Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
QASA part 1
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All questions are broken down into criteria. If you meet the standards of that criteria tick the checkbox. If you fail to meet one or more criteria then answer no for the parent question. If all criteria are met answer yes to the question. CRITICAL questions are 5 point standards. All other questions are 2 points.
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1.1 Smallwares / equipment food contact surfaces, approved, clean and in good repair
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1.1a Condiment bar carafes and shakers are unapproved dirty in poor repair
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Condiment bar carafes and shakers are chipped, scratched, dented or otherwise damaged
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Shaker Tops are dented or otherwise damaged
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Labels are pealing, worn or no longer readable
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Condiment bar carafes or shakers are visibly dirty, have build up or splatters
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Unapproved utensiles, containers, shakers are being usedCondiment bar carafes have adhesive build up
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1.1b Cold Beverage Station (CBS) food-contact surfaces are unapproved dirty or in poor condition
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Beverage storage containers, lids stained or have adhesive build up
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Beverage Storage containers , lids are scratched or chipped
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Unapproved utensils or containers being used
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Blender pitchers stored stacked on top of another pitcher
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Blender pitcher lid stored on the bottom endow an over turned blender / not stored on a tile
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Blender pitchers / lids stained, scratched, chipped or dirty or not throughly rinsed between uses
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Beverage Shakers or lids stained, scratched, chipped or dirty or not throughly rinsed between uses
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Beverage Shaker lid stored on the bottom of an over turned shaker or not on tile
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In-use scoops / tongs not stored in a clean designated container / have multiple dried on product build up
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In use plexi cubes cracked or broken
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Labels are peeling, worn or no longer readable
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1.1c For here serve ware dirty or in poor condition
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Cups or plates chipped or cracked
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For-here serveware stored dirty
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Cutlery rusted, dirty or bent
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1.1d Espresso bar food contact surfaces are unapproved dirty or in poor condition
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Steaming Pitchers or spoons have permanent milk build up
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Steaming pitchers, thermometers and spoons are not minced after every use
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Espresso machine steam wand has dried on / encrusted build up / not wiped between uses
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Shot glasses / plexi cubes chipped, cracked or broken
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Utensils / thermometers stored directly contact with dipper well basin
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2 hours timer not in use or expired for sanitising pitchers, utensils and in use smallwares
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Pitchers, spoons or other smallwares have peeling labels, cracked tape/ missing pieces of tape / adhesive build up
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Coffee Bean Hopper damaged
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Espresso bar equipment from an unapproved source
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Espresso spout has encrusted build up
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Mastrena spout damaged
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1.1e Food station food contact surfaces are unapproved, dirty or in poor condition
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In-use warming tongs / Panini grill tongs / pastry case tongs have multiple product build up
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In use tongs are on a soiled surface
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Visible dried build up present in grooves on sample cutting board
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Oven tray cracked / chipped / panini grill damaged
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Plexi cubes are cracked chipped or broken
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Unapproved utensils / containers being used
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In use smallwares stored with clean smallwares
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Panini tongs not stored in a clean container
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Pastry case tongs not stored in a clean container or on the back of the pastry case
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Utensils in poor repair
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1.1f Brewed Coffee Station food contact surfaces are unapproved, dirty or in poor repair
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Coffee scoop for scale / pour over brewing equipment are dirty, chipped, cracked or damaged
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Tea tongs are not stored in a clean designated container
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In use plexi cubes cracked, broken or dirty
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Coffee scooping smallwares are dirty, chipped or cracked or stored in a dirty container
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Unapproved utensils / containers being used
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1.2 Non-Potential Hazardous food within manufacturers / partner date code
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1.2a Dry Storage area product expired / not dated
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Beverage syrup expired - list flavours
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Prepared Bar Mocha
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Stored cakes, cookies, product not dated (BOH / FOH)
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Powders / mocha / hot chocolate expired
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Sauces (specify product) expired
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Gold Coins / Lollipops expired
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Soya Milk / Coconut Milk expired (5 days open)
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1.2b Back of house walk in fridge / fridge non-PHF product expired/ not dated
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Pre packaged non PHF - RTD - food / beverage expired
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Stored cakes, cookies, product (FoH / BoH)
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1.2c Displayed non-PHF RTD/E product expired
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Non-PHF RTD - beverages expired
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Ambient pre-packaged food / RTE expired
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Retail Packaged Coffee / VIA expired
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Displayed Impulse expired
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Fresh Fruit day dot has not been completed / Fruit expired
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Day dot sheet not completed / completed incorrectly / products expired
