Title Page

  • Conducted on

  • Prepared by

  • Location
  • Parking lot and sidewalks are free of litter/debris

  • Landscaping is maintained & free of litter/debris

  • Drive thru area is clean and free of litter/debris

  • Building & awnings are clean and in good condition

  • Trash dumpster area is clean and lids and door closed.

  • Receiving area clean and free of litter/debris

  • Entrance, front counter, ceiling, light fixtures, partition, floor maths are clean and in good condition.

  • Ceiling, windows, doors, floors, walls, tiles, drains, baseboards, mats are clean & in good condition

  • Menu boards updated, clean, and in good repair.

  • AC/Heating vents are clean and units working properly

  • Trash cans clean and not overflowing.

  • Beverage counter clean and stocked.

  • Restrooms stocked & walls, floors ceilings & vents are cleaned, stain , litter & debris free. All fixtures are clean and maintenance free. Trash cans are clean, not overflowing & in good condition. RESTROOM IS ODOR FREE

  • Test strips- as pwr chemical- are available, not expired.

  • 3 compartment sink, pre rinse, power soak & dishwashing set up. Sink labeled properly

  • Clean as you go: all surfaces are washed, rinsed, sanitized & air dried.

  • Knives, knife racks & cutting boards approved & in good condition.

  • Sanitizer buckets at prep, breader, fryer, sandwich, packaging and front counter stations.

  • Ice machine is clean, sanitized & free of mold

  • Hand sinks are cleaned, stocked and not obstructed.

  • Vegetable sink is clean/sanitized. Vegetable sanitizer is within ppm.

  • Soft serve machine are cleaned & sanitized daily. Valves and drain are free of mold and and build up.

  • All sanitizer towels ONLY in buckets.

  • Floors, mops, sinks are clean, odor free & in good condition.

  • Mop buckets, mops, signs, brooms, dust pans are clean & in good condition.

  • Walls/doors are clean and in good condition.

  • Lights, light covers, exhaust fans, filters, ceiling vents are clean

  • Fixtures are clean and maintenance free

  • Equipment is clean and maintenance free

  • Upright cooler/freezer are clean

  • Walk in cooler/freezer are clean

  • Ovens, fryers, filtering units are clean

  • Trash cans are clean, not overflowing

  • Corners behind equipment and floor drains are clean

  • Safety ansul/fire extinguishers serviced in the last 6 months

  • Product is in designated area within walk in cooler with label

  • Lower racks are 6in from the ground. No food directly on the floor

  • All open goods in seal containers, properly labeled & dated

  • Food storage racks/carts are clean, in good condition, & products are within shelf life

  • Raw chicke in bottom shelves of cooler. Isolated from ready to eat food.

  • All open produce in 4" plastic clear full pan with false bottom

  • Cash W in place. Closed fryers when not in use.

  • Oil changed when TPM reach 23%

  • All fryers have filters installed

  • All reach in coolers/warmers have thermometers inside

  • Temperature log complete

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.