Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Administration

  • 1. There are written policies for Preparation, handling and storage of food, Cleaning and sanitizing of tableware and utensils, and employee health relating to communicable diseases /illnesses.

  • 2. There is a written copy of local health department regulations for storage, handling and disposal of garbage.

  • 3. There is evidence of education for Food Service staff relating to safe food handling and foodborne diseases.

  • 4. The Manager/Supervisor is knowledgeable of the responsibility of Dietary/Food Service in the event of a foodborne outbreak

Receiving Food

  • 1. Evidence that all foods are inspected upon delivery

  • 2. Dented cans returned to the provender for credit

Storage of Food

  • 1. Food is stored only in designated areas in appropriate containers.

  • 2. Toxic cleaning materials and non-food items are stored away from food products.

  • 3. Food is stored at least 12” above floor level, away from walls in a cool dry ventilated area free of insects and rodents.

  • 4. Stock rotated, expiration dates are periodically checked. FIFO

Refrigeration Temperatures for storage of perishable foods are as follows

  • 1. Meats/Poultry – Freezer:(-10°F-10° F) Refrigerator: (34°F-40°f)

  • 2. Fish (frozen) - 100 F

  • 3. Diary Products/Eggs – (36°F-38°F)

  • 4. Produce – (32°F-40°F)

  • 5. Ice Cream/Frozen Foods – 0°F

Food Preparation/Cooking

  • 1. Frozen foods are thawed in the refrigerator at temperatures of 400 or below.

  • 2. Food cooking temps for poultry, stuffed meats, and stuffed pastas: 165°F

  • 3. Food cooking temps for ground beef: 155°F

  • 4. Food cooking temps for beef/pork roast and fish: 145°F

  • 5. Staff avoid touching food directly by using appropriate utensils.

  • 6. Equipment free of pits/crevices, chips and cracks

  • 7. Staff wash and dry all utensils, food contact surfaces and equipment between preparation of food items

  • 8. Reheated food cooked to a minimum of 165°F

Egg Handling and Preparations

  • 1. Bakery used regular shell eggs in all baked goods

  • 2. Pasteurized eggs will be used for cooking eggs for patients and residents.

  • 3. Liquid eggs will be used for all scrambled eggs requested, unless patient is lactose intolerant in which case, shell eggs will be scrambled to order

Management of Garbage

  • 1. Only leak proof, easily cleaned garbage containers with tight fitting lids are used.

  • 2. All garbage is promptly put in garbage containers and stored outdoors or on a smooth surface of non-absorbent material (concrete, asphalt).

Cleaning equipment/food contact surfaces/non-food contact surfaces

  • 1. All food grinders, choppers, and utensils are cleaned sanitized, dried and reassembled after each use.

  • 2. The dishwashing machine is maintained and run according to manufacture’s recommendations.

  • 3. Multiquat Oasis 137 used for all food contact surfaces

  • 4. Utilizing color coated cutting boards correctly

  • 5. Fans not blowing directly on foods

  • 6. Non-food contact surfaces are cleaned as often as necessary to keep them free of dust, dirt, food particles, etc.

  • 7. Food contact surfaces are washed, rinsed and sanitized after each use and following any interruption of operations during which time contamination may have occurred.

Cleaning Rags

  • 1. Red buckets have Microquat solution, Green buckets have soap and water

  • 2. Red buckets kept below or away from food.

  • 3. Sanitizing solution changed every 2 hours.

Ice Machines in the food service area

  • 1. Ice is kept in ice machine with the doors remaining closed.

  • 2. Ice scoops and buckets ran through dishwasher at the end of the night.

  • 3. The top of the ice machine is free of food items.

  • 4. Ice scoops are stored in a clean, covered dry tray (not in the ice).

Ice Machines on patient care units

  • 1. The top of the ice machine is free of any stored items.

  • 2. In the event of a mechanical malfunction, ice will be transported in a clean, covered food service approved container from another machine in the facility.

Cafeteria specific Infection Control practices

  • 1. Hot food is maintained at 140°F (Minimum)

  • 2. Foods are held in small batches and at no time is additional food added to the contained.

  • 3. Food is served with tongs, scoops, and spatula, etc.

  • 4. “Sneeze Guards” at salad bars and serving lines are used

  • 5. Cold salad and desert tables are maintained at 400° F.

  • 6. Two-stage cooling requirement being used

  • 7. Food temps recorded on the log outside the refrigerator

  • 8. Leftovers labeled and stored in freezer or refrigerator no longer that 3 days.

Dish Room Procedures

  • 1. Temperature of dish machine final rinse water is at least 180°F, monitored and recorded after each meal.

  • 2. Silverware washed twice

  • 3. All dishes and silverware allowed to air dry before being used again.

Personal Hygiene

  • 1. Food Service staff adhere to the uniform policy

  • 2. Disposable gloves are used when preparing or serving food.

  • 3. Staff do not touch face, nose, mouth or clothing while preparing, serving food.

  • 4. Staff wash hands appropriately and no jewelry except a watch, wedding/engagement ring and small earrings

  • 5. No fingernail polish or gel/acrylic nails.

EOC

  • 1. All cylinders (oxygen, other compressed gas) are secured

  • 2. Fire extinguishers not obstructed from easy access

  • 3. No electrical panels are blocked

  • 4. Hospital furnishings/equipment are kept in good repair

  • 5. Countertops/doors are in good condition with no chipping to laminate

  • 6. No supplies stored under sinks

  • 7. Paper is not present on fire-rated doors

  • 8. Maintains the integrity of egress throughout the department

  • 9. There is at least 18" of open space maintained below a sprinkler deflector to the top of storage

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.