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1.2d Espresso bar non-PHF expired / not dated
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Opened / unopened syrups / Chai / White Mocha not dated or expired
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Whipped Cream dispenser expired manufacturers use by date
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Flavoured Whipping Cream not dated / expired
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1.2e CBS non PHF product out of date / not dated
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Tea Pitchers(s) / Frapp Roast not dated or expired
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Opened dry inclusion bags / pouches / containers / sauces / concentrates not dated or expired
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1.2f Brewed Station Products out of date / not dated
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Whole Bean Coffee not dated / expired
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Opened pouches of tea not dated / expired
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Unopened pouches of tea expired
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1.2g Warming Station non- PHF products not dated / expired
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Packaged non PHF expired per manufacturers used by / best before date
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1.3 Potentially Hazardous Foods within code date partner / manufacturers (Critical)
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1.3a Back of House fridge PHF out of date / not dated
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Milk in BOH fridge expired
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Sandwiches / Juice / Salads / fresh food expired
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Signature Hot Chocolate pitchers not dated / expired
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1.3b Espresso bar reach in PHF product out of date / not dated
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Dairy / Soy / Coconut Milk in under counter bar reach in
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Soy / Coconut Milk carry over not dated
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Signature Hot Chocolate Pitchers
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1.3c CBS PHF product out of date / not dated
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Milk / Soy in undercounted CBS reach in
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Soy carry over not dated
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1.3d Food display case PHF product out of date / not dated
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Packaged beverages expired
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Sandwiches / Salads / Fruits Salads / Panini's / Yogurts expired
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Date labeling system not being completed correctly
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Day dot labels missing information
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1.4 Food name labeled properly
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1.4a Condiments not properly name labeled at condiment bar
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Bulk Sugar container
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Condiment Shakers
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1.4b Food Case items not labeled properly
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Product signage missing in pastry case
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PHF displayed at room temperature missing 'For Display Only' sign
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Allergen Signage missing in pastry case
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1.4c Beverage containers not properly name labels at bar / CBS
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Steaming Pitchers / tea pitchers / Frapp Roast Soluble Coffee are not labeled with product type
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Using wrong steaming pitcher to steam liquid / beverage
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Hot Chocolate Mix
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1.4d Condiments not properly labeled in bar / CBS
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Powder Shakers / Dry Inclusion / squeeze bottles
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1.4e Prepared Product containers not properly name label=ed in BOH / storage fridge / walk in fridge
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Hot Chocolate Mix
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Mocha Sauce
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Egg Nog
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1.5 Food Items stored properly
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1.5a Food Stored <6" (15cm) off floor
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RTD beverage / Whole Bean Coffee / Packaged Food / other foods
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1.5b Food Stored improperly in BoH area
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Not stored protected / covered
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Stored on top of turned over milk crates
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Stored in Toilets
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Stored on Milk Crates, pastry racks or unapproved items
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Stored under dripping waste water pipes
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Inappropriate coverage of food / china plates used
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Food Stored in chipped / cracked container
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1.5c Food stored improperly in FoH area
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Not Stored protected covered
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Stored in toilets
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Stored under dripping waste water pipes
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Samples left uncovered on the counter
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Ground Coffee and Whole Bean not stored protected
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Inappropriate coverage of food / china plates used
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1.6 Food Contact items properly stored
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1.6a Food Contact items stored <6" (15cm) off floor
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Cups, lids, napkins, pastry bags, cake boxes
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Cambers or single use coffee travellers
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Other food contact items
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1.6b Food contact items stored properly / covered
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Stored on top of turned over milk crates
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Stored under dripping waste water pipes
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Stored in toilets
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Clean smallwares not stored covered / inverted or on an unclean surface
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Clean smallwares stored intermingling with non-food related items
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Food Scoops / tongs (non ice) stored in dirty container, non designated container, on a dirty surface or with the handle in contact with food or are unapproved
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To go container / parchment paper not stored in a container
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1.6c Single use cups / lids not stored to prevent contamination
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Unpackaged cups / lids not stored inverted
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Exposed cups / lids stored directly in counter or drying tiles
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Splash / Splatter observed on exposed cups/ lids
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Cups / lids stored in dirty corrals / plexi cubes
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Exposed cups / lids stored within splash range of sinks
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Cups / sample cups / lids stored directly on espresso machine / counter unprotected
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Cups / Lids / Cutlery not covered
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Porridge / Soup / Other lids and tubs not stored in a plexi, not stored inverted, stored in a dirty plexi
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Exposed cups / lids stored sip-side down/ sideways
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1.6d Coffee Filters not stored to prevent contamination
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Stored uncovered / unprotected on top of the brewer/ counter
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Stored in a drawer / cabinet / or other location unprotected
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1.6e Plasticware improperly stored
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Stored handle down in unwrapped
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Stored with handles in multiple directions if laid flat
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Cutlery stored in a dirty container
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Stirrers stored in dirty container
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Splash sticks stored siren side down
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1.7 Partners do not contact ready-to-eat foods or food contact surfaces with bare hands (CRITICAL)
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1.7a Partners contact food with bare hands
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Touched pastries / cakes / muffins / sandwiches / panini's / wraps / ice or other food items with bare hands
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1.7b Partners touched food contact surfaces with bare hands
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Partners touched sip portion of lid / inside cup / pastry bags / warming bags / stir sticks / sample straws / food contact end of plasticware / cake boxes with bare hands
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1.8 Partner food labeled, stored properly, and no eating / drinking in food storage / prep areas
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1.8a Partner food not labeled and stored improperly
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Partner food / beverage stored on a shelf and / or above a customer food in BoH fridge
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Partner food container in BoH fridge is unlabelled / uncovered / not on bottom shelf
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Partner food / beverages stored in the bar area
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Partner food / beverage is stored on shelving next to dry goods, clean smallwares, or single us items
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Partner food is not stored in a designated container and is not labels "Partner Food"
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1.8b Eating / Drinking observed in the food storage / prep area<br>
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Drinking / Eating (or evidence of) in food storage / prep area
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1.9 Ice and ice utensils protected in Bar / CBS and BoH area (CRITICAL)
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1.9a Ice in the bar / CBS area not stored protected
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FoH ice machine has mould / slime build up
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FoH ice machine lid is left open
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FoH ice scoop is not stored in designated storage container / without a lid / not labeled ice scoop only
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FoH ice scoop bucket is chipped, broken or dirty
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FoH ice scoop / bucket is used for something other than ice/ stored under air vent / not stored protected
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FoH Ice bucket is not labeled "ice only"
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FoH Ice Scoop is stored in ice / ice container
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Bar / CBS ice bins / caddies have mould / slime build up
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Bar / CBS ice bins / caddies not covered / protected
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Ice scoops at bar / CBS are chipped, cracked, broken or handle chipped, cracked or broken
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Ice Scoop is dirty
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Bar / CBS ice bins in poor repair
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Ice Scoop storage container is dirty
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1.9b Ice in the BoH not stored protected
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BoH ice machine has mould / slime build up
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BoH ice machine lid is left open
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BoH ice scoop is not stored in designated storage container between use / container dirty / no lid / not labeled ice scoop only
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BoH ice scoops / bucket are are chipped / handle broken / dirty
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BoH ice bucket is used for something other than ice / bucket dirty / stored under air vent / not stored protected
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BoH ice scoop stored in ice
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BoH ice bucket not labeled "ice only"
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BoH ice scoop is dirty
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Ice scoops at bar / CBS are not stored in designated storage container between use / stored in ice
QASA part 2
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2.1 Proper hand washing taking place at appropriate times (CRITICAL)
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After toilet and before resuming food handling duties
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After wiping hands on apron
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After handling trash
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After coughing / sneezing into hands
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After touching face / hair / skin
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Not using soap
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After eating or drinking
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After breaks
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After handling dirty dishes or equipment
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After blowing nose
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After cleaning tasks
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Before starting shift
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Before putting food service gloves on Wash hand basin not being used
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Partners not performing 10 second scrub as part of hand washing process
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Used apron to dry hands
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2.2 Hand sinks are accessible and used properly (CRITICAL)
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Hand washing taking place in FoH dump sink in bar (and designated sink present)
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Dumping or pitcher / urn rinsing taking place in designated hand sink
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Access to hand sink obstructed
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Smallwares / Products / For Here Serveware stored in or on hand sink
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2.3 All hand sinks properly stocked and soap and paper towel dispenser functioning properly (CRITICAL)
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Soap and / or paper towel dispenser is empty and hand sink
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Approved soap / towel dispenser is not working / not present / damaged
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Hand washing signs not present at hand sink
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2.4 Partners uniforms maintained clean / hair properly restrained (per jurisdictional requirements)
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Apron / clothes with more than one shifts accumulation of spills / splashes / dirt
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Long hair beyond shoulder length not tied back
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Partners hands are not cleanable
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Partners wearing non approved jewellery
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Partners with unapproved piercings
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Partner has artificial nails / nail polish
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2.5 Partners not working when ill (CRITICAL)
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Working while experiencing acute vomiting, diarrhoea or jaundice
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Working with severe chest congestion / runny nose
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Working with fever or chills
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Working with exposed infected lesion on hand / wrist / arm / neck / face
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Working with exposed bandage / plaster on hand / wrist not covered by single use gloves
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2.6 Partners non-food personal belongings stored separately from food storage areas and not left overnight
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Stored at store while partner not scheduled to work
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Stored with dry goods, clean smallwares and / or clean bar towels on shelving
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Shoes are allowed overnight but are stored to the floor rather than to the shoe rack or lockers
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3.1 Sanitiser strength at proper concentration (CRITICAL)
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Partners are not diluting sanitiser as per manufacturers specifications / direction and labeled for 7 days use (premixed is acceptable)
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3.2 In-use bar cloths properly stored (CRITICAL)
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Left on counter, on / in sink, on shelving, on espresso machine
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In use for more than 2 hours, timer not used
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Correct bar towels used for product, used for other tasks
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Bar towels stored with chemicals
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3.3 Approved scouring pad in use
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Approved scouring pad/ brushes are damaged / poor condition / cut up
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Using soft sponge/ steel wool pad
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Cleaning cloths not disposed of after use
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Cleaning cloths used for tasks other than cleaning, used to clean tables or work surfaces
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Using Magic Sponge to clean cups
QASA part 3
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4.1 Steaming thermometers in use / calibrated correctly
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out of calibration/ not in use when needed
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4.1 Steaming thermometers in use / calibrated correctly
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out of calibration/ not in use when needed
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4.2 Digital thermometer or thermocouple present and properly working (CRITICAL)
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Not present in the store / need new battery
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Not calibrated / broken
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Less than 2 thermometers in store
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4.3 Steamed milk >150 F (65.5 C) and is not resteamed (CRITICAL)
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4.4 Potential hazardous food is not stored at room temp (CRITICAL)
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Milk left on counter unattended above 8 C
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Open soy milk observed outside refrigeration between uses
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Butter stored at room temperature
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Opened PHF juices / sauce concentrates stored at room temp (mango / raspberry etc...)
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Potentially hazardous samples unattended at room temperature
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Potentially hazardous sandwiches / salads / panini / wraps stores at room temperature
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5.1 refrigerated PHF <8 C (CRITICAL)
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Product in food station fridge, walk in fridge / fridge food display case, CBS fridge , bar fridge, storage fridges above 8 C
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5.2 Refrigeration units <8 C (CRITICAL)
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Food station fridge, walk-in walk in fridge / fridge food display case, CBS fridge , bar fridge, storage fridges above 8 C
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5.3 Temperature readout available on all refrigeration units<br>
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No thermometer found or is broken food station fridge, walk-in walk in fridge / fridge food display case, CBS fridge , bar fridge, storage fridges
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5.4 Condiment bar carafes ,8 C (CRITICAL)
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Milk carafe above 8 C
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5.5 Refrigeration ventilation maintained
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Product is stored over front vents in display cases
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Air flow inside reach-in units is obstructed
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Items on top of BoH fridge / fridge blocking vents (<6" / 15cm clearance)
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Only approved chemicals present
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Unapproved air freshener / bleach / drain cleaner / pesticide or other unapproved products found
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Scented hand lotion / unapproved hand soap
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6.2 Chemicals properly labeled / stored (CRITICAL)
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Hand soap in caramel / syrup bottle
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On dishwasher or food preparation counters
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Chemicals stored on or above clean drain board
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chemicals not covered / sealed
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Chemical in unlabelled spray bottle / container
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7.1 Partner food safety knowledge adequate and training adequate as requires (CRITICAL)
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7.1a Partner food safety training is complete and not up to date or missing
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Partner work books are not available / not completed
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Training matrix not available / up to date
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Store manager / Person in Charge has no knowledge of HACCP, food complaint / food poisoning procedures, EHO procedure, allergen / food intolerance customer enquiry procedure - ref food safety manual
