Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
SECTION 1. GENERAL INFORMATION
Office Area
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Date and Time audit began
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Name(s) of MIC/person(s) in charge (ServSafe certification or equal)
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Employee food handlers cards available?
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Is the back office computer in good condition?
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Is is clean? This includes all peripherals, the printer, modem, etc.
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Are all cords and cables clean and in good working condition?
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Are all iPods clean and free of build up?
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Is the back office system organized?
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Is the computer neat, organized, and unclottered?
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Is the computer easy to navigate?
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Find WERs easily?
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Find schedules easily?
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Are all forms labeled correctly?
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Forms and documents are easily accessible?
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Are the following forms Oldwest Cafe approved?
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Sales & Tip Sheet?
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Guest Waiting List?
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Food Order Guide?
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HR Forms?
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The forms do not have any unapproved changes made to them?
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Is the internet use history appropriate for daily operations?
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Are all state, federal, hotline, and in house posters displayed correctly?
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Time/Temp/Taste Log easily accessible?
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Has the Time/Temp/Taste Log been filled out the past 7 consecutive days a minimum of 2 times a day?
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Recipe cards are used everyday, recipe book is available and in good condition?
Employee Files
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Are employee files complete with W-4, I-9, Oldwest Handbook signature form, Application, and copy of 2 allowed forms of ID?
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New Hire/Term forms are completed on all employees?
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Dress code policy signature form signed by all employees?
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Tip verification signature form signed by all employees that receive tips?
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Direct Deposit/Paycheck Policy signature form is signed by all employees that have started since July 15, 2015?
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Employee orientation is completed by management on first day?
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All forms are signed off by the manager doing orientation?
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Do all staff members have a current food handlers card within 2 weeks of employment?
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Wage rates are allowed and within range?
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Any EDWs given to employees are filled out correctly and signed by the employee and the manager, and a witness if needed?
Employee Training
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Is approved OWC Training Program followed daily for New FOH staff by trainers and management?
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Are trainers and managers signing off on evaluations each day of training?
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Were the 2 most recent hosts given the training tests and evaluations?
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Were the 2 most recent cashiers given the training tests and evaluations?
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Are all training tests administered and graded properly by the Trainers?
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Are Trainers scheduled at appropriate times to train new hires?
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Is at least one Trainer scheduled and working every shift?
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Do all Trainers work a minimum of 32 hours per week based on the previous 6 week period?
Pest Control
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There is a pest control company on contract?
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Have actions been taken and recorded when there has been evidence of pest activity?
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Pest sightings are reported by staff to the MIC?
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Door sweeps restrict the passage of light?
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No evidence of insect or pests is present? This includes flys, fruit flys, roaches, mice.
Section 2. F.O.H.
Restrooms
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Men's Restroom
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Are all lights working?
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Are the mirrors and fixtures clean and in good repair?
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Is the floor clean, swept and mopped? Including in the stalls around the toilets.
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Are the toilets fresh smelling and CLEAN, CLEAN, CLEAN?
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Is air freshener present?<br>
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Are the levels of soap, sanitizer, towels, and toilet paper appropriate?
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Is there an "Employees Must Wash Hands" sign posted?
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Is all decor clean and in good repair?
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Are all stall walls clean and in good repair? Includes the top railings of stalls.
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Are trash cans clean and emptied?
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Women's Restroom
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Are all lights working?
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Are the mirrors and fixtures clean and in good repair?
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Is the floor clean, swept and mopped? Including in the stalls around the toilets.
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Are the toilets fresh smelling and CLEAN, CLEAN, CLEAN?
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Is air freshener present?<br>
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Are the levels of soap, sanitizer, towels, and toilet paper appropriate?
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Is there an "Employees Must Wash Hands" sign posted?
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Is all decor clean and in good repair?
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Are all stall walls clean and in good repair? Includes top railings of stalls.
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Are trash cans clean and emptied?
Server Alley
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Are tea urns clean? Free of build up?
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Is the top of the tea machine clean and free of build up?
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Are coffee urns clean? Free of build up?
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Is the top of the coffee machines clean and free of build up?
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Are soda nozzles being soaked overnight?
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Is ice machine clean? Includes sides, front, door, and inside of door.
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Are cups stored properly, clean, and spot free?
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Are coffee mugs stored properly, clean, and spot free?
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Is all shelving clean and orgainzed?
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Are all syrup dispensers being wiped down at the end of the day?
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Are all carts clean and free of build up?
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Are the floors clean and free of food debris?
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Are all trash cans emptied at the end of the day?
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Are all trash cans clean?
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Was next days deployment chart filled out?
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Are the POS stations cleaned? (includes iPads, printers)
Dining Room
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Are all lights working in the dining room?
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Are all lights clean of dust build up?
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Are the dining room floors swept and mopped including under the tables on a daily basis?
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Are the dining room floors clean and free from marks, debris, and grime? Are corners clean?
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Are the walls clean and free from splatter, dust, and grease?
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Are tables clean and free of any syrup build up?
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Is gum being scrapped off the bottom of the tables?
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No tables are being leveled by using sugar packets or napkins?
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Are all chairs clean, including the backs, the seats, and the legs?
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Is all the wall decor dusted and clean?
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Are all overhangs, fences, statues, and columns clean?
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Are all highchairs wiped down and clean?
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Are all tables re-set correctly at the end of the day for the start of the next shift? Are all condiments on the table and has silverware been replaced?
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Are the following condiments available on each table?
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Ketchup?
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Jalapeno Ketchup?
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Sugar?
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Salt and Pepper?
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Jellies/Jam?
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Tobasco/Cholula?
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Sweetener packet container?
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Are condiment holders/containers clean and in good repair?
Cashier/Host Stands
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Are the POS stations clean? (includes iPad and printers)
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Is the cashier stand clean and organized?
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Is the decor at the cashier stand clean, organized, apporpriate, and in good repair?
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Is foyer clean, organized, and free from debris and trash?
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Is host stand/area clean and organized?
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Are menus clean and in good repair?
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Is waiting area clean and orgainized? Benches/seating clean?
Section 3. B.O.H.
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Walk-In Cooler
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F)
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Evidence that temperatures are monitored and recorded?
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Food is stored 6" off the floor?<br>
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All food is properly wrapped, labeled, and dated?
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Open products are sealed and labeled in ziploc bags?
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No cross-contamination is observed?
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Raw meats are stored on bottom shelf, away from other products?
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Pre-cooked meats are stored on shelf above raw meats?
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Food being thawed is on the lowest shelf?
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Unit is clean inside and out?
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Shelves and walls are clean and organized?
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Gaskets are clean and in good repair?
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Floors are swept and mopped?
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Walk in Freezer
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 0 degrees F)
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Evidence that temperatures are monitored and recorded?
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Food is stored 6" off the floor?
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All food is properly wrapped, labeled, and dated?
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No cross-contamination is observed?
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Unit is clean inside and out?
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Shelves and walls are clean and organized?
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Gaskets are clean and in good repair?
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Floors are swept and mopped?
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Reach In Refrigerator 1
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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Open products are sealed and labeled in ziploc bags?
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No cross-contamination is observed?
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Food being thawed is on the lowest shelf?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Reach In Refrigerator 2
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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Open products are sealed and labeled in ziploc bags?
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No cross-contamination is observed?
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Food being thawed is on the lowest shelf?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Reach In Freezer 1
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 0 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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Open products are sealed and labeled in ziploc bags?
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No cross-contamination is observed?
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Food being thawed is on the lowest shelf?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Reach In Freezer 2
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 0 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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Open products are sealed and labeled in ziploc bags?
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No cross-contamination is observed?
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Food being thawed is on the lowest shelf?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Cold Prep Line 1
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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Open products are sealed and labeled in ziploc bags?
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No cross-contamination is observed?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Cold Prep Line 2
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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Open products are sealed and labeled in ziploc bags?
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No cross-contamination is observed?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Work Top Refrigeration 1
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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No cross-contamination is observed?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Work Top Refrigeration 2
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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No cross-contamination is observed?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Server Salad Line
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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No cross-contamination is observed?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Misc. Cooler/Freezer 1
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F for a cooler or < 0 degrees F for a freezer)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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No cross-contamination is observed?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
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Misc. Cooler/Freezer 2
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Thermometer is conspicuous and accurate?
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Record temperature here. (must be < 41 degrees F for a cooler or < 0 degrees F for a freezer)
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Evidence that temperatures are monitored and recorded?
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All food is properly wrapped, labeled, and dated?
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No cross-contamination is observed?
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Gaskets are clean and in good repair?
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Unit is clean inside and out?
Dry Food Storage
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Temperature is appropriate? between 50 and 70 degrees F.
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Is storage area well lit?
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Protective light shields cover all light sources?
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All surfaces and floors are clean?
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All shelving is organized and clean?
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All food is labeled with name and delivery date?
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Are all products being rotated correctly?
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No cross-contamination is observed?
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The spoon was removed from the bulk peanut butter container?
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All food and paper supplies are stored 6" off of the floor?
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Bulk foods are labeled with common name if not in original container? (flour, sugar, salt, etc..)
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There are no bulging, dented, or leaking canned goods in storage?
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Food is protected from contamination?
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Scoops are stored correctly and not left in containers? (sugar, pinto beans, flour, etc..)
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Chemicals are being stored correctly and not near food in dry storage?
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Is the Oldwest approved Prep Sheet available? Is it being used daily?
Utensils and Equipment
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Storage rack(s) are labeled, clean, and organized?
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Chef base drawers are clean and organized?
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Utensils are stored correctly by hanging on a rack, not in a bulk container?
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Ice scoops are stored in appropriate container and not in the ice machine?
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All dredges are covered properly with plastic?
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Dishes/coffee cups are free of stains and food debris?
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Pots and pans are free of carbon build up, stains, and food debris?
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Inoperative equipment has been repaired, replaced, labeled, or removed from the location?
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No broken or unusable equipment?
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Only OWC approved equipment are installed in an approved manner?
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No equipment is being plugged in with an extension cord?
Cleaning and Sanitizing
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Are all printers in the kitchen clean and free of grease build up?
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There are no employee drinks or personal affects left out?
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Is can opener clean?
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Is toaster clean? Including the top, sides, and tray.
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Is slicer clean? Including the blade and the guard.
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Is mixer clean? Including the bowl, attachment, and the base.
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Are microwaves clean? Including the top, sides, insides, and handles.
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Is convection oven clean? Including the inside, the racks, and handle.
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Is the blender clean? Including the canister and base.
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Is the heating cabinet clean? Including the inside, the sides, front, and seals.
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Are griddles clean?
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Are all knives clean and stored properly?
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Is the tray under the griddles being pulled out daily and cleaned?
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Is range hoods and filters clean?
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Note date of last professional cleaning of range hood and vendor listed.
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Is deep fryer clean and properly aligned under fire suppression nozzles?
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Is steam table clean and free of lime build up?
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Are carts clean and wheels free of rust and debris?
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Are all floor drains clean?
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Are the kitchen floors clean? Are they swept and mopped?
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Are all walls clean?
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Are all ceiling vents clean?
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Are ceiling tiles clean?
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No dirty linens were left out over night?
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Are the storage closet(s) clean and organized?
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All dust pans are emptied and not full of trash and food debris?
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Chemicals and cleaners are stored in designated areas?
Hand Sinks
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Hand Sink #1
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Soap is available?
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Sanitizer is available?
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Disposable hand towels are available?
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"Employee Must Wash Hands" sign is posted?
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Sinks are clean and free from build up? No food debris in drain?
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Soap and paper towel dispensers are clean? (includes fronts, sides, bottom)
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Hand Sink #2
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Soap is available?
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Sanitizer is available?
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Disposable hand towels are available?
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"Employee Must Wash Hands" sign is posted?
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Sinks are clean and free from build up? No food debris in drain?
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Soap and paper towel dispensers are clean? (includes fronts, sides, bottom)
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Hand Sink #3
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Soap is available?
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Sanitizer is available?
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Disposable hand towels are available?
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"Employee Must Wash Hands" sign is posted?
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Sinks are clean and free from build up? No food debris in drain?
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Soap and paper towel dispensers are clean? (includes fronts, sides, bottom)
Dish Pit
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Is 3 compartment sink clean, sanitized, and dried at the end of each shift?
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Is the dishwasher clean and in good repair?
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There are no dirty dishes left in the dishwasher overnight?
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All clean dishes are put away to their correct locations?
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Is the wall and floor under the 3 compartment sink clean and free of debris?
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Has all standing water on the floor been mopped?
Mop Sink Area
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Are mops cleaned and stored correctly?
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Is mop sink and surrounding area clean?
Garbage/Grease Storage and Disposal
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Kitchen garbage cans are clean and covered when not in use?
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Garbage cans are emptied as necessary?
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Boxes and containers are broken down and disposed of?
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Dumpster lid(s) are closed?
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Dumpster area is swept and cleaned daily?
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Grease is disposed of in approved grease redeptacle, no in dumpster?
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Grease container is clean, closed, and no grease is on the ground?
Uniform and Apron Counts
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Are the correct amount of t-shirts present in the store according to inventory sheet?
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Are the correct amount of aprons present in the store according to the inventory sheet?
Closing Managers and Employees
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Who was the closing manager(s) for this shift?
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How many servers closed this shift?
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Who were they?
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How many cooks closed this shift?
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Who were they?
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How many dishwashers closed this shift?
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Who were they?
Signatures
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Signature of Auditor