Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Physician Lounges<br>

Marketing / Communication

  • Was all signage clean and professional looking?<br>

  • Was nutritional information available for any items prepared in-house?<br>

Cleanliness / Organization

  • Were cutlery dispensers being maintained?<br>

  • Was the service area clean and free of debris?<br>

  • Were there any noticeable safety, equipment, or floor hazards (standing water, obstructions or grease spills) evident and not addressed by staff?<br>

  • Was foodservice equipment in good working order?<br>

  • Was regular cleaning and maintaining of foodservice equipment observed?<br>

Merchandising

  • Were freshly prepared menu items available throughout the meal period?<br>

  • Was the condiment counter clean and supplied with non-dairy products, sweeteners, stirs and napkins?<br>

  • Were the racks/shelves stocked without empty slots for retail items?<br>

  • Were the refrigerated cases stocked without empty slots?<br>

  • Were the frozen cases stocked without empty slots?<br>

  • Was the fresh product properly labeled and dated?<br>

Administration / Procedures

  • Were all Morrison managed FF&E items clean and regularly maintained by the operator?<br>

  • Were all Morrison managed FF&E items operational? Was there evidence a work order has been submitted for repair?<br>

  • Were wet floor cones or signs available and easy to find?<br>

Product Selection Standards

  • Did the desserts look / appear fresh?<br>

  • Did cold entrée look / appear fresh?<br>

  • Did the fresh sides / snacks look / appear fresh?<br>

  • Did the composed/fresh salads look / appear fresh?<br>

  • Did the deli sandwiches look / appear fresh?<br>

  • Did the breakfast items look / appear fresh?<br>

  • Were breakfast items available all day?<br>

  • Were the single-serve beverage offerings consistent with the local requirements. (coffee, water, sports drink, teas, carbonated beverage, juice, etc.)?<br>

Safety / Food Safety

  • Were all pre-packaged or carry-out products, labeled, dated and not expired?<br>

  • Does the operator have a method for ensuring that products being served are consistently maintained at a temperature of 41 degrees or below or 135 degrees and above?<br>

  • Were temperature logs for cold storage units completed each day?<br>

Wellness Initiatives

  • Were items that meet approved Healthy You eating program identified and promoted?<br>

  • Was nutritional information per the FDA guidelines available for menu items prepared inhouse?<br>

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.