Title Page

  • Conducted on

  • Prepared by

  • Location
  • Are floor,walls,and ceilings free from excessive dust, dibris, and standing water?

  • Are all TCS foods 40 or below in salad prep area?

  • Are gaskets on all reach in coolers / freezers free of duet,debris, and in good repair?

  • Are all sanitizer buckets in good repair and at proper parts per million?

  • Is all boards counter equipment clean and in good repair? (Teflon sheet?)

  • Are shelves, floor,and walls inside breading table clean and in good repair?

  • Are proper hair restraints being used in kitchen area?

  • Are there any fruit flies present around front beverage area, ice machine, ice dream,machine, mop sink, or ladder room?

  • Are walk in cooler / freezer floors, shelves, and fan guards clean and in good repair?

  • Do all items in walk in cooler have proper day dots and and food saftety practices being followed?

  • Is interior / exterior of ice machine clean?

  • If fry skimmer stored in vent hood area?

  • Are thaw cabinet handles, doors, and vents clean?

  • Is sugar bin exterior clean and is measuring scoop stored with the Handel out of sugar?

  • Is walk around breading table, filet table, and hand sink clean and in good repair?

  • Are walls, floor, drains, sink legs, sink exterior clean?

  • Is milk wash stored above lemonade on walk in?

  • Are knives and salad spinner free of dirt, and debris?

  • Are kitchen team members wearing any unauthorized jewelry or false finger nails? (Only wedding band)

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.