Information
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STORE
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RGM
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Conducted on
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Period No.
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Audit Title
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Location
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Personnel
Outside (PARKING,DT,SIDEWALKS)
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Lot surface condition -potholes,cracks,oil,gum
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Tripping hazards - curbs,landscaping edging,other
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Winter Conditions - Ice Melt used and sidewalks clear
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Lighting adequate - timer set correctly
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Dumpster area - Lids closed,condition of dumpster
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DT Menu-board (Plexiglas) and DT Speaker
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DT pad and DT window (clean and operates properly)
INSIDE (CUSTOMER AREA)
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Door Mats - Used,Clean and In Good Condition
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Doors - No Loose Hinges,Thresholds Clean and Secure
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Floors - Condition and Cleanliness (No Broken/Loose Tiles
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Aisles and Exits - Free of Tripping Hazards
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Exits - Marked with Illuminated
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Emergency light - check
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Wet Floor - Signs Available
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Wet Floor - signs in use(If Applicable)
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Booths/Chairs,High Chairs,Booster Chairs - Clean
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Tabletops - Clean and In Good Condition
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Gum under dining room tables
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Light fixtures - no bugs, stains, cracks, or dust
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Ceiling tiles and vents - clean and in good condition
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Fans and neon - clean and in good condition
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Pop machine nozzles, heads and ice overflow - clean and in good condition
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Tea urns - spickets changed - clean and in good condition
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Overall dining room cleanliness
RESTROOMS
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Waste receptacles provided w/ covers - men's & women's
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Condition of fixtures - faucets, dryers, toilets, mirrors, light fixtures, door locks, and TP dispenser
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Hot water
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RESTROOMS Hot Water - Temp
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Soap and toilet paper provided
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Employee "Handwashing" sign posted
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Ceiling, vents, and walls - clean and in good condition
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Overall restroom cleanliness
KITCHEN
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Floors - condition and cleanliness (dry, no broken/loose tiles or drains)
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Ceiling tiles, vents & walls - clean and in good condition
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Light fixtures - no bugs, stains, cracks, or dust
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Walk-in cooler - clean/dry floors, walls, ceiling, shelves and vents clean
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Walk-in cooler - curtain and door closure
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Can opener blade - clean and in good condition (KFC Only)
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Protective globes on hood, walk-in and freezer lights<br>
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DT pop machine nozzles, heads and ice chute - clean and in good condition
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Ice machine - no rust, scoop stored properly, buckets clean and in good condition
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Hand sinks - clean, stocked, handwashing sign posted
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3-Compartment Sink - set up correctly, test strips used, water = 150ppm - 200ppm, no leaks
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Wiping towels - 2 colors, stored properly, water = 150ppm - 200ppm
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Digital thermometer - available, used/stored properly<br>
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Digital thermometer - Calibrated
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Rethermalizer - clean and in good condition
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Rethermalizer - Temp:
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Bunn hot water - clean and in good condition
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Bunn hot water - Temp:
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GTO Line - clean and in good condition
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GTO Line - Temp:
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Hot item temperature - Item: Temp:
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Hot item temperature - Item: Temp:
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Cold line(s) - clean and in good condition
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Cold line(s) - Temp:
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Cold item temperature - Item: - Temp:
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Cold item temperature - Item: - Temp:
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Reach-in - clean and in good condition
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Reach-in - Temp:
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Heated cabinets: clean and in good condition
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Heated cabinets: Temp:
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Walk-in - Temp
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Freezer - Temp
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REACH-IN-FRZR - Temp
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Prep and Hold procedures in use
KITCHEN SAFETY
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First Aid kit stocked, including burn supplies
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Blue bandages and gloves used together<br>
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All employees wearing approved slip resistant shoes
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Overall kitchen cleanliness
STORAGE AREAS
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Rotation evident in dry storage, walk-in and freezer
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Delivery dates posted on all products<br>
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Expiration times/dates posted
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Back supports available and used
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Heavy items stored on lower shelves
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Safety knives used - no unprotected blades
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Ladders in good condition
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Roof hatch closed and locked
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Overall storage area cleanliness
FIRE and SECURITY
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Exhaust hood filters cleaned weekly - no build-up on hood or ducts
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No combustibles near heaters or compressors
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Fire extinguishers - charged and mounted
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Auto fire protection - charged and clean
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Security system used properly every day
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Crew knowledgeable about security procedures
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Opening and closing security procedures followed - ask crew to describe procedures
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Slide lock and override light in walk-in working - ask if the crew is knowledgeable
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Back door policy posted
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Back door alarm works properly - TEST
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Emergency phone numbers posted (911, Medcor, Guardian, DC/MC)<br>
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Timelock sign posted on the safe
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Timelock safe functioning/used properly
ADMINISTRATIVE
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How many Communicators does the store have for DT?
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All Communicators work properly
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5-in-1 poster and work comp notices posted
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Administrative Manual - present with current signatures
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MSDS Manual - present with current signatures
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Food Safety - managers certified
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Food Safety Review Checklist completed two times per day
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Food Safety Review Checklist on file for last 30 days
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Food Prep Chart posted and in use
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Training Up-to-Date<br>
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Shift Excellence Board in use
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Bar Schedule posted (7 days)
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Seven Day Deployment Sheet in use
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Deployment Chart completed w/ MIC in correct position<br>
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CHAMPS Board posted and current
ACTION PLANS
ACTION PLANS
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Item #1:
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Steps
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Who's Responsible:
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Due Date:
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Item #2:
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Steps
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Who's Responsible:
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Due Date:
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Coaching or Additional information
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STORE MANAGER:
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DISTRICT MANAGER: