Title Page

  • Conducted on

  • Prepared by

  • Location

Chemical Supplies and Equipment

  • Back sink functions properly and all compartments hold water<br>

  • Soap is being properly dispensed into first sink

  • Sanitizer is at the correct concentration

  • Restaurant has correct and in date test strips

  • Restaurant has correct McCafe and BIM cleaning chemicals/equipment

  • Proper cleaning equipment available (shake brushes, no scratch pads)

  • Safety Data sheets are available

  • Only approved chemicals are used<br>

  • All spray bottles are labeled and contain correct product

  • Has clean and well maintained wet floor signs

  • Mops and buckets are clean and well maintained

  • Mop bucket water changed after each use

  • Washing machine functioning properly and in good repair

Sanitized Towel Procedures

  • Sanitized towels are in kitchen and front counter with lids on buckets

  • Towel buckets with lids are cleaned and well maintained

  • Soiled towels are kep in the proper bucket with soapy water and no lid

  • Towels are laundered correctly

Utensils and Small Equipment

  • Utensils/small parts are available and in good repair

  • All clean equipment is stored properly

  • Proper procedures are used to clean and sanitize utensils

  • Ice bins, scoops, and transfer buckets are clean and properly stored

Kitchen Equipment

  • Automated gry dispenser is clean and in good repair

  • Fry station clean including racks, baskets, and skimmers

  • Grills clean and in good repair

  • Grill and Fryer flamequards are clean

  • No excessive build up of food, grease, and debris under grills and fryers

  • Filet steamer is clean and in good repair

  • Electrical outlets, connectors, and chords are clean and in good repair

  • Toaster is clean, free of carbon, and in good repair

  • Reach in and grill side freezers clean including gasket and condensors

  • Reach in refrigerators clean including gasket and condensor

  • UHC cabinets are clean and in good repair

  • Ice machine is clean and in good repair

  • HLZ are clean and in good repair

  • Prep/toaster tables are clean and working

  • Q-ing ovens are clean and in good repair

  • Biscuit oven is clean and in good repair

  • Fried product fryers are clean

  • French fry fryers are clean

Kitchen and Storage areas

  • Managers office is clean and organized

  • Dry storage areas are clean (walls, baseboards, ceilings, floors, lighting)

  • Beverage system is clean

  • Walk in refrigerator is clean and in good repair

  • Walk in freezer is clean and in good repair

  • Restaurant is pest proof (door sweeps)

  • Kitchen floors and baseboards are clean

  • Kitchen walls, ceilings, vents, and lighting are clean and in good repair

  • Back sink, mop sink, under sink clean

  • Floors, walls, baseboards around back sink clean

  • Bag in box storage clean

  • Bag in box lines are clean and sanitized

  • Bulk tanks are clean and sanitized

  • Hanging monitors and printer shelves in kitchen are clean

Front Counter, Drive-Thru, and McCafe Areas

  • Shake/Ice cream machine clean

  • Pie merchandiser clean and operational

  • Juice dispenser clean and operational

  • Drink towers/ABS clean

  • Coffee/Tea brewers clean

  • McCafe machine and refrigerator clean

  • BIM clean and in good repair

  • Bulk cream dispenser clean

  • Sugar dispensers clean

  • McFlurry dispensers are clean

  • Reach in refrigerators clean including gaskets and condensors

  • Monitors and bump bars clean

  • Cup dispensers clean

  • Condiment carts clean, wheels, legs, etc..

  • Cambro bins clean

  • DT windows and frames clean

  • FC & DT floors, baseboards, and walls clean

  • FC & DT ceilings, vents, and lighting clean

  • POS system is clean (underneath)

  • Interior menu boards clean

  • Tea urns are clean and in good repair

  • Cookie display clean and in good repair

  • Arch card displays clean and in good repair

Dining Room and Restrooms

  • Restroom walls, floors, doors, and fixtures clean

  • Waste receptacles clean and sanitized

  • Dining room doors and walls clean

  • Dining room chairs, tables, highchairs, and décor clean

  • Dining rooms floors, baseboards, and thresholds clean

  • Dining room vents, windows, ceiling, and lighting clean and in good repair

  • Beverage bar clean including ketchup station

  • Lobby drink towers clean and in good repair

PlayPlace

  • Toy clean and in good repair

  • Toy odor free

  • Floors, doors, tables, and décor clean

  • Playland restroom clean

  • Waste receptacles clean and sanitized

  • Area behind toy clean

  • Chairs, walls, baseboards, tables, ceilings clean

  • Exit doors clean and alarms working

Outside the Restaurant

  • Parking stalls and DT pad clean

  • Ballard poles clean and painted

  • Corners of lot free from trash build up

  • HVAC condensers and filters clean

  • Exhaust stacks are clean

  • All signage, flags, and light fixtures are clean & in good repair

  • Exterior of building is clean (walls, soffits, awnings, and DT windows)

  • Walks and patios are clean and in good repair

  • Windows, frames, ledges, and doors are clean

  • DT menu boards are clean and in good repair

  • Landscaping is free of all debris

  • Outside trash receptacles are clean, sanitized, and odor free

  • Corral is clean, including dumpster lids closed and in place, and grease trap clean

  • COD is clean and in good repair

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.