Nutrition / Kitchen Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Inspected by

General Health and Safety

• Health and safety boards up to date?

  Yes

  No

  N/A

• Emergency exits not obstructed?

  Yes

  No

  N/A

• Kitchen free from dust/dirt, including floor?

  Yes

  No

  N/A

• Kitchen free from insect or rodent activity?

  Yes

  No

  N/A

• No Shipping/External boxes in food preparation area?

  Yes

  No

  N/A

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Dry Food Storage and Handling

• All perishable items in storage are clearly labeled? <br>

  Yes

  No

  N/A

• All dry goods stored over 6" off ground?

  Yes

  No

  N/A

• No open packages in dry food storage area? <br>

  Yes

  No

  N/A

• Food containers in good condition, safe and no signs of tampering or dents?

  Yes

  No

  N/A

• Shelving units in good working (I.e. not sagging)?

  Yes

  No

  N/A

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Refrigerator/freezer food handling

• Refrigerator temprature holding between +4 and 0 Celcius ?<br>

  Yes

  No

  N/A

• Freezer temperature holding between -18 and -14 Celcius ?

  Yes

  No

  N/A

• Are all cold storage areas neat and tidy with food products stored off the ground and not in contact with wall surfaces?

  Yes

  No

  N/A

• All perishable items in storage, clearly labeled with: Name, Date of purchase. & Use by date (no later than 72 hours)?

  Yes

  No

  N/A

• Items are covered during thawing? <br>

  Yes

  No

  N/A

• Frozen foods, once thawed are not refrozen?<br>

  Yes

  No

  N/A

• Food is in good condition, safe and no signs of tampering?

  Yes

  No

  N/A

• No personal items are stored in the cooler/freezers? <br>

  Yes

  No

  N/A

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Food Preparation Safety?

• Sanitizer pails meet the PH requirement?

  Yes

  No

  N/A

• Sanitizer bottles meet the PH requirement?

  Yes

  No

  N/A

• Raw products are thawed separately from cooked products to prevent cross-contamination?

  Yes

  No

  N/A

• No personal belongings stored in preparation area?

  Yes

  No

  N/A

• Separate, labeled cutting boards for raw meats, vegetables and ready-to-eat foods?

  Yes

  No

  N/A

• Log temperatures of cooking times & temperature available and updated?

  Yes

  No

  N/A

• Dish cloths not left on counters near food?

  Yes

  No

  N/A

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Food service employees

• Employees wearing proper PPE? (Hair nets, non-slip shoes, uniforms and gloves) <br>

  Yes

  No

  N/A

• Worker sanitizes food prep area after handling raw food? <br>

  Yes

  No

  N/A

• Worker washes hands after coughing, sneezing or any other form of contamination?

  Yes

  No

  N/A

• Worker not smoking, eating or chewing gum in the food preparation area?

  Yes

  No

  N/A

• Workers not wearing any jewelry prior to commencing direct food handling?

  Yes

  No

  N/A

• No personal belongings in area near food?

  Yes

  No

  N/A

• Worker using proper gloves for task at hand?<br>

  Yes

  No

  N/A

• Workers have no visible signs of infection, cold, illness, or open sores?

  Yes

  No

  N/A

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Equipment

• Sanitation station working properly? <br>

  Yes

  No

  N/A

• Dishwasher working properly ? <br>

  Yes

  No

  N/A

• Ovens working properly? <br>

  Yes

  No

  N/A

• Safety guards in place where necessary on machines?

  Yes

  No

  N/A

• Knives stored in designated locations?

  Yes

  No

  N/A

• Warming units working properly? <br>

  Yes

  No

  N/A

• All drains are clear, free flowing and plumbing maintained?

  Yes

  No

  N/A

• Pest control equipment functioning properly?

  Yes

  No

  N/A

• No cracked or chipped dishes, glasses or utensils present? <br>

  Yes

  No

  N/A

• All equipment is clean & in sanitary condition?

  Yes

  No

  N/A

• Serving or preparation equipment and utensils stored upside down or under food prep area?

  Yes

  No

  N/A

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Cleanliness and hygiene

• All hand sinks are provided with soap and paper towels? <br>

  Yes

  No

  N/A

• Cooking surfaces are cleaned at least once a day? <br>

  Yes

  No

  N/A

• Dishwasher area cleaned at least once a day?<br>

  Yes

  No

  N/A

• Food contact surfaces are cleaned after each use?

  Yes

  No

  N/A

• Cleaning rags are in proper area (kitchen-red, dining room-blue, prep areas-green)?

  Yes

  No

  N/A

• Kitchen appears free of signs of pests/rodents (eggs/larvae/feces)?

  Yes

  No

  N/A

• Clean linen stored in clean, dry area?

  Yes

  No

  N/A

• Walls and ceilings clean, without chipped paint or holes?

  Yes

  No

  N/A

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Waste Disposal

• Waste area clean?

  Yes

  No

  N/A

• Garbage cans not being over filled?

  Yes

  No

  N/A

• Broken glass in puncture proof container before discarded?

  Yes

  No

  N/A

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Gen Chemical Electrical Safety

• Electrical panels accessible and not blocked?

  Yes

  No

  N/A

• All chemicals clearly labelled?

  Yes

  No

  N/A

• MSDS available and up-to date?

  Yes

  No

  N/A

• Eye-wash stations available?

  Yes

  No

  N/A

• Chemical and cleaning equipment stored properly?

  Yes

  No

  N/A

• All lights in food prep areas are clean & shielded?

  Yes

  No

  N/A

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Logs

• Refrigerator and Freezer temperature logs kept up to date?

  Yes

  No

  N/A

• Dishwashing/Sanitizing Machine Logs up-to-date?

  Yes

  No

  N/A

• Cleaning logs are signed off?<br>

  Yes

  No

  N/A

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Miscellaneous

• General Observations / Comments

  Compliant

  Non-Compliant

  N/A

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