Title Page
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Conducted on
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Prepared by
Dining Room
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Was the Front door and windows cleaned
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Was the Floor Swept - No food or debris left on floor
- Good
- Fair
- Below average
- Poor
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Was the Floor Mopped - No food or debris left on floor
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Were the tables wiped down sanitizer And cleaned
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Were the Napkins refilled and holders wiped down
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Was the Coke Machine wiped clean and heads removed
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Was The trash emptied
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Was the salad bar and area Cleaned
Make Table and Area
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Was make table cleaned and wiped down with sanitizer
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Was the floor Swept and moped
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No dried Purée or other food particles on table or wall
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All doors and lids cleaned and free of food particles
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All utensils taken and cleaned - laddle removed from purée
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Inside of make table clean and no food particles on shelves or bottom floor of cooler
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All trash taken out
Oven Area.
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Was Floor swept and mopped
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Was Cut table cleaned and wiped with sanitizer
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No Dried Food Particles on table or wall
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All utensils taken and cleaned
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All trash taken out
Waitress Hallway
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Was the Floor Swept and mopped
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Were the tables wiped clean and sanitized
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Coke machine wiped clean and nozzle soaking
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Were the cheese warmers emptied and wiped clean
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All trash taken out
Back Kitchen
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Was the floor Swept and mopped
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All tables wiped clean and sanitized
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Dough machine cleaned off and wiped down
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All trash taken out
Dish Room
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Was the floor Swept
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Was the floor Mopped
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All dishes washed and cleaned it away
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Dish sink cleaned out and free of food particles
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All trash taken out
Walk In Cooler
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Was the floor Swept
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Was product stored on the floor
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Dough trays covered
Bathrooms
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Was the Men’s bathroom swept and mopped
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Was the men’s bathroom trash taken out
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Was the men’s toilet wiped clean
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Was the Women’a bathroom floor Swept and mopped
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Was the women’s toilet wiped clean
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Was the Women’s bathroom trash taken out
Special areas of Concern
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All carts wiped clean of all purée and food particles
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Ice Cream machine broke down and cleaned
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Any Dinks left laying out from the night before
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Any Pizza or any other food left out from the night before
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All cleaning supplies put up in proper locations away from food products
Temperature Control
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Walk In Temperature
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Make Table Temperature
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Coke Cooler Temperature
