Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
GALLEY
A. Refrigerators and Freezers
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1 - Cleanliness of Slats and Shelves
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2 - Stability of Materials
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3 - Food Properly Stored on Shelves / Slats - Not Floor
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4 - Leftovers Properly Covered
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5 - No leftovers Older than 24 Hours
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6 - General Housekeeping
B. Food Handlers / Cleaning Staff
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1 - Personnel Free From Open Lesions
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2 - Personnel Free of Respiratory Signs / Symptoms
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3 - Clean Uniforms
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4 - Good Hand washing Practices
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5 - Use of Gloves and Hats / Hairnets
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6 - Sanitary Work Practices
C. Scullery Area
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1 - Sinks / Drains Clean and Clear of Waste
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2 - Dishwasher at proper temperature ( 165 degrees F. or higher )
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3 - Waste Properly Disposed of-
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4 - General Housekeeping
D. Kitchen / Food Preparation Area
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1 - Pots, Pans and Utensils Properly Stored Clean & Dry
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2 - Fire Extinguisher
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3 - Fire Blanket
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4 - Meat Slicer Clean - Guard Properly Installed
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5 - Can Opener
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6 - Mixing Machine
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7 - Ranges, Hoods, and Filters Clean - Free of Grease Buildup
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8 - Exhaust Vents Clear of Dust Buildup
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9 - CO2 System for Range
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10 - Trash Regularly Removed
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11 - Floors Free of Slip and Trip Hazards
E. Galley Area
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1 - Tables and Chairs Clean
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2 - All Sauces, Dressings, Condiments, etc. In-Date
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3 - All Perishables in Refrigerator
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4 - Milk Machine
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5 - Coffee Mess Clean and Stocked
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6 - Ice Machine
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7 - Drink Machines
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8 - General Housekeeping
F. Dry Stores Area
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1 - Proper Storage on Pallets or Shelves
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2 - Stability of Materials
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3 - All Containers, Bags, and Boxes Properly Sealed
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4 - All Items In-Date
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5 - General Housekeeping
LIVING AREA
A. Washrooms, Toilets and Showers
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1 - Floors
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2 - lavatories & Mirrors
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3 - Shower Floors, Walls and Spigots
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4 - Showers Cleaned with Bleach Solution ( Anti Fungus)
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5 - Soap Dishes
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6 - Benches & Shelves
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7 - Mops, Brooms, Clean Buckets and Properly Stored
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8 - Urinals and Commodes Cleaned and Sanitized
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9 - Toilet Paper and Paper Towels Stocked
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10 - Use of Disinfectants
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11 - Waste Bins Emptied
B. Hallways
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1 - Floors and Passageways Clean
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2 - Walls and Handrails
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3 - Lighting- Normal and Emergency
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4 - Escape Routes Clearly Identified
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5 - Waste Bins Emptied
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6 - Use of Disinfectant
C. Bedrooms
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1 - Floors Cleaned and Exit Path Clear
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2 - Lighting
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3 - Muster Map Posted
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4 - Use of Disinfectant
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5 - Waste Bins Emptied
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6 - Linen Changed Weekly
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7 - Towels Changed Daily
D. Stairwells
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1 - Lighting
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2 - Handrails
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3 - Passageway Clear - No Trip, Slip Hazards
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4 - General Housekeeping
E. Recreation Areas
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1 - Floors
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2 - Chairs, Benches
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3 - Waste Bins Emptied
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4 - General Housekeeping
F. Water Fountains
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1 - All Fountains & Spigots Cleaned Daily
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2 - Drains Free of Debris
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3 - Use of Disinfectants
G. Laundry Area
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1 - Dryer Filters Free of Dust and Lint Buildup
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2 - Machines Clean
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3 - Proper Storage of Detergents
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4 - General Housekeeping
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5 - Clean Folding Area