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7.2b Partner food safety knowledge inadequate - informational only
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Food safety knowledge inadequate
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7.2 Proper documentation / signage available<br>
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7.2 Signage not displayed as required per jurisdiction<br>
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No smoking signage missing / not posted at all customer entrances (leading outdoors)
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Current food safety policy or personal hygiene policy not being displayed
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7.2b Health inspection results not available where inspections are conducted
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Most recent EHO inspection report unavailable, actions not completed, not signed by store manager
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7.2c Pest reports not on file
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Most recent pest report is not available, older than required frequency
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Action not taken in line with requirements of pest control report
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Pest control report does not show actions
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Duty roster notebook pest control checks not being carried out daily
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Actions not being noted or taken for pest control issues in the Duty Roster Notebook
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No pest control contract in place
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7.2d Partner in charge cannot locate personal hygiene policy in the appropriate paper or online
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PIC could not locate personal hygiene policy (review section 5 of Food Safety manual)
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Personal Hygiene Policy in not current
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7.2e Document complete for the jurisdictionally required paperwork
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Food safety manual not in store
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HACCP section of manual not personalised or signed
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Temperature probes not calibrated monthly and recorded and action taken as required
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Duty Roster Notebook not completed and signed by store manager
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Last QASA audit not available. Action plan not completed and signed off
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The store not competing one QASA audit per Quarter
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The cleaning schedule is not being complete in full
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7.3 Temperature log complete in Duty Roster (CRITICAL)
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Temperature log not completed at all, some days missing, gaps on some days, not to standard
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Corrective action not noted or take
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Delivery temperature slips not attached to duty roster
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Delivery Temps not completed
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Water checks not being completed
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Milk Thermometer calibration not being competed
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8.1 Dishwashing followed properly
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Used for permanent storage of food or single use items
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Dirty dish storage has potential to contaminate clean dishes
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Equipment sink not labeled equipment sink wash only, label damaged
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Sink not properly used in case of dishwasher break down
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Correct dishwashing procedure not being followed
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PIC not aware of correct dishwashing procedure
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8.2 Correct amount of detergent used for each dish machine load
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Dishwasher detergent and rinse aid is not used with each load of dishes
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Auto feed container of detergent or rinse aid is empty
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Non-auto feed - ensure chemicals are in machine chemical reservoir
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8.3 Dishwasher rinse water is properly maintained for sanitising dishes (CRITICAL)
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Spray arms are not clean / dishwasher is not clean
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Tubes improperly used / stored / incorrect chemical connected (if applicable)
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Filter contains debris
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8.4 Hot Water available in store (Critical)
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Dish compartment sink has no warm water (minimum 50 C hot tap)
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Hand sink has no warm water (minimum 50 C hot tap or 45 C hat and cold mixer tap)
Cleanliness Assessment
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9.1 Trash in store disposed of as needed
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Bin(s) over flowing
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Bags of trash stored on floor in back room in non designated area
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Lid closed on back room wheeled rubbish bin (if applicable)
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10.1 No evidence of rats or mice (CRITICAL)
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10.2 No evidence of flying insects (CRITICAL)
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10.3 No evidence of cockroaches (CRITICAL)
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10.4 No evidence of ants (CRITICAL)
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11.1 BoH area floors / drains maintained clean
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Floors (general area) dirty / dark encrusted build up / crumbs / trash / debris /evident
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Floors under / between shelving / equipment / cabinet legs dirty / dark encrusted build up / crumbs / trash / debris evident
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Floor / wall junctures / baseboards / edges have debris evident / dark encrusted build up
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Items stored on the floor to prevent adequate cleaning
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11.2 BoH area walls / ceiling maintained clean / lights functioning
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Walls dirty
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Ceiling / Vents dirty <6 feet
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Lighting clean free from dust / Lights Out / Missing
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Water filtration system dusty
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Lockers dirty
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Office furniture dirty
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Debris build up to partner area
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11.3 BoH refrigeration equipment maintained and clean
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BoH fridge / gaskets / fridge shelves / fan guards dirty
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BoH fridge interior and exterior dirty
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Lights out in BoH fridge, light not shielded
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Ice machine exterior dirty
