Information

  • Restaurant No:

  • Manager:

  • QA Audit

  • Conducted on

  • Audit Conducted by:

  • Address of the Location or City Name

FACILITIES - RESTROOMS

  • There is an Operable Hand Drying Method in the Restrooms

  • The Toilet Seat is Significantly Damaged/Operable/Securely Fastened to the Toilet (not moving when wiggled)

FACILITIES - KITCHEN

  • Floor Drains in the Kitchen Overflowing (includes Front Counter, D/T, Equipment, Mop Sink, Back Area and Sink Drains

  • Are there any Materials Stored Directly on the Floor?

  • Are There Any Damaged or Broken Ceiling, Floor, Base Tiles in the Kitchen Area?

  • Any Visible Peeling Paint in the Restaurant?

  • The Lights in the Kitchen are Shielded Adequately?

  • The Bottom Shelves in the Entire Restaurant Have At Least 6" Gap Between Floor and the Shelving?

  • Are There Any Back Flow Issues (Siphonage) in the Restaurant?

  • All the Food, Packaging, Utensils are Stored in the Restaurant in a Sanitary Manner and Organized?

  • Is There an Evidence of Rodent or any Pest Activity?

  • Any Unapproved Present During the Visit?

  • Employee(s) Hair is Properly Restrained, no Nail Polish on Fingernails (Trimmed) and no Smoking, Drinking or Eating in the Kitchen

  • Employee(s) not Working with Open Wounds or Cuts

EQUIPMENT - DRINKS

  • Drink Heads/Ice Dispensers on the Self Serve Drink Station System are in Good Condition

  • Drink Station at Self-Serve Station has no Leaks Present

  • Nozzles are Clean on Both D/T and on F/C (Check At Least 3 Heads Each)

  • Storage Cabinet Under the Self Serve Drink Station is Clean

  • Interior/Exterior of Coffee Machine is Clean and Sanitized Daily - Water Temperature Exceeds 178 Degrees

EQUIPMENT - KITCHEN

  • There is a Dedicated/Functional Hand Wash Sink Present with Adequate Supplies

  • An Operable NSF Thermometer is Present in all POUs

  • All Equipment Appear Clean - Toasters, Belts, Chain, Grill, PHC, Fryers, Fryer Flue, etc.

  • Batch Toaster Spatulas are Clean with No Carbon Build up

  • Grill Presses Present and No Carbon Build up Present

  • Gaskets on All POUs Clean, No Tears Present and in Good Condition

  • Fry Dump Station - Stainless, Top and Around Clean

  • Walk in Cooler - Floor, Shelving, Fan Guard, Everything is Properly Covered

EQUIPMENT - SHAKES & SMOOTHIES

  • Shake/Smoothie Machines are not Leaking - In Need of Tune up Kit?

  • Approved Shake Brushes Present in a Dedicated Container and Clean - Stored Properly

  • Mixie Machine Spindle Clean, Sanitizer Present by the Spindle and in Use after Each Shake/Smoothie

  • Shake & Smoothie Machines Disassembled and Sanitized Daily

  • Fan Guard of Shake/Smoothie Machines Cooling Cabinet has no Evidence of Build Up, Rust or Grime

  • Carburetor Tube on Shake Machine is Clean

EQUIPMENT - ICE MACHINE

  • No Evidence of Build Up or Algae on the Distribution Tube or in the Evaporator Cabinet or in Ice Bin

  • Flaking Rust and or Paint is Visible in the Evaporator Cabinet or in Ice Bin

  • Ice Machine Evaporator Plates are Flaking or Plating is Worn Off

  • Seal Between Ice Machine Cabinet and Ice Bin is in Despair

  • Inner Liner/Gasket of Lid to Ice Bin of the Machine is not Clean/in Disrepair

STORAGE PROCEDURES - WALKINS & DRY STORAGE AREAS

  • An Operable NSF Approved Thermometer is Present in the Walk-ins

  • All Stored Items in the Walkins and in Dry Storage Areas 6" off the Floor - Nothing Stored Directly on the Floor

  • Lights are in Working Condition and are Adequately Protected

  • Cooked/Processed Foods Stored Properly (6" off the Floor) and All Food is Labeled

  • Walk in/Dry Storage Area Floors & Under Shelving Clean, Swept & Mopped; Corners have no Build up

  • Walk ins are Maintaining the Proper Temperature & Dry Storage Area is around 50-70 Degrees

EQUIPMENT - MISCELLANEOUS

  • WATER TEMPERATURE AT HANDWASH SINK AT 100 F AND IN THREE COMPARTMENT SINK 110 F

  • No Evidence of Any Leaks Around Three Compartment Sink Area

  • Exhaust Hoods for Grill and Fryer in Good Condition, Working, No Dripping Grease, Clean and Maintained

  • HACCP IS 100% FOR THE PREVIOUS 5 DAYS AND ALL MANAGERS ARE CHECKING AND SIGNING OFF

  • Fry Baskets are Clean and No Loose Wires on Any of the Baskets

  • Fry Filtering Equipment is in Working Condition, Waste Grease Tanks are not Full, Grease Disposal Tank Area Clean

  • All Fryer Safety Equipment Present & in Good Condition

  • Health Violations Noted on the Report Corrected; Health Report and Pest Report Posted

  • Restaurant is not Receiving Products, Supplies from any Unapproved Suppliers

  • Write Any Comments on the Audit and Corrective Actions:

  • Manager on Duty:

  • Auditor:

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