Title Page
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Site conducted
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Conducted on
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Prepared by
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Manager on Duty
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COMMENTS/FEEDBACK:
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Q% S% C%
COMMENTS eLearning Status
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undefined
Automatic Fail Imposed Due to Deliberate Falsification of Records
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AUTOMATIC FAIL
CLEANLINESS
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C1. Shop Exterior
- Exterior - Excellent (30/30)
- Exterior - Excellent (Minor Issue) (28/30)
- Exterior - Very Good (25/30)
- Exterior - Good (20/30)
- Exterior - Satisfactory (15/30)
- Exterior - Unsatisfactory (10/30)
- N/A
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C2. Shop Interior/Lobby
- Interior - Excellent (30/30)
- Interior - Excellent Minor Issue (28/30)
- Interior - Very Good (25/30)
- Interior - Good (20/30)
- Interior - Satisfactory (15/30)
- Interior - Unsatisfactory (10/30)
- N/A
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C3. Customer Toilets (mens/ladies/disabled)
- Toilets - Excellent (30/30)
- Toilets - Excellent - Minro Issue (28/30)
- Toilets - Very Good (25/30)
- Toilets - Good (20/30)
- Toilets - Satisfactory (15/30)
- Toilets - Unsatisfactory (10/30)
- N/A
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C4. Hand sinks
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C5. Cold Rooms
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C6. Other Refrigeration
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C7. Freezer Rooms & all other freezers
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C8. Service Area/Equipment (Inc: Burger Chute/chicken cabinet/ microwave/shelving/surfaces etc)
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C9. Drinks/Ice Cream/Milk shake/Slushee Machines
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C10. Grill Area & Equipment (inc: Canopy & Filters, MHU's)
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C11. Fry Station & Equipment (Inc: Canopy & Filters)
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C12. Henny Penny/Chicken Area/Chicken Sink
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C13. Papa Johns & Equipment
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C14. Supersubs area & Equipment
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C15. Drive Thru
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C16. Bewleys/Costa Coffee Dock
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C17. Store Rooms/Mineral rooms
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C18. Laundry Room/Mop Rooms
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C19. Staff Areas (all)
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C20. Back areas to include -Stairs/Hallways/Office
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C21. Wash up area (sinks/shelving/trays etc)
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C22. Back yard/Rubbish Rooms
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
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C23. General Hygiene (bins, equipment, walls/floors etc)
- Excellent = no Issues (20/20)
- Good =1-2 Minor issues (18/20)
- Satisfactory =3-4 Min or 1 Maj Issues (16/20)
- Fair =2 Maj or 5 Min Issues (12/20)
- Unsatisfactory =3+ Maj or 6+ Min Issues (8/20)
- N/A
QUALITY
QUALITY
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Q1. Food Quality & Production Levels To Standard (Products not over-held/Defrosting procedures adhered to)
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Q2. All products Dated & Traceable to shelf life?
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Q3. Breaded chicken (Dated/Labelled/Laminate Or Timers (new style cabinet)
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Q4. FIFO & Stock Management (Stock Rotation - Chicken & other food products)
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Q5. Any products Out of Date
- No out of Dates (20/20)
- 1 Low Risk product out of date (18/20)
- 1 High Risk / 2 Low Risk products out of date (15/20)
- 2 High Risk / 3 Low risk products out of date (10/20)
- 3 High Risk / 4+ Low Risk Products out of date (6/20)
- 4+ High Risk Products out of date (2/20)
- N/A
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Q6. Meat holding units used correctly?
- Lights Fully Activated (20/20)
- Some Lights not activated (16/20)
- No Lights Activated 12/20)
- Not in use/No MHU
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Q7. Merlin Timer in Use & Timer tags (where applicable)?
- Full Compliance (20/20)
- Merlin not consistently used (16/20)
- Timer tags not used (16/20)
- Merlin & Tags Not used Correctly (8/20)
- Merlin not in use / Merlin Broken (4/20)
- N/A
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Q8. Food & Equipment Random Temp Check
- All Temps within Specification (20/20)
- 1 Temp out of Specification (16/20)
- 2 Temps out of Specification (12/20
- 3+ Temps out of Spec (8/20)
- N/A
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Q9. Contamination Risk (Bio/Cross contamination)
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Q9. Contamination Risk (Physical)
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Tick to confirm that auditor checked...
- Sieves
- Tongs
- Hard plastics/containers
- Fryer handles/baskets
- Papa Johns screens
- Noticeboards (thumb tacks/ staples)
- Glass / crockery
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Q9. Contamination Risk (Chemical)
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Q10. Only Company Approved Products on site
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Q11. Is the water hot in the hand wash sinks?
