Information
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Restaurant No:
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Manager:
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QA Audit
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Conducted on
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Audit Conducted by:
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Address of the Location or City Name
FACILITIES - RESTROOMS
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There is an Operable Hand Drying Method in the Restrooms
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The Toilet Seat is Significantly Damaged/Operable/Securely Fastened to the Toilet (not moving when wiggled)
FACILITIES - KITCHEN
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Floor Drains in the Kitchen Overflowing (includes Front Counter, D/T, Equipment, Mop Sink, Back Area and Sink Drains
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Are there any Materials Stored Directly on the Floor?
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Are There Any Damaged or Broken Ceiling, Floor, Base Tiles in the Kitchen Area?
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Any Visible Peeling Paint in the Restaurant?
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The Lights in the Kitchen are Shielded Adequately?
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The Bottom Shelves in the Entire Restaurant Have At Least 6" Gap Between Floor and the Shelving?
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Are There Any Back Flow Issues (Siphonage) in the Restaurant?
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All the Food, Packaging, Utensils are Stored in the Restaurant in a Sanitary Manner and Organized?
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Is There an Evidence of Rodent or any Pest Activity?
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Any Unapproved Present During the Visit?
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Employee(s) Hair is Properly Restrained, no Nail Polish on Fingernails (Trimmed) and no Smoking, Drinking or Eating in the Kitchen
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Employee(s) not Working with Open Wounds or Cuts
EQUIPMENT - DRINKS
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Drink Heads/Ice Dispensers on the Self Serve Drink Station System are in Good Condition
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Drink Station at Self-Serve Station has no Leaks Present
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Nozzles are Clean on Both D/T and on F/C (Check At Least 3 Heads Each)
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Storage Cabinet Under the Self Serve Drink Station is Clean
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Interior/Exterior of Coffee Machine is Clean and Sanitized Daily - Water Temperature Exceeds 178 Degrees
EQUIPMENT - KITCHEN
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There is a Dedicated/Functional Hand Wash Sink Present with Adequate Supplies
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An Operable NSF Thermometer is Present in all POUs
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All Equipment Appear Clean - Toasters, Belts, Chain, Grill, PHC, Fryers, Fryer Flue, etc.
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Batch Toaster Spatulas are Clean with No Carbon Build up
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Grill Presses Present and No Carbon Build up Present
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Gaskets on All POUs Clean, No Tears Present and in Good Condition
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Fry Dump Station - Stainless, Top and Around Clean
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Walk in Cooler - Floor, Shelving, Fan Guard, Everything is Properly Covered
EQUIPMENT - SHAKES & SMOOTHIES
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Shake/Smoothie Machines are not Leaking - In Need of Tune up Kit?
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Approved Shake Brushes Present in a Dedicated Container and Clean - Stored Properly
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Mixie Machine Spindle Clean, Sanitizer Present by the Spindle and in Use after Each Shake/Smoothie
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Shake & Smoothie Machines Disassembled and Sanitized Daily
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Fan Guard of Shake/Smoothie Machines Cooling Cabinet has no Evidence of Build Up, Rust or Grime
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Carburetor Tube on Shake Machine is Clean
EQUIPMENT - ICE MACHINE
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No Evidence of Build Up or Algae on the Distribution Tube or in the Evaporator Cabinet or in Ice Bin
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Flaking Rust and or Paint is Visible in the Evaporator Cabinet or in Ice Bin
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Ice Machine Evaporator Plates are Flaking or Plating is Worn Off
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Seal Between Ice Machine Cabinet and Ice Bin is in Despair
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Inner Liner/Gasket of Lid to Ice Bin of the Machine is not Clean/in Disrepair
STORAGE PROCEDURES - WALKINS & DRY STORAGE AREAS
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An Operable NSF Approved Thermometer is Present in the Walk-ins
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All Stored Items in the Walkins and in Dry Storage Areas 6" off the Floor - Nothing Stored Directly on the Floor
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Lights are in Working Condition and are Adequately Protected
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Cooked/Processed Foods Stored Properly (6" off the Floor) and All Food is Labeled
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Walk in/Dry Storage Area Floors & Under Shelving Clean, Swept & Mopped; Corners have no Build up
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Walk ins are Maintaining the Proper Temperature & Dry Storage Area is around 50-70 Degrees
EQUIPMENT - MISCELLANEOUS
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WATER TEMPERATURE AT HANDWASH SINK AT 100 F AND IN THREE COMPARTMENT SINK 110 F
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No Evidence of Any Leaks Around Three Compartment Sink Area
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Exhaust Hoods for Grill and Fryer in Good Condition, Working, No Dripping Grease, Clean and Maintained
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HACCP IS 100% FOR THE PREVIOUS 5 DAYS AND ALL MANAGERS ARE CHECKING AND SIGNING OFF
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Fry Baskets are Clean and No Loose Wires on Any of the Baskets
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Fry Filtering Equipment is in Working Condition, Waste Grease Tanks are not Full, Grease Disposal Tank Area Clean
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All Fryer Safety Equipment Present & in Good Condition
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Health Violations Noted on the Report Corrected; Health Report and Pest Report Posted
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Restaurant is not Receiving Products, Supplies from any Unapproved Suppliers
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Write Any Comments on the Audit and Corrective Actions:
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Manager on Duty:
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Auditor: