QSC - Supermacs (Sept2023)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Manager on Duty

• Return to actionlists@supermacs.ie by: (Please Save the PDF to your desktop. Action list is a word document & can be edited without printing, save & then return. PLEASE DO NOT SEND PICTURES OF ACTIONS COMPLETED. Failure to return action list will result in lost points in your next QSC.)

  Date

• QUALITY SCORE

• SERVICE SCORE

• CLEANLINESS SCORE

• E-Learning Status Comments

• Automatic Fail Imposed Due to Deliberate Falsification of Records

  FAIL

  No

• COMMENTS:

• C1. Shop Exterior

  Select 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

  • 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

• C2. Shop interior/Lobby

  Select 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

  • 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

• C3. Customer Toilets (mens/ladies/disabled)

  Select 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

  • 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

• C4. Hand Sinks

  Select 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

  • 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

• C5. Cold Rooms

  Select 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

  • 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

• C6. Other Refrigeration

  Select 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

  • 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

• C7. Freezer Rooms & all other freezers

  Select 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

  • 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

• C8. Service Area/Equipment (Inc: Burger Chute/chicken cabinet/ microwave/shelving/surfaces etc)

  Select 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

  • 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

• C9. Drinks/Ice Cream/Milk shake/Slushee Machines

  Select 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

  • 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

• C10. Grill Area & Equipment (inc: Canopy & Filters, MHU's)

  Select 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

  • 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

• C11. Fry Station & Equipment (Inc: Canopy & Filters)

  Select 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

  • 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

• C12. Henny Penny/Chicken Area/Chicken Sink

  Select 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

  • 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

• C13. Papa Johns & Equipment

  Select 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

  • 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

• C14. Supersubs area & Equipment

  Select 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

  • 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

• C15. Drive Thru

  Select 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

  • 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

• C16. Bewleys/Costa Coffee Dock

  Select 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

  • 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

• C17. Store Rooms/Mineral rooms

  Select 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

  • 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

• C18. Laundry Room/Mop Rooms

  Select 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

  • 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

• C19. Staff Areas (all)

  Select 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

  • 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

• C20. Back areas to include -Stairs/Hallways/Office

  Select 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

  • 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

• C21. Wash up area (sinks/shelving/trays etc)

  Select 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

  • 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

• C22. Back yard/Rubbish Rooms

  Select 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

  • 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

• C23. General Hygiene (bins, equipment, walls/floors etc)

  Select 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

  • 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

• Q1. Food Quality & Production Levels To Standard (Products not over-held/Defrosting procedures adhered to)

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q2. All products Dated & Traceable to shelf life?

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q3. Breaded chicken (Dated/Labelled/Laminate Or Timers (new style cabinet)

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q4. FIFO & Stock Management (Stock Rotation - Chicken & other food products)

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q5. Any products Out of Date

  Select 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

  • 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

• Q6. Meat holding units used correctly?

  Select Lights Fully Activated (20/20) Some Lights not activated (16/20) No Lights Activated 12/20) Not in use/No MHU

  • Lights Fully Activated (20/20)
  • Some Lights not activated (16/20)
  • No Lights Activated 12/20)
  • Not in use/No MHU

• Q7. Merlin Timer in Use & Timer tags (where applicable)?

  Select 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

  • 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

• Q8. Food & Equipment Random Temp Check

  Select 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

  • 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

• Q9a. Contamination Risk (Bio/Cross contamination)

  No Contamination Risks (20/20)

  1 Contamination Risk (16/20)

  2 Contamination Risks (12/20)

  3+ Contamination Risks (8/20)

  N/A

• Q9b. Contamination Risk (Physical)

  No Contamination Risks (20/20)

  1 Contamination Risk (16/20)

  2 Contamination Risks (12/20)

  3+ Contamination Risks (8/20)

  N/A

• Tick to confirm that auditor checked...

  Select Sieves Tongs Hard plastics/containers Fryer handles/baskets Papa Johns screens Noticeboards (thumb tacks/ staples) Glass / crockery

  • Sieves
  • Tongs
  • Hard plastics/containers
  • Fryer handles/baskets
  • Papa Johns screens
  • Noticeboards (thumb tacks/ staples)
  • Glass / crockery

• Q9c. Contamination Risk (Chemical)

  No Contamination Risks (20/20)

  1 Contamination Risk (16/20)

  2 Contamination Risks (12/20)

  3+ Contamination Risks (8/20)

  N/A

• Q10. Only Company Approved Products on site

  Full Compliance (20/20)

  1 unapproved Product (16/20)

  2 unapproved Products (12/20)

  3+ unapproved Products (8/20)

• Q11. Is the water hot in the hand wash sinks?

  Select 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)

  • 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)

• Q12. Are hand sinks stocked with soap, hand roll & sanitiser?

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q13. Hand hygiene observed? (to include False Nails/Nail Varnish)

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q14. Are staff compliant with company policies (Hairnets/No Jewellery/No Drinks,food/No chewing/No Phones)

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q15. Adherence to color coding? (cloths/cleaning equipment)

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q16. Are uniforms in clean presentable condition with safety shoes worn?

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q17. Are laundry procedures adhered to?

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• HACCP - Is there Clear & Deliberate Falsification across all of the HACCP Records (Auditors Decision is Final)

  Select No Falsification Identified Deliberate Falsification Identified=Automatic Fail

  • No Falsification Identified
  • Deliberate Falsification Identified=Automatic Fail

• Q18. HACCP Log completed daily?(Equipment temps/Defrost/Traceability/Calibration)

  Select 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)

  • 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)

• Q19. Chicken Batch Records Completed? (Pieces/Tenders/Fillets)

  Select 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

  • 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

• Q20. Delivery Records Completed? (some Fresh/Frozen items) & Plant codes completed for Meat products?

  Select 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)

  • 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)

• Q21. Cleaning Records Completed? (to include Floor/Toilet Checks)

  Select 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)

  • 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)

• Q22. Probe Calibration in Date?

  Select 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

  • 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

• Q23. Pest Control/EFK bulbs/Doors Windows/Fly activity/Clutter & Harbourage?

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q24. All Lobby Charts Displayed (Allergen/Beef Origin)

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q24a. Is the Moozie Counter Allergen Compliant? (Nuts Segregated/Toppers/Signage/Allergen Chart: Jan 22)

  Full Compliance (20/20)

  High Compliance (18/20)

  Low Compliance (15/20)

  No Compliance (10/20)

  N/A

• Q25. Duct & Grease trap certs in date

  Select 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

  • 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

• Q26. Ice cream/milkshake/slushee cleaning records completed?

  Select Records Completed/Signed (8/8) Records not recently completed/Signed (4/8) Other Issue No Records Completed/Available (0/8) N/A

  • Records Completed/Signed (8/8)
  • Records not recently completed/Signed (4/8)
  • Other Issue
  • No Records Completed/Available (0/8)
  • N/A

• Q27. Action List Returned?

  Select Returned (10/10) Completed/Signed but not returned (5/10) Not Returned (0/10) N/A

  • Returned (10/10)
  • Completed/Signed but not returned (5/10)
  • Not Returned (0/10)
  • N/A

• Q28. Ansul System Serviced?

  Ansul Serviced (6/6)

  Ansul Not Serviced (0/6)

  N/A

• Q29. Fire Fighting Equipment Serviced?

  Select Fire Equipment Serviced (6/6) Fire Equipment Not Serviced (0/6) N/A

  • Fire Equipment Serviced (6/6)
  • Fire Equipment Not Serviced (0/6)
  • N/A

• Q30. Health & Safety Issues (include Trip Hazards & 1st aid box)

  Select Zero Issues(6/6) Minor - Includes 1st aid box stock issue (4/6) Major - Incudes 1st aid box missing (0/6) N/A

  • Zero Issues(6/6)
  • Minor - Includes 1st aid box stock issue (4/6)
  • Major - Incudes 1st aid box missing (0/6)
  • N/A

• Q31. PPE in place (Goggles/Gloves/Apron)

  All PPE in place (10/10)

  2 in place (6/10)

  1 in place (2/10)

  None in place (0/10)

  N/A

• Q32. Staff Safety Booklet Available/ Read & Signed off by staff

  Select 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)

  • 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)

• Is there any staff member with Level 3 food Safety Training (Demonstrate with Cert)

  Level 3 Trained/Cert Available

  No staff Level 3 Trained

• Q34. Training Records, please select

  Company Store

  Franchise Store

• Q34a. U18 Register Available? (N/A for Franchise stores)

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Q34b. 1st Aider Trained?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

Q35. Employee #1 - Training file check

• NAME:

• All relevant information available for this employee?

  Yes

  No

  No additional records checked

• Contract on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Management of Health - Are Staff Medical Forms in Place (Revised annually)?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Employee handbook Declaration on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Training Handbooks available?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Competency checks completed ?

  Select Competency Checks Completed (10/10) Not all signed (8/10) Not all completed/Signed (5/10) No Competencies completed (0/10) N/A

  • Competency Checks Completed (10/10)
  • Not all signed (8/10)
  • Not all completed/Signed (5/10)
  • No Competencies completed (0/10)
  • N/A

• Food Safety Training records completed & signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• H&S Training records completed & Signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

Q35. Employee #2 - Training file check

• NAME:

• All relevant information available for this employee?

  Yes

  No

  No additional records checked

• Contract on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Management of Health - Are Staff Medical Forms in Place (Revised annually)?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Employee handbook Declaration on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Training Handbooks available?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Competency checks completed ?

  Select Competency Checks Completed (10/10) Not all signed (8/10) Not all completed/Signed (5/10) No Competencies completed (0/10) N/A

  • Competency Checks Completed (10/10)
  • Not all signed (8/10)
  • Not all completed/Signed (5/10)
  • No Competencies completed (0/10)
  • N/A

• Food Safety Training records completed & signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• H&S Training records completed & Signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

Q35. Employee #3 - Training file check

• NAME:

• All relevant information available for this employee?

