutting boards clean and in good condition. (no build up, mold, deep cuts or grooves etc.)

  • Pizza Make Line - Oven tools cleaned nightly.

  • Pizza Make Line - Pizza peels scraped down nightly.

  • Pizza Make Line - Functioning hanging thermometers in all coolers.

  • Pizza Make Line - Pizza line clean and functioning properly. (underneath line, compressor housing, shelves, gaskets etc.)

  • Pizza Make Line - All food storage bins NSF approved, clean, labeled, using FIFO

  • Pizza Make Line - Correct cambros used in good condition. (no chips or cracks, not overly stained, no gluten free cambros etc.)

  • Pizza Make Line - Line pans filled below the fill line.

  • Pizza Make Line - Hot wells holding food at 140 degrees or higher

  • Pizza Make Line - Cold wells holding food at 40 degrees or lower

  • Pizza Make Line - On the pizza line, a calibrated probe thermometer available with 60 day log of line checks.

  • Pizza Expo - All garnishes present and fresh.

  • Pizza Expo - Top of the expo counter and the bottom shelving clean and organized.

  • Pizza Ovens - Outsides, tops and handles of the pizza ovens clean and polished. Stones cleaned with no cracks or gaps. Working oven thermometer present. Ovens calibrated and functioning properly. Trays vacuumed daily.

  • Pizza Hoods - Baffles present/ clean with lights working properly.

  • Pizza Sanitation - Sanitizer bucket, 200ppm quat sanitizer. All towels in bucket

  • Pizza Sanitation - Squeeze bottles clean and labeled properly.

Salad (3)

  • Salad Specs - Observe the preparation and presentation of one of the following: Greek, Caesar or Enlightened.

  • Salad Specs - Observe the preparation, storage, and freshness of at least one type of cookie.

  • Salad Specs - Cookies properly displayed and labeled

  • Salad Specs - Observe the preparation and presentation of one of the following: Magic Mushroom, Tortilla or Tomato Bisque.

  • Salad Specs - Observe the preparation and presentation of Brownie Sundae

  • Salad Specs - Observe the preparation and presentation of one of the following: Spin Dip, Wings or Meatball Trio.

  • Salad Specs - Observe the preparation and presentation of one of the following: Cheese/garlic bread, or Pepperoni Cheese bread.

  • Salad Specs - Observe the preparation and presentation of one of the following: Bruschetta or Hummus

  • Salad Make Line - On the Salad line, a calibrated probe thermometer available with 60 day log of line checks.

  • Salad Make Line - Salad line clean and functioning properly. (underneath line, compressor housing, shelves, gaskets etc.)

  • Salad Make Line - Cooler at 40 degrees or below

  • Salad Make Line - Functioning hanging thermometers in all coolers

  • Salad Make Line - Cutting boards clean and in good condition. (no build up, mold, deep cuts or groves etc.)

  • Salad Make Line - All food storage bins NSF approved, clean, labeled, and using FIFO

  • Salad Make Line - Line Pans filled below the fill line

  • Salad Convection Oven - Convection oven working properly. (calibrated, clean with working fan, etc.) Bottom of the oven scraped out and clean. Racks clean and in good condition. (racks not rusting, etc.) Oven doors and windows clean. (doors polished, windows see through, etc.)

  • Salad Merry Chef - Merry Chefs clean and working properly

  • Salad Merry Chef - Merry Chef tools and utensils clean and in good condition

  • Salad Hoods - Baffles present and clean. All lights working properly.

  • Salad Sanitation - Sanitizer bucket in use, 200ppm quat sanitizer. All towels in bucket

Hoagie (3)

  • Hoagie Specs - Observe the preparation and presentation of one of the following: Italian, Mushroom Club, or Avocado

  • Hoagie Specs - Observe the preparation and presentation of one of the following: Chicken and Cheeseor Steak and Cheese

  • Hoagie Specs - Observe the preparation and presentation of one of the following: Tempeh, Tufu, or Avocado Hoagie

  • Buger Specs - Observe the preparation and presentation of the Ritz Burger

  • Hoagie Make Line - On the hoagie line, a calibrated probe thermometer available with 60 day log of line checks.