- Hot Water 45 - 55°C (20/20)
- Water Luke Warm (16/20)
- Slow to come through / Other issue (14/20)
- Water Cold (10/20)
- No Hot Water for a number of Days with No Contingency plan in place (eg Burco Boiler etc)
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Q12. Are hand sinks stocked with soap, hand roll & sanitiser?
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Q13. Hand hygiene observed? (to include False Nails/Nail Varnish)
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Q14. Are staff compliant with company policies (Hairnets/No Jewellery/No Drinks,food/No chewing/No Phones)
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Q15. Adherence to color coding? (cloths/cleaning equipment)
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Q16. Are uniforms in clean presentable condition with safety shoes worn?
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Q17. Are laundry procedures adhered to?
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HACCP - Is there Clear & Deliberate Falsification across all of the HACCP Records (Auditors Decision is Final)
- No Falsification Identified
- Deliberate Falsification Identified=Automatic Fail
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Q18. HACCP Log completed daily?(Equipment temps/Defrost/Traceability/Calibration)
- Excellent HACCP (20/20)
- Very Good HACCP 1-2 Minor issues (18/20)
- Good HACCP 2-3 Minor Issues (16/20)
- Satisfactory HACCP 4 Minor Issues/1 Maj Issue (14/20)
- Immediate Improvements Required 5+Min/2+Maj Issues (10/20)
- Unsatisfactory HACCP (6/20)
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Q19. Chicken Batch Records Completed? (Pieces/Tenders/Fillets)
- Cook Records Fully Compliant (20/20)
- Drop Cooked not recorded (18/20)
- Gaps/Inconsistency (14/20)
- Poor recording/other
- Falsification Identified (10/20)
- No Records available (0/20)
- N/A
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Q20. Delivery Records Completed? (some Fresh/Frozen items) & Plant codes completed for Meat products?
- Excellent HACCP (20/20)
- Very Good HACCP 1-2 Minor issues (18/20)
- Good HACCP 2-3 Minor Issues (16/20)
- Satisfactory HACCP 4 Minor Issues/1 Maj Issue (14/20)
- Immediate Improvements Required 5+Min/2+Maj Issues (10/20)
- Unsatisfactory HACCP (6/20)
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Q21. Cleaning Records Completed? (to include Floor/Toilet Checks)
- Excellent HACCP (20/20)
- Very Good HACCP 1-2 Minor issues (18/20)
- Good HACCP 2-3 Minor Issues (16/20)
- Satisfactory HACCP 4 Minor Issues/1 Maj Issue (14/20)
- Immediate Improvements Required 5+Min/2+Maj Issues (10/20)
- Unsatisfactory HACCP (6/20)
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Q22. Probe Calibration in Date?
- Calibration In Date (20/20)
- Calibration Expired (10/20)
- No Date Visible (15/20)
- 1 probe in date & 1 probe out of date (15/20)
- Other Issue (15/20)
- N/A
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Q23. Pest Control/EFK bulbs/Doors Windows/Fly activity/Clutter & Harbourage?
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Q24. All Lobby Charts Displayed (Allergen/Beef Origin)
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Q24a. Is the Moozie Counter Allergen Compliant? (Nuts Segregated/Toppers/Signage/Allergen Chart: Jan 22)
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Q25. Duct & Grease trap certs in date
- Both Certs Available & within Date (20/20)
- Ducting Cert in Date / No Grease trap on site (20/20)
- Ducting Cert out of Date (12/20)
- Grease Trap Cert out of Date (12/20)
- Both Certs out of Date (4/20)
- N/A
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Q26. Ice cream/milkshake/slushee cleaning records completed?
- Records Completed/Signed (8/8)
- Records not recently completed/Signed (4/8)
- Other Issue
- No Records Completed/Available (0/8)
- N/A
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Q27. Action List Returned?
- Returned (10/10)
- Completed/Signed but not returned (5/10)
- Not Returned (0/10)
- N/A
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Q28. Ansul System Serviced?
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Q29. Fire Fighting Equipment Serviced?
- Fire Equipment Serviced (6/6)
- Fire Equipment Not Serviced (0/6)
- N/A
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Q30. Health & Safety Issues (include Trip Hazards & 1st aid box)
- Zero Issues(6/6)
- Minor - Includes 1st aid box stock issue (4/6)
- Major - Incudes 1st aid box missing (0/6)
- N/A
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Q31. PPE in place (Goggles/Gloves/Apron)
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Q32. Staff Safety Booklet Available/ Read & Signed off by staff
- Book Available - Signed by all (8/8)
- Book Available - Signed by 2 (6/8)
- Book Available - Signed by 1 (4/8)
- Book Available - Not signed (2/8)
- No book available (0/8)
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Is there any staff member with Level 3 food Safety Training (Demonstarte with Cert)
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Q34. Training Records, please select
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Q34a. U18 Register Available? (N/A for Franchise stores)
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Q34b. 1st Aider Trained?