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11.4 Mop area maintained and clean
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Wet floor sign / dustpan and brush / vacuum / brooms / deck scrub / mop bucket dirty, mop dirty, mop stored in dirty water
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Mop sink area dirty
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Other cleaning material dirty
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11.5 Boh dish area / hand sink / storage areas maintained and clean
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Hand sinks dirty
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Dishwasher dirty
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Equipment sink (including sprayer /taps / handles) dirty
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Dry storage shelving dirty
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Shelving above dish sink dirty
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Ladder / access equipment dirty
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11.6 Restroom / Toilet floor/ walls / ceilings maintained / lights functioning
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Floors / walls / wall junctures / baseboards / floor edges / ceiling vents (<6ft) Lighting (<6ft)/ Door dirty / dark encrusted build up
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Lights out / Missing
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11.7 Restroom / Toilet fixtures maintained clean
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Hand sink / toilet / mirror / doors / hand rails / baby changing unit dirty or odour present
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Toilet tissue unavailable / not loaded into dispenser
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Bin damaged
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11.8 Customer area floors maintained
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Floors dirty / dark encrusted build up / trash / debris
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Door mat dirty
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Thresholds dirty
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11.9 Customer area walls / ceiling maintained / lights functioning
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Walls / windows (internal) / ledges dirty
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Ceiling / ducting / vents / lighting dirty
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Lights missing or out
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11.10 Condiment Bar maintained
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Excessive spills / refuse present
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Build up under napkin holders / under sweetener dispenser / in refuse cabinet / under refuse ring / under work top / in cupboards
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Sugar packet fixture not movable / build up underneath
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Condiment / stir stick containers dirty
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Damaged napkin holder
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11.11 Customer area furnishing maintained
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Chairs / tables dirty
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Floor fixtures / retail shelving dirty / dusty
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Debris evident to soft furnishings
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Dust build up to baskets
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Refuse bin damaged
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11.12 Exterior area maintained
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11.12a Building exterior is dirty
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Doors dirty
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Doors left open with no air curtain operating
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11.12b Grounds are dirty
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Excessive rubbish on ground
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Pavement / patio has recent spills (Starbucks designated area only)
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Planters / Outdoor fixtures dirty
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11.12c Outdoor customer seating area dirty
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Rubbish bins overflowing
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Furniture dirty / in poor repair
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Umbrellas dirty / in poor repair
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11.13 Bar area / food station / CBS floors / drains maintained
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Floors / wall junctures / baseboards / floor edges (general area) dirty / dark encrusted build up
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Floors under refrigerators / cabinets / between shelving / cabinet legs dirty / dark encrusted build up
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Floors / floors under equipment have excessive crumbs / rubbish debris
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11.14 Bar / Food station / CBS area walls / ceiling maintained clean / lights functioning
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Walls dirty (including syrup area & behind oven and grills)
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Lighting / vents / ceiling dirty / dusty
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Lights out / Missing
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Signage Missing
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Bar / Brewing area equipment maintained clean
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Bar fridge dirty (including gaskets, shelves & fan guards) - interior and exterior
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Espresso Machine dirty
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Brewed coffee machine dirty
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Coffee Grinder / Scales dirty
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11.16 CBS equipment maintained clean
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CBS fridge dirty (including gaskets, shelves & fan guards) - interior and exterior
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Blenders and blender housing dirty
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11.17 Food Station equipment maintained clean
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Food station fridges dirty (including gaskets, shelves & fan guards) - interior and exterior
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Turbo Chef / Grills dirty
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Other fridges dirty (including gaskets, shelves & fan guards) - interior and exterior
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11.18 Pastry and Refrigerated display case maintained clean
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Inside of pastry cases dirty
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Outside of pastry cases dirty
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rear external grill (condenser coils) dusty
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11.19 FoH dish area / hand sink / storage areas maintained clean
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Cabinets / drawers / cubbies dirty
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Sinks / taps / spray arms / handles dirty
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Shelving dirty / dusty
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Equipment sink dirty (if front of house)
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Menu boards dirty
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11.20 Customer area furnishings maintained in poor repair - informational only
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11.21 Bar / CBS / Food Station counters maintained clean
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Countertops dirty
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Countertops under equipment dirty
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Peeling stickers / adhesive residue on counters