  • Hoagie Make Line - Hoagie line clean and functioning properly. (underneath line, compressor housing, shelves, gaskets etc.)

  • Hoagie Make Line - Cooler at 40 degrees or below with functioning hanging thermometer

  • Hoagie Make Line - A functioning flat top thermometer available

  • Hoagie Make Line - Cutting boards clean and in good condition (no build up, mold, deep cuts or grooves etc.)

  • Hoagie Make Line - All food storage bins NSF approved, clean, labeled, and using FIFO.

  • Hoagie Make Line - Lin Pans filled below the fill line

  • Hoagie Grill - Grill top clean and functioning properly. (calibrated, flat top not chipped or severely scratched, etc.) Catch pan present and maintained.

  • Hoagie Grill - Shelves under and around the grill clean and organized.

  • Hoagie Grill - Small wares in good condition. (shakers, bottles, spatulas, domes, weights etc.)

  • Hoagie Grill - Correct color coded spatulas in use/present

  • Hoagie Hoods - Baffles present/clean with all lights working properly.

  • Hoagie Sanitation - sanitizer bucket 200 ppm. All towels in bucket

Prep (4)

  • Prep Specs - Veggies for the salad line prepped fresh daily.

  • Prep Specs - All proteins prepped correctly.

  • Prep Specs - All cheeses prepped correctly. (Season Ricotta, Beer Cheese)

  • Prep Specs - All Sauces and mixes made correctly. (Bruschetta, Spinach Dip, Mushroom Trio, Red Sauce)

  • Prep Specs - All Veggies prepped correctly

  • Prep Specs - Par levels and rotation being executed. FIFO

  • Prep Specs - Most updated recipes and laminates in use

  • Prep Specs - Roasted Potatoes prepped properly

  • Prep Specs - Correct build execution

  • Prep Station - Prep tables clean/organized, free of debris and in good repair.

  • Prep Station - Scales clean and available for proper portioning.

  • Prep Station - Deli slicer clean, working and free of food particles.

  • Prep Station - Pelican slicer clean, working and free of food particles.

  • Prep Station - Can opener clean, working and free of food particles. (No rust and working blade.)

  • Prep Station - Dicer clean, working and free of food particles. (No rust. Check between the handle and plate.)

  • Prep Station - Tomato slicer clean, working and free of food particles. (No rust)

  • Prep Station - Salad spinner clean and working properly.

  • Prep Station - Cutting boards clean and in good condition. ( no build up, mold, etc.) Stored vertically

  • Prep Station - Produce sink labeled, clean and used for produce only.

  • Prep Station - Outside of the ice machine clean and the vents dusted. Inside of the ice machine clean and free of build up. (no mold)

  • Prep Sanitation - Sani bucket, 200ppm. All towels in bucket

General Kitchen Sanitation (6)

  • Dish - All utensils dried and stored correctly. No catch all buckets

  • Dish - Dish machine working with proper chemicals and clean inside/ out.

  • Dish - Shelves throughout the dish pit clean and in good repair. (no rust, chipped paint, mold build up etc.)

  • Dish - Dish machine broken down nightly.

  • Dish - Dishes stored properly. (air dry)

  • Dish - Silverware stored in a separate container with handles up.

  • Dish - Set up with the proper chemicals, clean and functioning. Sanitizer test strips present and being used. Quat Sanitizer at 200ppm.

  • Dish - Mops hung properly. Drain cover present and drain working properly. Mop sink clean and in good condition.

  • Dish - Approved chemicals being used. Chemicals being stored on the right shelf and away from all food product. Spray bottles labeled correctly based on their content.

