Title Page

  • Site conducted

  • Conducted on

  • 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.)

  • QUALITY SCORE

  • SERVICE SCORE

  • CLEANLINESS SCORE

  • E-Learning Status Comments

  • Automatic Fail Imposed Due to Deliberate Falsification of Records

  • COMMENTS:

CLEANLINESS

  • C1. Shop Exterior

  • C2. Shop interior/Lobby

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

  • C4. Hand Sinks

  • C5. Cold Rooms

  • C6. Other Refrigeration

  • C7. Freezer Rooms & all other freezers

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

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

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

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

  • C12. Henny Penny/Chicken Area/Chicken Sink

  • C13. Papa Johns & Equipment

  • C14. Supersubs area & Equipment

  • C15. Drive Thru

  • C16. Bewleys/Costa Coffee Dock

  • C17. Store Rooms/Mineral rooms

  • C18. Laundry Room/Mop Rooms

  • C19. Staff Areas (all)

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

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

  • C22. Back yard/Rubbish Rooms

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

QUALITY

QUALITY

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

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

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

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

  • Q5. Any products Out of Date

  • Q6. Meat holding units used correctly?

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

  • Q8. Food & Equipment Random Temp Check

  • Q9a. Contamination Risk (Bio/Cross contamination)

  • Q9b. Contamination Risk (Physical)

  • Tick to confirm that auditor checked...

  • Q9c. Contamination Risk (Chemical)

  • Q10. Only Company Approved Products on site

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

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

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

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

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

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

  • Q17. Are laundry procedures adhered to?

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

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

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

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

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

  • Q22. Probe Calibration in Date?

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

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

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

  • Q25. Duct & Grease trap certs in date

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

  • Q27. Action List Returned?

  • Q28. Ansul System Serviced?

  • Q29. Fire Fighting Equipment Serviced?

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

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

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

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

  • Q34. Training Records, please select

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

  • Q34b. 1st Aider Trained?

Q35. Employee #1 - Training file check

  • NAME:

  • All relevant information available for this employee?

  • Contract on file?

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

  • Employee handbook Declaration on file?

  • Training Handbooks available?

  • Competency checks completed ?

  • Food Safety Training records completed & signed off?

  • H&S Training records completed & Signed off?

Q35. Employee #2 - Training file check

  • NAME:

  • All relevant information available for this employee?

  • Contract on file?

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

  • Employee handbook Declaration on file?

  • Training Handbooks available?

  • Competency checks completed ?

  • Food Safety Training records completed & signed off?

  • H&S Training records completed & Signed off?

Q35. Employee #3 - Training file check

  • NAME:

  • All relevant information available for this employee?

  • Contract on file?

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

  • Employee handbook Declaration on file?

  • Training Handbooks available?

  • Competency checks completed ?

  • Food Safety Training records completed & signed off?

  • H&S Training records completed & Signed off?

Q35. Employee #1 - Training file check

  • NAME:

  • All relevant information available for this employee?

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

  • Employee handbook Declaration on file?

  • Training Handbooks available?

  • Competency checks completed ?

  • Food Safety Training records completed & signed off?

  • H&S Training records completed & Signed off?

Q35. Employee #2 - Training file check

  • NAME:

  • All relevant information available for this employee?

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

  • Employee handbook Declaration on file?

  • Training Handbooks available?

  • Competency checks completed ?

  • Food Safety Training records completed & signed off?

  • H&S Training records completed & Signed off?

Q35. Employee #3 - Training file check

  • NAME:

  • All relevant information available for this employee?

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

  • Employee handbook Declaration on file?

  • Training Handbooks available?

  • Competency checks completed ?

  • Food Safety Training records completed & signed off?

  • H&S Training records completed & Signed off?

HACCP & Food Safety Manual

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

SERVICE

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

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

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

  • S4. Approved Clean Uniforms & Safety Shoes Worn

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

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

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

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

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

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

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

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

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

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

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

  • S16. Kids toy included where applicable?

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

  • S18. General/Other Service observations

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.