Information

  • Audit Title

  • Prepared by

  • Document No.

  • Site name

  • Conducted on

  • Location
  • Attendees

Inspection report requirements and metrics

  • Cleaning/H&S inspection shall be performed once per week by the Duty manager (or authorized representative).

  • Key:

    Good = 10 points
    Fair = 5 points
    Poor = 0 points

    Yes = 10 points
    No = 0 points
    NA = 10 points

Seating area - Cleaniness

  • Floor surfaces

  • Table and chairs clean and placed appropriately

  • High chairs

  • Comfy chairs

  • Bins adequate

  • Skirting boards and ledges

  • Sugar table clean and stocked adequately

  • Floor surfaces

  • Overall appearance

Kitchen - Cleaniness

  • Floor Surfaces

  • Tiles

  • Food preparation area clean and clear

  • Bins adequate

  • Fridges wiped and seals clean

  • Grill

  • Hob

  • Panini Grill

  • Both sinks clean

  • Hand sink stocked & clean

  • Overall Appearance

Service area - Cleaniness

  • Floor Services

  • Coffee machines

  • Hot water machine

  • service counter

  • Cupboards clean and tidy

  • Fridges wipe down and seals clean

  • Overall apperance

Seating area - Equipment checks

  • General seating - Legs strong and properly fastened

  • Comfy chairs

  • Tables - Legs balanced & properly fastened

  • High chairs - Straps work & opens out correctly

  • Floor undamaged

  • Lighting

  • Ceiling

  • Vending machines stocked and working properly

Kitchen Equipment Checks

  • Fryer safe and working

  • Fridges all working and at adequate temperatures

  • Freezers all working and at adequate temperatures

  • Microwaves both working efficiently

  • Panini grill working correctly

  • Grill

  • Hob

  • Oven

  • Dishwasher working effectively

Stock Levels

  • Milk Fridge tidy, stocked & products in date

  • Main stock room tidy, stocked & products in date

  • Kitchen fridges tidy, stocked & properly dated

  • Display fridges tidy, stocked & products in date

  • All freezers stocked correctly

Checks signed off

  • Opening and closing checklist signed off correctly

  • Cleaning checks signed off correctly

  • Fridge and freezer checks signed off correctly

  • All other checks suffient

Staff appearance and training

  • All staff on shift wearing correct uniform

  • All staff on shift displaying correct name badge

  • All staff on shift presented smartly and fit for work

  • All staff on shift have correct training required to carry out shift

Assessors signatures

  • Duty Manager or authorized representative

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.