Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

SECTION 1. GENERAL INFORMATION

Office Area

  • Date and Time audit began

  • Name(s) of MIC/person(s) in charge (ServSafe certification or equal)

  • Employee food handlers cards available?

  • Is the back office computer in good condition?

  • Is is clean? This includes all peripherals, the printer, modem, etc.

  • Are all cords and cables clean and in good working condition?

  • Are all iPods clean and free of build up?

  • Is the back office system organized?

  • Is the computer neat, organized, and unclottered?

  • Is the computer easy to navigate?

  • Find WERs easily?

  • Find schedules easily?

  • Are all forms labeled correctly?

  • Forms and documents are easily accessible?

  • Are the following forms Oldwest Cafe approved?

  • Sales & Tip Sheet?

  • Guest Waiting List?

  • Food Order Guide?

  • HR Forms?

  • The forms do not have any unapproved changes made to them?

  • Is the internet use history appropriate for daily operations?

  • Are all state, federal, hotline, and in house posters displayed correctly?

  • Time/Temp/Taste Log easily accessible?

  • Has the Time/Temp/Taste Log been filled out the past 7 consecutive days a minimum of 2 times a day?

  • Recipe cards are used everyday, recipe book is available and in good condition?

Employee Files

  • Are employee files complete with W-4, I-9, Oldwest Handbook signature form, Application, and copy of 2 allowed forms of ID?

  • New Hire/Term forms are completed on all employees?

  • Dress code policy signature form signed by all employees?

  • Tip verification signature form signed by all employees that receive tips?

  • Direct Deposit/Paycheck Policy signature form is signed by all employees that have started since July 15, 2015?

  • Employee orientation is completed by management on first day?

  • All forms are signed off by the manager doing orientation?

  • Do all staff members have a current food handlers card within 2 weeks of employment?

  • Wage rates are allowed and within range?

  • Any EDWs given to employees are filled out correctly and signed by the employee and the manager, and a witness if needed?

Employee Training

  • Is approved OWC Training Program followed daily for New FOH staff by trainers and management?

  • Are trainers and managers signing off on evaluations each day of training?

  • Were the 2 most recent hosts given the training tests and evaluations?

  • Were the 2 most recent cashiers given the training tests and evaluations?

  • Are all training tests administered and graded properly by the Trainers?

  • Are Trainers scheduled at appropriate times to train new hires?

  • Is at least one Trainer scheduled and working every shift?

  • Do all Trainers work a minimum of 32 hours per week based on the previous 6 week period?

Pest Control

  • There is a pest control company on contract?

  • Have actions been taken and recorded when there has been evidence of pest activity?

  • Pest sightings are reported by staff to the MIC?

  • Door sweeps restrict the passage of light?

  • No evidence of insect or pests is present? This includes flys, fruit flys, roaches, mice.

Section 2. F.O.H.

Restrooms

  • Men's Restroom

  • Are all lights working?

  • Are the mirrors and fixtures clean and in good repair?

  • Is the floor clean, swept and mopped? Including in the stalls around the toilets.

  • Are the toilets fresh smelling and CLEAN, CLEAN, CLEAN?

  • Is air freshener present?<br>

  • Are the levels of soap, sanitizer, towels, and toilet paper appropriate?

  • Is there an "Employees Must Wash Hands" sign posted?

  • Is all decor clean and in good repair?

  • Are all stall walls clean and in good repair? Includes the top railings of stalls.

  • Are trash cans clean and emptied?

  • Women's Restroom

  • Are all lights working?

  • Are the mirrors and fixtures clean and in good repair?

  • Is the floor clean, swept and mopped? Including in the stalls around the toilets.

  • Are the toilets fresh smelling and CLEAN, CLEAN, CLEAN?

  • Is air freshener present?<br>

  • Are the levels of soap, sanitizer, towels, and toilet paper appropriate?

  • Is there an "Employees Must Wash Hands" sign posted?

  • Is all decor clean and in good repair?

  • Are all stall walls clean and in good repair? Includes top railings of stalls.

  • Are trash cans clean and emptied?

Server Alley

  • Are tea urns clean? Free of build up?

  • Is the top of the tea machine clean and free of build up?

  • Are coffee urns clean? Free of build up?

  • Is the top of the coffee machines clean and free of build up?

  • Are soda nozzles being soaked overnight?

  • Is ice machine clean? Includes sides, front, door, and inside of door.

  • Are cups stored properly, clean, and spot free?

  • Are coffee mugs stored properly, clean, and spot free?

  • Is all shelving clean and orgainzed?

  • Are all syrup dispensers being wiped down at the end of the day?

  • Are all carts clean and free of build up?

  • Are the floors clean and free of food debris?

  • Are all trash cans emptied at the end of the day?