  • Dish - Walls, floors under and behind Dish Area shelving clean

  • Freezer - Ceiling/walls clean and free of mold with all lights working properly.

  • Freezer - Floors clean and maintained (no broken tiles, chipped baseboards etc.)

  • Freezer - Condenser housing clean with condenser working properly.

  • Walk-in Cooler - Ceiling/ walls clean and free of mold. All lights working properly. <br>

  • Walk-in Cooler - Walk-in Condenser housing clean and condenser working properly. (no ice build up)

  • Walk-in Cooler - Functioning hanging thermometer. Walk-in at 40 degrees or below.

  • Walk-in Cooler - All Cold food storage bins NSF approved, clean, labeled, and using FIFO. Food stored properly within bins (no open bags)<br>

  • Walk-in Cooler - Sauce bucket clean inside/out and properly labeled. (no scoop stored inside)

  • Walk-in Cooler - Food Storage Hierarchy in use. (ex. raw steak not stored with ready to eat)

  • Walk-in Cooler - All thawing meat stored in red bus tubs only. Bus Tubs labeled

  • GF - Gluten free cart present, clean and organized. Correct Line Pans being used for the gluten free cart. (black line pans with gray lids & small wares in good condition..)

  • GF - Ingredients on the gluten free cart rotated daily and labeled.

  • GF - Gluten free procedures readily available to person making gluten free.

  • GF - Person making gluten free following the proper procedures. (washing hands, changing apron etc.)

  • GF - Only certified GF menu ingredients on the GF cart

  • Dry Storage - Shelves throughout dry storage clean and in good repair. (no rust, chipped paint, mold build up etc.)

  • Dry Storage - Walls, floors under and behind Dry Storage shelving clean

  • Dry Storage - All Dry food storage bins NSF approved, clean, labeled, and using FIFO

  • GKS - Proper Handwashing signage posted.

  • GKS - Gaskets clean and in good condition

  • GKS - Ceiling tiles present, clean, and in good condition.

  • GKS - Trash cans in BOH clean.

  • GKS - All floors throughout the kitchen clean and in good condition.

  • GKS - Walls and baseboards throughout the kitchen clean and in good condition.

  • GKS - Hand sinks stocked and working.

  • GKS - Pipes and drains clean and working properly

GM Leadership (4)

  • GM / Leadership - Proof of 60 days of line checks (Bar and Cook's Line)

  • GM / Leadership - Management is actively and positively leading staff

  • GM / Leadership - Manager is interacting and engaging with guests

  • GM / Leadership - All team members wearing gloves in food preparation areas

  • GM / Leadership - Manager/key employee scheduled and actively working outside expo during peak business hours

  • GM / Leadership - All promo posters are laminated or framed

  • Problem Resolution - There are no open comments more than 48 hours old

  • Training - Location maintains 50%+ overall completion rate on Shroom U Online

  • Training - All new hires have completed Shroom U Online requirements

  • Communication - Proof of weekly manager meetings-agendas, itineraries, etc.

  • Communication - Observe a Pre-Shift meeting

  • Labor Management - Are sales being forecasted and being applied when writing schedules?

  • Inventory - Weekly inventory performed

  • Organization - Opening/Closing checklists used and followed

  • Laminates / Materials - All current HGI build sheets and recipe laminates hanging and in use

  • Compliance - Current Grease Trap/ Grease Removal inspections/manifest

  • Pest prevention program in place. No signs of rodent activity, roach activity or flies present.

  • Food Safety - Current Health Department Score 95 or better/ Posted

  • Food Safety - MOD Serve Safe Certified

  • Food Safety - Ice maker and bin cleaned and sanitized

  • Retail/Attire - Approved and well stocked House of Shrooms" retail display "

  • Retail/Attire - All employees in approved House of Shrooms" apparel/shirt"

  • Retail/Attire - All managers in an approved House of Shrooms"

  • Retail/Attire - All BOH employees in approved House of Shrooms" hat"

Inspection Recap

  • 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.