Information
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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
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Location
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Personnel
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LOCATION
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GM / AGM / TRAINERS
GENERAL INFORMATION
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Date and Time audit began
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Name(s) of PIC/person(s) in charge (ServSafe certification or equal)
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ServSafe certifications appropriately displayed
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Employee health poster available
PEST CONTROL
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There is no activity of pest or rodent activity
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Records of pest control visits and the treatments administered are kept
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There is a pest control company on contract
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There is a record of all MSDS for all pest control chemicals used
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Have actions been taken and recorded when there has been evidence of pest activity?
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External openings are adequately sealed to prevent entry of pests
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Pest sightings are reported by staff
WASTE
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Waste is removed when bins are 3/4 full
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Are waste disposal bins identifiable from food storage bins?
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Are waste containers kept in good repair, clean and emptied after each work period?
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Is waste disposal kept separated from food preparation areas?
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Is the dumpster area kept free from debris, clean and sanitized?
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Are all boxes broken down before disposed of into the dumpster?
PROCUREMENT and RECEIVING FOOD
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Food items are purchased from approved source. (licensed by the county, state, or federal government)
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Deliveries are accepted at non peak times
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Food is inspected before placed into storage (free from damage, contamination, adulteration and spoilage)
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Food deliveries are kept 6" off the floor before being stored
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Potentially Hazardous Food (PHF) received at temperature < 41° F or below
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Frozen food received at temperature < 0° F or below
FOOD SAFETY TRAINING AND INDUCTION
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All staff is up-to-date and recorded on Food Safety Training (Food Handlers Certification, Serv-Safe)
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All employees have been taken through an induction covering reporting illness, correct hand washing procedures, correct use of gloves, and personal hygiene standards
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All employees have appropriate skills and knowledge in food hygiene
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Staff training records are up-to-date
PERSONNEL HYGIENE PRACTICES
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Daily hygiene practices are monitored and corrective action is complete
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There are sufficient hand washing facilities in all food handling areas: warm water, soap, sanitizer, paper towels
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Food handlers wash their hands as often as necessary
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Food handlers wear gloves appropriately and correctly
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Kitchen personnel wear appropriate protective clothing and head coverings
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Employees wear proper uniform including proper shoes
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Sick staff is not allowed to work
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Are staff aware of food safety practices and their responsibilities?
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First aid products are available and stored in a First Aid Box
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Fingernails are short, unpolished and clean
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Hands are washed or gloves are changed at critical points
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Open sores, cuts, or splints and bandages on hands are completely covered while handling food; wounds are covered with coloured, waterproof dressings
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All jewelry is removed prior to commencing with direct food handling as necessary
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Hands are washed thoroughly using proper hand-washing procedures at critical points
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Chewing gum not allowed or observed
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There is no evidence of eating in food handling or preparation areas
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Staff beverages are covered with a lid and straw and stored away from food preparation area
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Staff take appropriate action when coughing or sneezing
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Staff wash hands in hand-washing sinks only
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Employees wash hands before starting work and returning from break
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Disposal tissues are used and disposed of when coughing/blowing nose
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Staff observed washing hands between tasks (handling raw meat, seafood, mops, garbage, ect...
DRY FOOD STORAGE
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Record temperature
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The Food Safety Log is up-to-date and all corrective actions completed
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Are all storage areas neat and tidy with food products stored 6" off the ground?
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All foods are stored in a rotation use-by date basis?
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Is there a dedicated holding area for foods on hold or involved in a recall or return?
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Temperature is appropriate between 50° F and 70° F
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Evidence that temperatures are monitored and recorded
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Are foods stored to prevent cross-contamination from raw to ready to eat foods in storage areas?
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Is the structure of the storage area in good condition, for example... no cracks in walls, impervious floors, no condensation?
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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 food is labeled with name and delivery date
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All food and paper supplies are 6" off the floor
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Bulk foods are labeled with common name if not in original container<br>(Flour, rice, sugar, ect)
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There is no bulging, dented or leaking canned goods in storage
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Food is protected from contamination
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All surfaces and floor are clean
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Chemicals and cleaning products are stored away from food and other food related supplies
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Are storage areas free of evidence of pests?
COLD FOOD STORAGE
WALK IN FREEZER
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Record temperature here. (must be < 0° F)
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Thermometer is conspicuous and accurate
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The Food Safety Log is up-to-date and all corrective actions completed
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Evidence that temperatures are monitored and recorded
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Food is stored 6" off floor
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All food is properly wrapped, labeled and dated
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Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?
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Unit is clean inside and out
COLD PREP LINE
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Record temperature here. (must be < 41° F)
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Thermometer is conspicuous and accurate
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The Food Safety Log is up-to-date and all corrective actions completed
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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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Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?
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Unit is clean inside and out
REACH IN REFRIGERATOR
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Record temperature here. (must be < 41° F)
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Thermometer is conspicuous and accurate
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The Food Safety Log is up-to-date and all corrective actions completed
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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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Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?