  • Are all trash cans clean?

  • Was next days deployment chart filled out?

  • Are the POS stations cleaned? (includes iPads, printers)

Dining Room

  • Are all lights working in the dining room?

  • Are all lights clean of dust build up?

  • Are the dining room floors swept and mopped including under the tables on a daily basis?

  • Are the dining room floors clean and free from marks, debris, and grime? Are corners clean?

  • Are the walls clean and free from splatter, dust, and grease?

  • Are tables clean and free of any syrup build up?

  • Is gum being scrapped off the bottom of the tables?

  • No tables are being leveled by using sugar packets or napkins?

  • Are all chairs clean, including the backs, the seats, and the legs?

  • Is all the wall decor dusted and clean?

  • Are all overhangs, fences, statues, and columns clean?

  • Are all highchairs wiped down and clean?

  • 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?

  • Are the following condiments available on each table?

  • Ketchup?

  • Jalapeno Ketchup?

  • Sugar?

  • Salt and Pepper?

  • Jellies/Jam?

  • Tobasco/Cholula?

  • Sweetener packet container?

  • Are condiment holders/containers clean and in good repair?

Cashier/Host Stands

  • Are the POS stations clean? (includes iPad and printers)

  • Is the cashier stand clean and organized?

  • Is the decor at the cashier stand clean, organized, apporpriate, and in good repair?

  • Is foyer clean, organized, and free from debris and trash?

  • Is host stand/area clean and organized?

  • Are menus clean and in good repair?

  • Is waiting area clean and orgainized? Benches/seating clean?

Section 3. B.O.H.

  • Walk-In Cooler

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • Food is stored 6" off the floor?<br>

  • All food is properly wrapped, labeled, and dated?

  • Open products are sealed and labeled in ziploc bags?

  • No cross-contamination is observed?

  • Raw meats are stored on bottom shelf, away from other products?

  • Pre-cooked meats are stored on shelf above raw meats?

  • Food being thawed is on the lowest shelf?

  • Unit is clean inside and out?

  • Shelves and walls are clean and organized?

  • Gaskets are clean and in good repair?

  • Floors are swept and mopped?

  • Walk in Freezer

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 0 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • Food is stored 6" off the floor?

  • All food is properly wrapped, labeled, and dated?

  • No cross-contamination is observed?

  • Unit is clean inside and out?

  • Shelves and walls are clean and organized?

  • Gaskets are clean and in good repair?

  • Floors are swept and mopped?

  • Reach In Refrigerator 1

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • Open products are sealed and labeled in ziploc bags?

  • No cross-contamination is observed?

  • Food being thawed is on the lowest shelf?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Reach In Refrigerator 2

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • Open products are sealed and labeled in ziploc bags?

  • No cross-contamination is observed?

  • Food being thawed is on the lowest shelf?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Reach In Freezer 1

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 0 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • Open products are sealed and labeled in ziploc bags?

  • No cross-contamination is observed?

  • Food being thawed is on the lowest shelf?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Reach In Freezer 2

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 0 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • Open products are sealed and labeled in ziploc bags?

  • No cross-contamination is observed?

  • Food being thawed is on the lowest shelf?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Cold Prep Line 1

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • Open products are sealed and labeled in ziploc bags?

  • No cross-contamination is observed?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Cold Prep Line 2

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • Open products are sealed and labeled in ziploc bags?

  • No cross-contamination is observed?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Work Top Refrigeration 1

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • No cross-contamination is observed?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Work Top Refrigeration 2

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • No cross-contamination is observed?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Server Salad Line

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • No cross-contamination is observed?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Misc. Cooler/Freezer 1

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F for a cooler or < 0 degrees F for a freezer)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • No cross-contamination is observed?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

  • Misc. Cooler/Freezer 2

  • Thermometer is conspicuous and accurate?

  • Record temperature here. (must be < 41 degrees F for a cooler or < 0 degrees F for a freezer)

  • Evidence that temperatures are monitored and recorded?

  • All food is properly wrapped, labeled, and dated?

  • No cross-contamination is observed?

  • Gaskets are clean and in good repair?

  • Unit is clean inside and out?

Dry Food Storage

  • Temperature is appropriate? between 50 and 70 degrees F.

  • Is storage area well lit?

  • Protective light shields cover all light sources?

  • All surfaces and floors are clean?

  • All shelving is organized and clean?

  • All food is labeled with name and delivery date?

  • Are all products being rotated correctly?

  • No cross-contamination is observed?

  • The spoon was removed from the bulk peanut butter container?

  • All food and paper supplies are stored 6" off of the floor?

  • Bulk foods are labeled with common name if not in original container? (flour, sugar, salt, etc..)

  • There are no bulging, dented, or leaking canned goods in storage?

  • Food is protected from contamination?

  • Scoops are stored correctly and not left in containers? (sugar, pinto beans, flour, etc..)

  • Chemicals are being stored correctly and not near food in dry storage?

  • Is the Oldwest approved Prep Sheet available? Is it being used daily?

Utensils and Equipment

  • Storage rack(s) are labeled, clean, and organized?

  • Chef base drawers are clean and organized?

  • Utensils are stored correctly by hanging on a rack, not in a bulk container?

  • Ice scoops are stored in appropriate container and not in the ice machine?

  • All dredges are covered properly with plastic?

  • Dishes/coffee cups are free of stains and food debris?

  • Pots and pans are free of carbon build up, stains, and food debris?

  • Inoperative equipment has been repaired, replaced, labeled, or removed from the location?

  • No broken or unusable equipment?

  • Only OWC approved equipment are installed in an approved manner?

  • No equipment is being plugged in with an extension cord?

Cleaning and Sanitizing

  • Are all printers in the kitchen clean and free of grease build up?

  • There are no employee drinks or personal affects left out?

  • Is can opener clean?

  • Is toaster clean? Including the top, sides, and tray.

  • Is slicer clean? Including the blade and the guard.

  • Is mixer clean? Including the bowl, attachment, and the base.

  • Are microwaves clean? Including the top, sides, insides, and handles.

  • Is convection oven clean? Including the inside, the racks, and handle.

  • Is the blender clean? Including the canister and base.

  • Is the heating cabinet clean? Including the inside, the sides, front, and seals.

  • Are griddles clean?

  • Are all knives clean and stored properly?

  • Is the tray under the griddles being pulled out daily and cleaned?

  • Is range hoods and filters clean?

  • Note date of last professional cleaning of range hood and vendor listed.

  • Is deep fryer clean and properly aligned under fire suppression nozzles?

  • Is steam table clean and free of lime build up?

  • Are carts clean and wheels free of rust and debris?

  • Are all floor drains clean?

  • Are the kitchen floors clean? Are they swept and mopped?

  • Are all walls clean?

  • Are all ceiling vents clean?

  • Are ceiling tiles clean?

  • No dirty linens were left out over night?

  • Are the storage closet(s) clean and organized?

  • All dust pans are emptied and not full of trash and food debris?

  • Chemicals and cleaners are stored in designated areas?

Hand Sinks

  • Hand Sink #1

  • Soap is available?

  • Sanitizer is available?

  • Disposable hand towels are available?

  • "Employee Must Wash Hands" sign is posted?

  • Sinks are clean and free from build up? No food debris in drain?

  • Soap and paper towel dispensers are clean? (includes fronts, sides, bottom)

  • Hand Sink #2

  • Soap is available?

  • Sanitizer is available?

  • Disposable hand towels are available?

  • "Employee Must Wash Hands" sign is posted?

  • Sinks are clean and free from build up? No food debris in drain?

  • Soap and paper towel dispensers are clean? (includes fronts, sides, bottom)

  • Hand Sink #3

  • Soap is available?

  • Sanitizer is available?

  • Disposable hand towels are available?

  • "Employee Must Wash Hands" sign is posted?

  • Sinks are clean and free from build up? No food debris in drain?

  • Soap and paper towel dispensers are clean? (includes fronts, sides, bottom)

Dish Pit

  • Is 3 compartment sink clean, sanitized, and dried at the end of each shift?

  • Is the dishwasher clean and in good repair?

  • There are no dirty dishes left in the dishwasher overnight?

  • All clean dishes are put away to their correct locations?

  • Is the wall and floor under the 3 compartment sink clean and free of debris?

  • Has all standing water on the floor been mopped?

Mop Sink Area

  • Are mops cleaned and stored correctly?

  • Is mop sink and surrounding area clean?

Garbage/Grease Storage and Disposal

  • Kitchen garbage cans are clean and covered when not in use?

  • Garbage cans are emptied as necessary?

  • Boxes and containers are broken down and disposed of?

  • Dumpster lid(s) are closed?

  • Dumpster area is swept and cleaned daily?

  • Grease is disposed of in approved grease redeptacle, no in dumpster?

  • Grease container is clean, closed, and no grease is on the ground?

Uniform and Apron Counts

  • Are the correct amount of t-shirts present in the store according to inventory sheet?

  • Are the correct amount of aprons present in the store according to the inventory sheet?

Closing Managers and Employees

  • Who was the closing manager(s) for this shift?

  • How many servers closed this shift?

  • Who were they?

  • How many cooks closed this shift?

  • Who were they?

  • How many dishwashers closed this shift?

  • Who were they?

Signatures

  • Signature of Auditor

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.