  Yes

  No

  No additional records checked

• Contract on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Management of Health - Are Staff Medical Forms in Place (Revised annually)?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Employee handbook Declaration on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Training Handbooks available?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Competency checks completed ?

  Select Competency Checks Completed (10/10) Not all signed (8/10) Not all completed/Signed (5/10) No Competencies completed (0/10) N/A

  • Competency Checks Completed (10/10)
  • Not all signed (8/10)
  • Not all completed/Signed (5/10)
  • No Competencies completed (0/10)
  • N/A

• Food Safety Training records completed & signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• H&S Training records completed & Signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

Q35. Employee #1 - Training file check

• NAME:

• All relevant information available for this employee?

  Yes

  No

  No additional records checked

• Management of Health - Are Staff Medical Forms in Place (Revised annually)?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Employee handbook Declaration on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Training Handbooks available?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Competency checks completed ?

  Select Competency Checks Completed (10/10) Not all signed (8/10) Not all completed/Signed (5/10) No Competencies completed (0/10) N/A

  • Competency Checks Completed (10/10)
  • Not all signed (8/10)
  • Not all completed/Signed (5/10)
  • No Competencies completed (0/10)
  • N/A

• Food Safety Training records completed & signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• H&S Training records completed & Signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

Q35. Employee #2 - Training file check

• NAME:

• All relevant information available for this employee?

  Yes

  No

  No additional records checked

• Management of Health - Are Staff Medical Forms in Place (Revised annually)?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Employee handbook Declaration on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Training Handbooks available?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Competency checks completed ?

  Select Competency Checks Completed (10/10) Not all signed (8/10) Not all completed/Signed (5/10) No Competencies completed (0/10) N/A

  • Competency Checks Completed (10/10)
  • Not all signed (8/10)
  • Not all completed/Signed (5/10)
  • No Competencies completed (0/10)
  • N/A

• Food Safety Training records completed & signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• H&S Training records completed & Signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

Q35. Employee #3 - Training file check

• NAME:

• All relevant information available for this employee?

  Yes

  No

  No additional records checked

• Management of Health - Are Staff Medical Forms in Place (Revised annually)?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Employee handbook Declaration on file?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Training Handbooks available?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• Competency checks completed ?

  Select Competency Checks Completed (10/10) Not all signed (8/10) Not all completed/Signed (5/10) No Competencies completed (0/10) N/A

  • Competency Checks Completed (10/10)
  • Not all signed (8/10)
  • Not all completed/Signed (5/10)
  • No Competencies completed (0/10)
  • N/A

• Food Safety Training records completed & signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

• H&S Training records completed & Signed off?

  Training - YES (4/4)

  Training - NO (0/4)

  Not Signed/Other Issue (2/4)

  N/A

HACCP & Food Safety Manual

• Q38. Can the store management locate the Food Safety & HACCP Manual?

  Select Yes - Available - No issues Yes - Located but Management Unsure No -Not Available N/A

  • Yes - Available - No issues
  • Yes - Located but Management Unsure
  • No -Not Available
  • N/A

• S1. Shop Exterior (Signage/Lighting/POS)

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S2. Shop Interior (Heat/AirCon. TV/Music)

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S3. Counter (POS/Counter panels/Till toppers & wobblers. Menu board Pricing, tray mats etc)

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S4. Approved Clean Uniforms & Safety Shoes Worn

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S5. Staff Presentation (Clean Shaven & Beards neatly Trimmed)(Staff well Groomed)

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S6. All Staff wearing hats/hairnets? (including managers)

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S7. Are staff wearing Jewellery or eating behind the counter?

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S8. Staff available to serve & not loitering at counter?

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S9. Customer greeted (Eye contact/body language/smile)

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S10. Upselling (large meals/dressed fries etc)

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S11. Phones/Drive thru headssets been answered & in a timely Manner?

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S12. Transaction (Please/Thanks) - Give customer their next steps - inform of any wait times,

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S13. Repeat back order prior to transaction & at handover

  Order High Compliance (30/30)

  Some Compliance (25/30)

  No Compliance (18/30)

  N/A

• S14. Table Numbers/Buzzers/Order numbers to be used where required.

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S15. Customer directed to condiments / Condiments provided where required?

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S16. Kids toy included where applicable?

  Select Service High Compliance (20/20) Some Compliance (16/20) No Compliance (10/20) N/A

  • Service High Compliance (20/20)
  • Some Compliance (16/20)
  • No Compliance (10/20)
  • N/A

• S17. Staff Interaction (Friendly/helpful/Smiling) & assistance observed with Customers including Lobby staff?

  Order High Compliance (30/30)

  Some Compliance (25/30)

  No Compliance (18/30)

  N/A

• S18. General/Other Service observations

  Order High Compliance (30/30)

  Some Compliance (25/30)

  No Compliance (18/30)

  N/A