Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • LOCATION

  • GM / AGM / TRAINERS

GENERAL INFORMATION

  • Date and Time audit began

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

  • ServSafe certifications appropriately displayed

  • Employee health poster available

PEST CONTROL

  • There is no activity of pest or rodent activity

  • Records of pest control visits and the treatments administered are kept

  • There is a pest control company on contract

  • There is a record of all MSDS for all pest control chemicals used

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

  • External openings are adequately sealed to prevent entry of pests

  • Pest sightings are reported by staff

WASTE

  • Waste is removed when bins are 3/4 full

  • Are waste disposal bins identifiable from food storage bins?

  • Are waste containers kept in good repair, clean and emptied after each work period?

  • Is waste disposal kept separated from food preparation areas?

  • Is the dumpster area kept free from debris, clean and sanitized?

  • Are all boxes broken down before disposed of into the dumpster?

PROCUREMENT and RECEIVING FOOD

  • Food items are purchased from approved source. (licensed by the county, state, or federal government)

  • Deliveries are accepted at non peak times

  • Food is inspected before placed into storage (free from damage, contamination, adulteration and spoilage)

  • Food deliveries are kept 6" off the floor before being stored

  • Potentially Hazardous Food (PHF) received at temperature < 41° F or below

  • Frozen food received at temperature < 0° F or below

FOOD SAFETY TRAINING AND INDUCTION

  • All staff is up-to-date and recorded on Food Safety Training (Food Handlers Certification, Serv-Safe)

  • All employees have been taken through an induction covering reporting illness, correct hand washing procedures, correct use of gloves, and personal hygiene standards

  • All employees have appropriate skills and knowledge in food hygiene

  • Staff training records are up-to-date

PERSONNEL HYGIENE PRACTICES

  • Daily hygiene practices are monitored and corrective action is complete

  • There are sufficient hand washing facilities in all food handling areas: warm water, soap, sanitizer, paper towels

  • Food handlers wash their hands as often as necessary

  • Food handlers wear gloves appropriately and correctly

  • Kitchen personnel wear appropriate protective clothing and head coverings

  • Employees wear proper uniform including proper shoes

  • Sick staff is not allowed to work

  • Are staff aware of food safety practices and their responsibilities?

  • First aid products are available and stored in a First Aid Box

  • Fingernails are short, unpolished and clean

  • Hands are washed or gloves are changed at critical points

  • Open sores, cuts, or splints and bandages on hands are completely covered while handling food; wounds are covered with coloured, waterproof dressings

  • All jewelry is removed prior to commencing with direct food handling as necessary

  • Hands are washed thoroughly using proper hand-washing procedures at critical points

  • Chewing gum not allowed or observed

  • There is no evidence of eating in food handling or preparation areas

  • Staff beverages are covered with a lid and straw and stored away from food preparation area

  • Staff take appropriate action when coughing or sneezing

  • Staff wash hands in hand-washing sinks only

  • Employees wash hands before starting work and returning from break

  • Disposal tissues are used and disposed of when coughing/blowing nose

  • Staff observed washing hands between tasks (handling raw meat, seafood, mops, garbage, ect...

DRY FOOD STORAGE

  • Record temperature

  • The Food Safety Log is up-to-date and all corrective actions completed

  • Are all storage areas neat and tidy with food products stored 6" off the ground?

  • All foods are stored in a rotation use-by date basis?

  • Is there a dedicated holding area for foods on hold or involved in a recall or return?

  • Temperature is appropriate between 50° F and 70° F

  • Evidence that temperatures are monitored and recorded

  • Are foods stored to prevent cross-contamination from raw to ready to eat foods in storage areas?

  • Is the structure of the storage area in good condition, for example... no cracks in walls, impervious floors, no condensation?

  • Is storage area well lit

  • Protective light shields cover all light sources

  • All food is labeled with name and delivery date

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

  • Bulk foods are labeled with common name if not in original container<br>(Flour, rice, sugar, ect)

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

  • Food is protected from contamination

  • All surfaces and floor are clean

  • Chemicals and cleaning products are stored away from food and other food related supplies

  • Are storage areas free of evidence of pests?

COLD FOOD STORAGE

WALK IN FREEZER

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

  • Thermometer is conspicuous and accurate

  • The Food Safety Log is up-to-date and all corrective actions completed

  • Evidence that temperatures are monitored and recorded

  • Food is stored 6" off floor

  • All food is properly wrapped, labeled and dated

  • Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?

  • Unit is clean inside and out

COLD PREP LINE

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

  • Thermometer is conspicuous and accurate

  • The Food Safety Log is up-to-date and all corrective actions completed

  • Evidence that temperatures are monitored and recorded

  • All food is properly wrapped, labeled and dated

  • Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?

  • Unit is clean inside and out

REACH IN REFRIGERATOR

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

  • Thermometer is conspicuous and accurate

  • The Food Safety Log is up-to-date and all corrective actions completed

  • Evidence that temperatures are monitored and recorded

  • All food is properly wrapped, labeled and dated

  • Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?

