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
GENERAL INFORMATION
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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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ServSafe certifications appropriately displayed
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Employee food handlers cards available
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Time/Temp/Taste Log completed daily
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Recipe cards are used everyday, recipe book is available.
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MSDS Sheets available in binder for all chemicals used
PROCUREMENT and RECEIVING FOOD
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Food items are purchased from OWC 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
PERSONNEL HYGIENE PRACTICES
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Employees wear proper uniform including proper shoes
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Hair restraint is worn
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Fingernails are short, unpolished and clean
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Jewelry is limited to watch, simple earrings and plain rings
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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
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Hands are washed thoroughly using proper hand-washing procedures at critical points
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Eating or Drinking are observed only in designated areas away from work areas. No gum chewing on shift.
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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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Disposal tissues are used and disposed of when coughing/blowing nose
HANDWASHING
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Hand sinks accessible and stocked with soap, sanitizer, and paper towels
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Staff wash hands in hand-washing sinks only
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Staff observed washing hands between tasks (handling raw meat, seafood, mops, garbage, ect...
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Employees wash hands before starting work and returning from break
PREP AREA
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Food prep areas are kept clean and sanitized at all times?
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Walls are clean from debris and splatter?
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Floors are swept and mopped?
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Prep List followed correctly?
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No cross-contamination observed?
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All equipment is cleaned and sanitized after use?
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Product is dated/labeled correctly?
DRY FOOD STORAGE
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Temperature is appropriate?<br>between 50° F and 70° 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 food is labeled with name and delivery date?
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No cross-contamination is observed?
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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 are stored away from food and other food related supplies?
COLD FOOD STORAGE
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WALK IN FREEZER
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Thermometer is conspicuous and accurate
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Evidence that temperatures are monitored and recorded
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Record temperature here. (must be < 0° F)
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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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No cross-contamination is observed
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Unit is clean inside and out
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Floors are swept and mopped
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Shelves and walls are clean and organized
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WALK IN REFRIGERATOR
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Thermometer is conspicuous and accurate
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Food is stored 6" off floor
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Evidence that temperatures are monitored and recorded
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Record temperature here. (must be < 41° F)
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All food is properly wrapped, labeled and dated
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Open product is 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 product
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Pre-Cooked meats are stored on shelf above raw meats
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Food being thawed is on lowest shelf(s)
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Unit is clean inside and out
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Gaskets are clean and in good repair
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Floors swept and mopped
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Walls and shelving is clean
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REACH IN FREEZER
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Thermometer is conspicuous and accurate
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Record temperature here. (must be < 0° 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 product is sealed and labeled in ziploc bags
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No cross-contamination is observed
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Unit is clean inside and out
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REACH IN REFRIGERATOR
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Thermometer is conspicuous and accurate
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Evidence that temperatures are monitored and recorded
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Record temperature here. (must be < 41° F)
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All food is properly wrapped, labeled and dated
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Open product is sealed and labeled in ziploc bags
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No cross-contamination is observed
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Food being thawed is on lowest shelf(s)
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Unit is clean inside and out
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COLD PREP LINE
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Thermometer is conspicuous and accurate<br>
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Evidence that unit/product temperatures are monitored and recorded
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Record temperature here. (must be < 41° F)
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Product is covered/sealed
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Product is dated/labeled
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Open product is sealed and labeled in ziploc bags
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No cross-contamination is observed
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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 is not allowed to become cross contaminated
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Food is handled with utensils, clean gloved hands or clean hands
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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 in red sanitizer bucket are used only for sanitizing equipment surfaces and not for drying hands, utensils, floors and ect...
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Open food product stored in approved sealed bag/container
UTENSILS and EQUIPMENT
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Storage Rack(s) are labeled, clean and organized
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Chef Base Drawer(s) are clean and organized
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Equipment is covered when clean and not in use
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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 ice machine
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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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EQUIPMENT OPERATION
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Any broken equipment has been reported in a timely manner
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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
GARBAGE 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 clean daily?
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Grease is disposed of in approved grease receptacle, not in dumpster?
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Grease container is clean, closed, and no grease is on ground?
INTEGRATED PEST CONTROL
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Pest Control Log Book on site and updated
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Screens are on open windows and doors are in good repair
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Door sweeps restrict the passage of light
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No evidence of insect or pests is present
SIGNATURES
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Signature of PIC
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Signature of Auditor