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Unit is clean inside and out
REACH IN FREEZER
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Record temperature here. (must be < 0° F)
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Thermometer is conspicuous and accurate
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Evidence that temperatures are monitored and recorded
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The Food Safety Log is up-to-date and all corrective actions completed
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All food is properly wrapped, labeled and dated
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Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?
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Unit is clean inside and out
WORK TOP REFRIGERATOR
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Record temperature here. (must be < 41° F)
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Thermometer is conspicuous and accurate<br>
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Evidence that temperatures are monitored and recorded
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Food being thawed is on lowest shelf(s)
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All food is properly wrapped, labeled and dated
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The Food Safety Log is up-to-date and all corrective actions completed
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Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?
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Unit is clean inside and out
WALK IN REFRIGERATOR
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Record temperature here. (must be < 41° F)
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Thermometer is conspicuous and accurate<br>
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Evidence that temperatures are monitored and recorded
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Food is stored 6" off floor
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Food being thawed is on lowest shelf(s)
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All food is properly wrapped, labeled and dated
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Is there adequate control to prevent likelihood of cooked and ready to eat foods being contaminated by raw and unprocessed foods?
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Unit is clean inside and out
FOOD HANDLING
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Frozen food is thawed under refrigeration or in cold running water
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Food being thawed is on lowest shelf(s)
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Are products being thawed covered, and/or wrapped and labeled?
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Raw foods are not allowed to become cross contaminated with ready to eat foods
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Thawed products are used within three days of removal from the freezer
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Food is handled with utensils, clean gloved hands or clean hands
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Have appropriate corrective actions been taken and recorded whenever problems have occurred?
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Is the temperature measuring equipment accurate?
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Are all the critical control points met regarding the thawing process?
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Is the legal danger zone being observed and monitored?
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When questioned are staff knowledgeable in safe personal hygiene and food handling practices?
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Is the equipment and utensils clean prior to use for cooking?
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Utensils are handled to avoid touching parts that will be in direct contact with food
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Reusable towels are used only for sanitizing equipment surfaces and not for drying hands, utensils, floors and ect...
COOKING
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Is the Food Safety Time and Temperature Log up-to-date and all corrective actions completed?
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Are all foods handled with utensils or where direct hand contact is required, are fresh gloves one?
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Has appropriate corrective actions been taken and recorded where problems arose?
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Are cooking times and temperatures satisfactory and monitored by the staff?
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Are recipe cards used and all recipes followed on a daily basis?
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Are all necessary steps taken to prevent the likelihood of food being contaminated with microorganisms or allergens during the cooking process?
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Are staff following good hygiene practices in the cooking process?
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Is the staff knowledgeable when questioned about the cooking processes and proper food handling?
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Is the equipment and utensils clean prior to use for cooking?
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Is the working environment clean and sanitized at the start and maintained as practical as possible during the cooking process?
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Are hot foods cooked to the appropriate temperature?
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Is the flow of food such that there is no likelihood of cross-contamination from raw unprocessed food to ready to eat food?
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Are all critical control points correct during the cooking process?
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Is the temperature measuring equipment accurate?
UTENSILS and EQUIPMENT
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Drawer(s) are clean
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Rack(s) are clean
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Equipment is covered when clean and not in use
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Ice scoops are stored in appropriate container and not in ice machine
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Dishes are free of stains and food debris
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Pots and pans are free of carbon build up, stains and food debris
EQUIPMENT OPERATION
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Any equipment issues have been communicated to the necessary entity
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Inoperative equipment has been repaired, replaced or removed from the community
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Only approved commercial equipment (NSF or equivalent) are installed in a proper manner
CLEANING and SANITIZING
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Is can opener clean?
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Wiping cloths are stored in sanitizing solution while in use with Sanitizing solution 100 ppm Chlorine OR 25 ppm OR 200 ppm quat
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Is toaster clean?
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Is slicer clean?
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Is mixer clean?
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Is coffee machine clean?
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Is juice machine clean?
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Is soda machine clean?
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Is microwave clean?
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Is convection oven clean?
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Are kitchen prep lines clean?
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Is cooktop clean?
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Is server prep line clean?
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Are griddles clean?
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Is steamer clean, free of lime build up?
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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 nozzle?
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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
3-COMPARTMENT SINK
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Dish area clean? Incl. sinks, dish machine, trash container, storage areas, utensil racks, etc...
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Three compartment sink is used for soak, rinse, sanitize
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Three compartment sink WASH hot, soapy water
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Three compartment sink RINSE clean, warm water to remove detergents
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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
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AIR DRY on drainboard/sink
DISH MACHINE CHEMICAL
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Chemical monitored and full
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MSDS Sheets available for all chemicals used?
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Proper chemical used in machine
GARBAGE STORAGE and DISPOSAL
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Kitchen garbage cans are clean
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Garbage cans are emptied as necessary when 3/4 full
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Boxes are broken down and containers are removed from site to dumpster
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Dumpster lid(s) are closed
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Dumpster area is clean
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Grease container is clean, good repair and lid is closed when not in use
SIGNATURES
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Signature of PIC
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Signature of Auditor