Information

  • Restaurant Number

  • Restaurant Manager

  • PIC

  • Reason for Visit

  • Conducted on

  • Prepared by

Travel Path

  • 3pt - MIC can describe the Food Safety Travel Path<br>- Describe the two criticals at the door.<br>- Looks at food safety timer.<br>- Procedes to wash hands<br>-Places santizer strips in hand<br>-Checks serve safe for name and expiration<br>-Puts FSC under arm<br>- Checks Iced tea is cut, zip tied, and dated.<br>- Checks sanitizer buckets 150ppm -400ppm<br>- Checks for back up tools. ( Mom, Dad, 3 kids, big yellow house)<br>- In prep area along side reviewing FSC/ then store visit/ then completes food safety checklist.<br>

Travel Path Compliance

  • **Serve Safe** <br>-Posted by front counter<br>- MIC can point at it

  • **Tea liners**<br>- Tied <br>- Dated <br>- White tube trimmed

  • **FSC** <br>- 5 Prior days free of errors, complete and properly filled out<br>- Is there signatures showing that it has been checked by the managers?

  • **Sanitizer buckets**<br>- Labeled <br>- MIC shows the ability of how to read the strength of all sanitizer buckets, including shake sanitizer, put test strip in bucket and hold it still for 10 sec. (Mgr doesn’t swirl) <br>- MIC ensures they are all 150-400

  • **Tools** <br>- There a set of back up tools available in store (per job aid). <br>- Timer good and set for 4 hours.<br>- Tools changed within 15 minutes after timer goes off. (Tongs and tong pans, meat and egg spatulas, ladle and pan for liquid eggs, sear tool and sear tool pan, egg rings, cool covers, knives and cutting boards, mix in spindle, PHC and UHC drawers, rice scoop and rice scoop pans).

  • **Tools - (B) ** <br>- MIC ensures timer is running. They also understand timer must be immediately reset (turn off and immediately after, turn on). Manager ensures Tool timer is running on Manager Station TImer. Only the MIC can reset timer. MIC is able to assemble and disassemble tools per job aid.

Upon Arrival

  • 3pt - What do you do when Food Safety Auditor arrives? <br>- Acknowledge and ask for a min to organize floor.<br>- Give auditor FSC to review.<br>- Look at food safety timer and make a plan for any food safety timer less than 2 hours.<br>- Announce the audit is taking place and remind them of danger zone 1 and 2.<br>- Call for help.

  • 3pt - MIC demonstrates knowledge of food safety timer and how it is used. (Including the warning timers)

  • 3pt - MIC understands no action required for times longer than 2 hours.

  • MIC is knowledgeable on creating plans and prioritizing food safety times less than 2 hours.

Crossing the BLUE door

  • 3pt - What do you do when auditor crosses the blue door? (threshold entrance)<br>-follow the auditor, (be where he be, see what he see).

  • 3pt - What should you be looking for?<br>- any food safety violations (reference Game Plan/Station Planners)

  • 3pt - what do you do if you see a Food Safety violation?<br>- correct it before the auditor brings it to your attention. (ya see it, ya fix it)

  • 3pt - What do you do if the auditor brings a food safety issue to your attention?<br>- immediately take corrective action to avoid double points lost. (ya miss it, ya fix it)

Hand Wash

  • How does MIC verify all employees properly wash their hands with soap at designated hand sink?

Hand Wash Bonus - Story of Sam- Coughing, sneezing, drinking, touching body, picking up trash, and after cleaning.

  • 3pt - All employees can tell the story of sam

  • MIC can give three examples of when to wash hands? - after picking something from the floor, after cleaning tasks, after touching any body part and/or uniform, after touching trash can or anything that could cause cross contamination, etc.

Danger Zones DZ1 A. Crossing Blue Door "Mc Hammer Can't Touch This" B. Hourly Handwash " Everybody at the sink, with soap, beat the buzzer) DZ2 A. No handling raw meat with hands B. Final Flip and check "All Patties"

  • 3pt - Does every employee know both "Danger Zones 1& 2 (A & B from both zones)"?

  • Does MIC know both "Danger Zones, 1 & 2 - (A & B from both zones)" AND UNDERSTANDS their role is to ensure both zones are protected?

Temperatures

  • **Temps**<br>- MIC able to perform patty temp check 155F or higher by taking 5 temps of a patty 12, 3, 6, 9 and center. Is knowledgeable on corrective action<br><br><br><br>

  • -MIC displays the ability to correctly take the temp of the shake machine (<=41) by taking three times (FMB) and writing the highest on the FSC and knowledgeable on corrective action

  • -MIC displays the ability to correctly take the temp of the fryers (>=350) and knowledgeable on corrective action

  • -MIC displays the ability to correctly take the temp of the refrigerators (<=41.0) and knowledgeable on corrective action

  • **Any Miscellaneous - FS**<br>- describe any miscellaneous-FS seen. ex, nail polish, stone earrings/jewelry, drinks in food prep areas, etc.<br>

Any Food Safety Issues Seen.

  • 1st minor observed

  • 2nd minor observed

  • 3rd minor observed

  • 4rth minor observed

  • 5th minor observed

  • 6th minor observed

  • 1st major observed

  • 2n major observed

  • 3rd major observed

  • Any crititals observed

Quarterly Initiative

  • Time as a Public Health Control (TPH) procedures are correctly. TPH foods include: non-refrigerated shredded lettuce, iceberg lettuce leafs, sliced tomato, and processed cheeses at the assembly and taco stations. 4 hour hold time in use.

  • Weekly dial thermometer calibration chart is filled out on last page of the Food Safety Checklist

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.