  • Unit is clean inside and out

REACH IN FREEZER

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

  • Thermometer is conspicuous and accurate

  • Evidence that temperatures are monitored and recorded

  • The Food Safety Log is up-to-date and all corrective actions completed

  • All food is properly wrapped, labeled and dated

  • Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?

  • Unit is clean inside and out

WORK TOP REFRIGERATOR

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

  • Thermometer is conspicuous and accurate<br>

  • Evidence that temperatures are monitored and recorded

  • Food being thawed is on lowest shelf(s)

  • All food is properly wrapped, labeled and dated

  • The Food Safety Log is up-to-date and all corrective actions completed

  • Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?

  • Unit is clean inside and out

WALK IN REFRIGERATOR

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

  • Thermometer is conspicuous and accurate<br>

  • Evidence that temperatures are monitored and recorded

  • Food is stored 6" off floor

  • Food being thawed is on lowest shelf(s)

  • All food is properly wrapped, labeled and dated

  • Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?

  • Unit is clean inside and out

FOOD HANDLING

  • Frozen food is thawed under refrigeration or in cold running water

  • Food being thawed is on lowest shelf(s)

  • Are products being thawed covered, and/or wrapped and labeled?

  • Raw foods are not allowed to become cross contaminated with ready to eat foods

  • Thawed products are used within three days of removal from the freezer

  • Food is handled with utensils, clean gloved hands or clean hands

  • Have appropriate corrective actions been taken and recorded whenever problems have occurred?

  • Is the temperature measuring equipment accurate?

  • Are all the critical control points met regarding the thawing process?

  • Is the legal danger zone being observed and monitored?

  • When questioned are staff knowledgeable in safe personal hygiene and food handling practices?

  • Is the equipment and utensils clean prior to use for cooking?

  • Utensils are handled to avoid touching parts that will be in direct contact with food

  • Reusable towels are used only for sanitizing equipment surfaces and not for drying hands, utensils, floors and ect...

COOKING

  • Is the Food Safety Time and Temperature Log up-to-date and all corrective actions completed?

  • Are all foods handled with utensils or where direct hand contact is required, are fresh gloves one?

  • Has appropriate corrective actions been taken and recorded where problems arose?

  • Are cooking times and temperatures satisfactory and monitored by the staff?

  • Are recipe cards used and all recipes followed on a daily basis?

  • Are all necessary steps taken to prevent the likelihood of food being contaminated with microorganisms or allergens during the cooking process?

  • Are staff following good hygiene practices in the cooking process?

  • Is the staff knowledgeable when questioned about the cooking processes and proper food handling?

  • Is the equipment and utensils clean prior to use for cooking?

  • Is the working environment clean and sanitized at the start and maintained as practical as possible during the cooking process?

  • Are hot foods cooked to the appropriate temperature?

  • Is the flow of food such that there is no likelihood of cross-contamination from raw unprocessed food to ready to eat food?

  • Are all critical control points correct during the cooking process?

  • Is the temperature measuring equipment accurate?

UTENSILS and EQUIPMENT

  • Drawer(s) are clean

  • Rack(s) are clean

  • Equipment is covered when clean and not in use

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

  • Dishes are free of stains and food debris

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

EQUIPMENT OPERATION

  • Any equipment issues have been communicated to the necessary entity

  • Inoperative equipment has been repaired, replaced or removed from the community

  • Only approved commercial equipment (NSF or equivalent) are installed in a proper manner

CLEANING and SANITIZING

  • Is can opener clean?

  • Wiping cloths are stored in sanitizing solution while in use with Sanitizing solution 100 ppm Chlorine OR 25 ppm OR 200 ppm quat

  • Is toaster clean?

  • Is slicer clean?

  • Is mixer clean?

  • Is coffee machine clean?

  • Is juice machine clean?

  • Is soda machine clean?

  • Is microwave clean?

  • Is convection oven clean?

  • Are kitchen prep lines clean?

  • Is cooktop clean?

  • Is server prep line clean?

  • Are griddles clean?

  • Is steamer clean, free of lime build up?

  • 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 nozzle?

  • Is steam table clean and free of lime build up

  • Are carts clean and wheels free of rust and debris

3-COMPARTMENT SINK

  • Dish area clean? Incl. sinks, dish machine, trash container, storage areas, utensil racks, etc...

  • Three compartment sink is used for soak, rinse, sanitize

  • Three compartment sink WASH hot, soapy water

  • Three compartment sink RINSE clean, warm water to remove detergents

  • Three compartment sink SANITIZE one minute in clean, warm (at least 75° F) water at:<br>50ppm chlorine OR 12.5 ppm iodine OR 200 ppm quat

  • AIR DRY on drainboard/sink

DISH MACHINE CHEMICAL

  • Chemical monitored and full

  • MSDS Sheets available for all chemicals used?

  • Proper chemical used in machine

GARBAGE STORAGE and DISPOSAL

  • Kitchen garbage cans are clean

  • Garbage cans are emptied as necessary when 3/4 full

  • Boxes are broken down and containers are removed from site to dumpster

  • Dumpster lid(s) are closed

  • Dumpster area is clean

  • Grease container is clean, good repair and lid is closed when not in use

SIGNATURES

  • Signature of PIC

  • 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.