PM Audit Only

• Restaurant Number

• P.M. Performed by (Technician)

• Date of P.M.

• Audit Conducted on

  Date

• Prepared by

POU's

• Cleaned POU's?

  Yes

  No

  N/A

• Cleaned or repaired door hinges?

  Yes

  No

  N/A

• Cleaned or repaired fan and fan covers?

  Yes

  No

  N/A

• Cleaned or repaired gaskets?

  Yes

  No

  N/A

• Are drains clogged?

  Yes

  No

  N/A

Coffee machine

• Calibrated coffee portions?

  Yes

  No

  N/A

• Calibrated tea portions?

  Yes

  No

  N/A

Shake machine

• Cleaned condenser coils?

  Yes

  No

  N/A

• Belts in good condition or replaced?

  Yes

  No

  N/A

Smoothie machine

• Agitator operational?

  Yes

  No

  N/A

• Belt in good condition or replaced?

  Yes

  No

  N/A

• Cleaned condenser?

  Yes

  No

  N/A

Vita mixer

• Pins for shield in proper conditions?

  Yes

  No

  N/A

• Top cover in working conditions?

  Yes

  No

  N/A

• Tighten slinger?

  Yes

  No

  N/A

• Switch in working conditions?

  Yes

  No

  N/A

Fryers

• Cleaned flues?

  Yes

  No

  N/A

• Is 1/2 inch plug leaking?

  Yes

  No

  N/A

• Checked drain line assembly for leaks?

  Yes

  No

  N/A

• Cleaned fans?

  Yes

  No

  N/A

• Relays in working conditions?

  Yes

  No

  N/A

• Power cords in working conditions?

  Yes

  No

  N/A

• Calibrated thermostat control?

  Yes

  No

  N/A

• Inspected all wiring for cracks, burns or breaks & secured wiring?

  Yes

  No

  N/A

• Verified operation of fryer filter system?

  Yes

  No

  N/A

Grill

• Cleaned flue?

  Yes

  No

  N/A

• Checked burners?

  Yes

  No

  N/A

• Inspected wiring harness and secured if needed?

  Yes

  No

  N/A

• Checked for excessive grease build-up?

  Yes

  No

  N/A

• Checked for grease leaks?

  Yes

  No

  N/A

• Inspected pilots and left on working conditions?

  Yes

  No

  N/A

Miscellaneous kitchen equipment

• Cleaned or replaced belts (round up toaster)?

  Yes

  No

  N/A

• Cleaned or replaced release sheets (round up toaster)?

  Yes

  No

  N/A

• Cleaned of replaced release sheet (sourdough toaster)?

  Yes

  No

  N/A

• CK paddlers?

  Yes

  No

  N/A

• Inspected pass through and left in working conditions?

  Yes

  No

  N/A

• Inspected fry bin and left in working conditions?

  Yes

  No

  N/A

• Inspected and cleaned taco warmers and left in working conditions?

  Yes

  No

  N/A

• Inspected and cleaned chicken cabinets and left in working conditions?

  Yes

  No

  N/A

• Inspected and cleaned protein cabinet and left in working conditions?

  Yes

  No

  N/A

• All power cords in working conditions?

  Yes

  No

  N/A

• All switches in working conditions?

  Yes

  No

  N/A

• All other equipment properly heating and in working conditions?

  Yes

  No

  N/A

• Inspected and cleaned grill and fryer hood screens?

  Yes

  No

  N/A

Walk-in refrigerator

• Cleaned or repaired hinges?

  Yes

  No

  N/A

• Door closers in working conditions?

  Yes

  No

  N/A

• Cleaned and repair gaskets?

  Yes

  No

  N/A

• Cleaned and repaired evaporator?

  Yes

  No

  N/A

• Cleaned and repaired fans and fan guards?

  Yes

  No

  N/A

Walk-in freezer

• Cleaned or repaired hinges?

  Yes

  No

  N/A

• Door closers in working conditions?

  Yes

  No

  N/A

• Cleaned and repaired evaporator?

  Yes

  No

  N/A

• Cleaned and repaired fans and fan guards?

  Yes

  No

  N/A

• Cleaned and repaired door heater?

  Yes

  No

  N/A

• Removed ice build-ups?

  Yes

  No

  N/A

Kitchen A.C.

• Cleaned or repaired belts?

  Yes

  No

  N/A

• Cleaned or repaired filters?

  Yes

  No

  N/A

• Dated filters?

  Yes

  No

  N/A

• Greased units?

  Yes

  No

  N/A

• Clean or repaired evaporator coils?

  Yes

  No

  N/A

• Cleaned or repaired condenser lines?

  Yes

  No

  N/A

• Cleaned or repaired drains?

  Yes

  No

  N/A

Dinning room A.C.

• Cleaned or repaired belts?

  Yes

  No

  N/A

• Cleaned or repaired filters?

  Yes

  No

  N/A

• Dated filters?

  Yes

  No

  N/A

• Greased units?

  Yes

  No

  N/A

• Clean or repaired evaporator coils?

  Yes

  No

  N/A

• Cleaned or repaired condenser lines?

  Yes

  No

  N/A

• Cleaned or repaired drains?

  Yes

  No

  N/A

Ice machine

• Cleaned and repaired ice machine?

  Yes

  No

  N/A

Make up air?

• Greased units?

  Yes

  No

  N/A

• Cleaned or repaired filters?

  Yes

  No

  N/A

• Cleaned or repaired belts?

  Yes

  No

  N/A

Miscellaneous roof

• Cleaned roof and left free of debris?

  Yes

  No

  N/A

• All panels and covers left in place and secured?

  Yes

  No

  N/A

• Left restroom fans in working conditions?

  Yes

  No

  N/A

• Cleaned or repaired all drains?

  Yes

  No

  N/A

• Left all units on and in working conditions?

  Yes

  No

  N/A

Signature

• Tech conducting P.M. Audit

  Sign