N9 AD Site Checklist

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

STORAGE AREAS, ATTIC

• Are floors clean, dry and in good condition?

  Yes

  No

  N/A

• Are aisles free of boxes or clutter?

  Yes

  No

  N/A

• Are electrical panels accessible and properly labeled?

  Yes

  No

  N/A

• Are doors and latches working properly?

  Yes

  No

  N/A

• Are products or supplies properly stored? (Light items on top, arranged to avoid toppling.)

  Yes

  No

  N/A

• Is shelving in good condition?

  Yes

  No

  N/A

• Are combustibles kept away from heat sources? (Heating unit, hot water tank, electrical boxes, etc.)

  Yes

  No

  N/A

• Are outlets, switches and electrical components working properly?

  Yes

  No

  N/A

• Are ladders in good condition and properly stored?

  Yes

  No

  N/A

• Are chemicals separated from foodstuffs?

  Yes

  No

  N/A

• Is trash compactor in good repair?

  Yes

  No

  N/A

• Are lights working properly?

  Yes

  No

  N/A

FOOD PREPARATION AND COOKING AREA

• Are floors clean, dry and in good condition?

  Yes

  No

  N/A

• Are aisles free of clutter?

  Yes

  No

  N/A

• Are drain screens being cleaned regularly?

  Yes

  No

  N/A

• Are doors and latches working properly?

  Yes

  No

  N/A

• Is food preparation and storage equipment in good repair?

  Yes

  No

  N/A

• Is grill and fryer exhaust system clean and in good repair?

  Yes

  No

  N/A

• Has extinguishing system been inspected and serviced within last 6 months? (Check tags)

  Yes

  No

  N/A

• Have portable fire extinguishers been inspected and serviced within last year? (Check tag and gauge.)

  Yes

  No

  N/A

• Are combustibles kept away from heat sources? (Ovens, grill, fryer, toaster,etc.)

  Yes

  No

  N/A

• Are outlets, switches and electrical components working properly?

  Yes

  No

  N/A

• Are lights working properly?

  Yes

  No

  N/A

DINING AND RESTROOM AREAS

• Are floors clean, dry and in good condition?

  Yes

  No

  N/A

• REFERENCE: A clear and clean aisle
  [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]

  

• Are highchairs, tables and seating in good condition?

  Yes

  No

  N/A

• Are floor mats in good condition? (Lay flat, smooth edges)

  Yes

  No

  N/A

• Is product display equipment in good repair? (½ gallon cases, shelving, cooler doors, etc.)

  Yes

  No

  N/A

• Are exit signs illuminated?

  Yes

  No

  N/A

• Are outlets, switches and electrical components working properly?

  Yes

  No

  N/A

• Are fixtures in restrooms in good condition?

  Yes

  No

  N/A

• Are lights working properly?

  Yes

  No

  N/A

OUTSIDE SEATING AREAS/ ALFRESCO

• Are walking surfaces clean, dry and in good condition?

  Yes

  No

  N/A

• Are tables and seating in good condition?

  Yes

  No

  N/A

• Are gates and access passage locked?

  Yes

  No

  N/A

• Are proper signs in place?

  Yes

  No

  N/A

• Are lights working properly?

  Yes

  No

  N/A

EXTERIOR/PERIMETER

• Are sidewalks and curbs in good repair?

  Yes

  No

  N/A

• Is landscaping trimmed away from walks and to eliminate possible hiding places?

  Yes

  No

  N/A

• Is the area free of pot holes or tripping hazards?

  Yes

  No

  N/A

• Is the dumpster area in good condition?

  Yes

  No

  N/A

• Are outside lights working properly?

  Yes

  No

  N/A

SAFE WORKING PRACTICES

• Is first aid kit adequately stocked and accessible?

  Yes

  No

  N/A

• Do employees demonstrate a team approach in preventing accidents?

  Yes

  No

  N/A

• Are spills or dropped items cleaned up promptly?

  Yes

  No

  N/A

• Are “Wet Floor” warning signs displayed when needed?

  Yes

  No

  N/A

• Are employees wearing proper footwear?

  Yes

  No

  N/A

• Are floors thoroughly cleaned at closing?

  Yes

  No

  N/A

• Are employees instructed in proper lifting techniques?

  Yes

  No

  N/A

• Do employees “practice” proper lifting techniques?

  Yes

  No

  N/A

• Is cooking oil at room temperature before changing or straining?

  Yes

  No

  N/A

• Are knives cleaned safely? (Not left in soapy water)

  Yes

  No

  N/A

• Are slicers cleaned and stored properly?

  Yes

  No

  N/A

• Are employees instructed in the proper use of slicers?

  Yes

  No

  N/A

• Are all cleaning supplies properly labeled?

  Yes

  No

  N/A

• Do employees know where Material Safety Data Sheets are kept?

  Yes

  No

  N/A

• Do employees practice safe ladder usage?

  Yes

  No

  N/A

• Are proper posters displayed? (Safety Reminders, Exit, etc.)

  Yes

  No

  N/A

• Have all maintenance issues been reported as required?

  Yes

  No

  N/A

MAINTENANCE ISSUES

Equipment and Appliances

• Are all equipment in good condition?

  Yes

  No

  N/A

• Are there damaged or notworking equipment that were not reported thru MRRF?

  Yes

  No

  N/A

• List of Damaged Equipment

• Photo of Damaged Equipment

  Media

Facility / Building

• Is the facility in good condition?

  Yes

  No

  N/A

• Is there a need for painting works?

  Yes

  No

  N/A

• Are there any major renovation concerns?

  Yes

  No

  N/A

• Yes

  No

  N/A

FOLLOW-UP

• Have the hazards that were identified last month been corrected? (If “NO”, specify which hazards below.)

  Yes

  No

  N/A

• Have maintenance-related items been reported, called in or entered on the restaurant computer?

  Yes

  No

  N/A

• Have unsafe practices been addressed with all employees?

  Yes

  No

  N/A

Completion

• Recommendations

• Full Name and Signature of Inspector

  Sign