Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Outside Appearance

  • Marquee updated

  • Sidewalks, Patio, and stalls clean

  • Lot swept upon arrival

  • Landscaping maintained

  • Menus and wall signs clean

  • canopy clean

  • banners properly hung and signage look good

  • patio furniture and trash cans clean and in good condition

  • All lighting working (canopy, Menu, Marquee, big sign, tower, stall stars, wall signs, security)

  • Windows and ledges clean

Critical Food Safety

  • Hot Dog internal temp 165 or greater

  • Gravy internal temp 165 or greater

  • Chili internal temp 165 or greater

  • Fried products coming out of fryer at 165 or greater

  • Walking Freezer temp 0 +/- 10 (Must have an internal thermometer)

  • Walin Cooler temp 34-38 (must have internal thermometer)

  • Product in swamp/grill freezer 10 or less (internal thermometer must be present)

  • Product in swamp refrigerator 34-40 (internal thermometer must be present)

  • Product in Dresser 40 or less (must have internal thermometer)

  • Fountainette Product 40 or less (must have internal thermometer)

  • PHF in swamp 40 or less

  • Food in Hot holding equipment held at 165 or greater

  • Internal meat log and sonic safe temp log up to date (for the day)

  • Ice Cream and Shake machine cabinets 34-38, Product 40 or less (must have an internal thermometer)

  • Grill procedures followed

  • Dresser procedures followed

  • Employees follow hand washing and glove policies

  • No cross contamination allowed

  • Approved products being used

  • Food properly tempered to 34-40 prior to use

  • Sanitizer is present in correct areas and prepared correctly (sanitizer strips must be present and must have Citrus delimer and Chlorsan in the store)

  • Digital thermometer kit and probes working

  • All chemicals properly stored

  • All food contact surfaces cleaned at least every 2 hours

  • Hand sinks stocked and working

  • No visible signs of infestation, no air gaps around doors

  • Managers servsafe certified

  • Historical temp logs completed and 12 months on file

Non critical Food Safety

  • Fryer temp 350 +/- 10 degrees

  • Grill temps met<br>Flat top 400 +/- 30, 350 +/- 30, 200 min 230 max<br>Clam Top 425 bottom 350

  • Ice cream and Shake cleaned properly maintained and sanitized<br>Record dates of last cleaning below

  • Clean towels stored properly

  • Product in coolers and freezers properly stored and dated

  • Dry food products stored properly and dated

  • Only approved chemicals used

  • Floors, baseboards, and drains clean and in good repair (includes under all equipment)

  • Walls, Doors, Ceilings, and Vents clean and in good repair (includes behind equipment)

  • Restrooms clean and stocked

  • Trash cans and Dumpster areas clean (Dumpster lids shut)

  • Lights covered

  • 3 comp sink set up properly if in use

  • All equipment NSF certified, clean and in good condition

  • All refrigeration units clean (includes shelving, floors, gaskets, etc)

  • Utensils and storage containers clean with no damage

  • Coke machine, ice machine, ice bin all clean and ice scoop properly stored

  • Ice bucket clean, good condition, stored off of floor, and properly labeled

  • All Employees wear clean uniform and hair properly restrained

  • Jewelry and fingernail policy followed by food handlers

  • Personal items properly stored

  • Pest control PW present and up to date

  • Current Audit packet present

  • Bodily fluid kit and first aid kits present

  • SDS/ GHS must be available for all pesticides and chemicals

  • Current health permit posted, Health inspections on file for at least the last 12 months

Equipment maintenance

  • Fire suppression system and extinguishers up to date

  • Slush machine Brixed properly <br>record date last cleaned

  • Date of last fryer boil out

  • Bun toaster belts in good condition

  • Flues clear on grill and fryer

  • Rooftop unit coils cleaned

  • Roof drains and gutters clear

Safety/Security/HR

  • Every employee wearing non slip shoes

  • Cameras working and timestamp correct

  • Minor Break laws followed

  • New hire paperwork completed

  • separation notices up to date

  • Tip wage book in use

  • Cash drawer correct and log completed

  • review discounts, recalls, and cancels with GM

  • Back door kept locked

  • Skimmer log up to date

Action plan and signatures

  • Top concerns after visit

  • Work with GM on plan of action to correct areas of concern. Action plan documented below

  • Add signature

  • Add signature

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.