Q35. Employee #1 - Training file check
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NAME:
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All relevant information available for this employee?
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Contract on file?
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Management of Health - Are Staff Medical Forms in Place (Revised annually)?
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Employee handbook Declaration on file?
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Training Handbooks available?
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Competency checks completed ?
- Competency Checks Completed (10/10)
- Not all signed (8/10)
- Not all completed/Signed (5/10)
- No Competencies completed (0/10)
- N/A
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Food Safety Training records completed & signed off?
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H&S Training records completed & Signed off?
Q36. Employee #2 - Training file check
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NAME:
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All relevant information available for this employee?
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Contract on file?
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Management of Health - Are Staff Medical Forms in Place (Revised annually)?
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Employee handbook Declaration on file?
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Training Handbooks available?
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Competency checks completed ?
- Competency Checks Completed (10/10)
- Not all signed (8/10)
- Not all completed/Signed (5/10)
- No Competencies completed (0/10)
- N/A
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Food Safety Training records completed & signed off?
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H&S Training records completed & Signed off?
Q37. Employee #3 - Training file check
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NAME:
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All relevant information available for this employee?
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Contract on file?
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Management of Health - Are Staff Medical Forms in Place (Revised annually)?
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Employee handbook Declaration on file?
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Training Handbooks available?
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Competency checks completed ?
- Competency Checks Completed (10/10)
- Not all signed (8/10)
- Not all completed/Signed (5/10)
- No Competencies completed (0/10)
- N/A
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Food Safety Training records completed & signed off?
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H&S Training records completed & Signed off?
Q35. Employee #1 Training Check
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NAME:
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All relevant information available for this employee?
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Employee handbook Declaration on file?
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Management of Health - Are Staff Medical Forms in Place (Revised annually)?
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Training Handbooks available?
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Competency checks completed ?
- Competency Checks Completed (10/10)
- Not all signed (8/10)
- Not all completed/Signed (5/10)
- No Competencies completed (0/10)
- N/A
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Food Safety Training records completed & signed off?
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H&S Training records completed & Signed off?
Q36. Employee #2 Training Check
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NAME:
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All relevant information available for this employee?
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Employee handbook Declaration on file?
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Management of Health - Are Staff Medical Forms in Place (Revised annually)?
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Training Handbooks available?
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Competency checks completed ?
- Competency Checks Completed (10/10)
- Not all signed (8/10)
- Not all completed/Signed (5/10)
- No Competencies completed (0/10)
- N/A
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Food Safety Training records completed & signed off?
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H&S Training records completed & Signed off?
Q37. Employee #3 Training Check
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NAME:
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All relevant information available for this employee?
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Employee handbook Declaration on file?
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Management of Health - Are Staff Medical Forms in Place (Revised annually)?
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Training Handbooks available?
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Competency checks completed
- Competency Checks Completed (10/10)
- Not all signed (8/10)
- Not all completed/Signed (5/10)
- No Competencies completed (0/10)
- N/A
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Food Safety Training records completed & signed off?
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H&S Training records completed & Signed off?
HACCP & Food Safety Manual
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Q38 Can the store Management Locate the Food Safety & HACCP Manual?
- Yes - Available - No issues
- Yes - Located but Management Unsure
- No -Not Available
- N/A
SERVICE
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S1. Shop Exterior (Signage/Lighting/POS)
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S2. Shop Interior (Heat/AirCon. TV/Music)
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S3. Counter (POS/Counter panels/Till toppers & wobblers. Menu board Pricing, tray mats etc)
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S4. Approved Clean Uniforms & Safety Shoes Worn
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S5. Staff Presentation (Clean Shaven & Beards neatly Trimmed)(Staff well Groomed)
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S6. All Staff wearing hats/hairnets? (including managers)
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S7. Are staff wearing Jewellery or eating behind the counter?
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S8. Staff available to serve & not loitering at counter?
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S9. Customer greeted (Eye contact/body language/smile)
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S10. Upselling (large meals/dressed fries etc)
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S11. Phones/Drive thru headssets been answered & in a timely Manner?
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S12. Transaction (Please/Thanks) - Give customer their next steps - inform of any wait times,
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S13. Repeat back order prior to transaction & at handover
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S14. Table Numbers/Buzzers/Order numbers to be used where required.
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S15. Customer directed to condiments / Condiments provided where required?
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S16. Kids toy included where applicable?
- Service High Compliance (20/20)
- Some Compliance (16/20)
- No Compliance (10/20)
- N/A
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S17. Staff Interaction (Friendly/helpful/Smiling) & assistance observed with Customers including Lobby staff?
- Interaction High Compliance (30/30)
- Some Compliance (25/30)
- No Compliance (18/30)
- N/A
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S18. General/Other Service observations
- Interaction High Compliance (30/30)
- Some Compliance (25/30)
- No Compliance (18/30)
- N/A