Restaurant Cleanliness Walkthrough

• Site conducted

• Conducted on

  Date

• Prepared by

• Location

• Floors are clean and free of debris?

  Good

  Fair

  Poor

  N/A

• Walls and ceilings are clean and free of stains?

  Good

  Fair

  Poor

  N/A

• Lighting is adequate and all bulbs are working?

  Compliant

  Non-Compliant

  N/A

• Windows and glass surfaces are clean and streak-free?

  Good

  Fair

  Poor

  N/A

• Air vents and fans are dust-free?

  Yes

  No

  N/A

• Trash cans are emptied and clean?

  Yes

  No

  N/A

• Restrooms are clean and stocked with essentials (toilet paper, soap, paper towels)?

  Yes

  No

  N/A

• Floors are clean and free of grease and food particles?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Food prep surfaces are clean and sanitized?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Cooking equipment is clean and in good working order?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Refrigerators and freezers are clean and at the correct temperature?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Shelving and storage areas are organized and clean?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Dish washing area is clean, and dishes are properly sanitized?

  Good

  Fair

  Poor

  N/A

• All kitchen utensils and equipment are in good condition?

  Good

  Fair

  Poor

  N/A

• Food storage containers are labeled and dated?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Cutting boards are clean and sanitized?

  Safe

  At Risk

  N/A

• Food items are properly labeled and dated?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Food is stored at the correct temperatures?

  Safe

  At Risk

  N/A

• Weekly Temperature and Sanitizer Logs are up to date?

  Yes

  No

  N/A

• Hand washing stations are stocked with soap and paper towels?

  Good

  Fair

  Poor

  N/A

• Employees are wearing clean uniforms and proper hair restraints?

  Good

  Fair

  Poor

  N/A

• Food allergies and dietary restrictions are taken into account?

  Good

  Fair

  Poor

  N/A

• Dry storage areas are organized, clean, and free of pests?

  Good

  Fair

  Poor

  N/A

• Cleaning supplies and chemicals are properly stored and labeled?

  Yes

  No

  N/A

• First aid kits are fully stocked and accessible?

  Yes

  No

  N/A

Additional Notes

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