Restaurant

• STORE

• RGM

• Conducted on

  Date

• Period No.

• Audit Title

• Location
  Address

• Personnel

Outside (PARKING,DT,SIDEWALKS)

• Lot surface condition -potholes,cracks,oil,gum

  Yes

  No

  N/A

• Tripping hazards - curbs,landscaping edging,other

  Yes

  No

  N/A

• Winter Conditions - Ice Melt used and sidewalks clear

  Yes

  No

  N/A

• Lighting adequate - timer set correctly

  Yes

  No

  N/A

• Dumpster area - Lids closed,condition of dumpster

  Yes

  No

  N/A

• DT Menu-board (Plexiglas) and DT Speaker

  Yes

  No

  N/A

• DT pad and DT window (clean and operates properly)

  Yes

  No

  N/A

INSIDE (CUSTOMER AREA)

• Door Mats - Used,Clean and In Good Condition

  Yes

  No

  N/A

• Doors - No Loose Hinges,Thresholds Clean and Secure

  Yes

  No

  N/A

• Floors - Condition and Cleanliness (No Broken/Loose Tiles

  Yes

  No

  N/A

• Aisles and Exits - Free of Tripping Hazards

  Yes

  No

  N/A

• Exits - Marked with Illuminated

  Yes

  No

  N/A

• Emergency light - check

  Yes

  No

  N/A

• Wet Floor - Signs Available

  Yes

  No

  N/A

• Wet Floor - signs in use(If Applicable)

  Yes

  No

  N/A

• Booths/Chairs,High Chairs,Booster Chairs - Clean

  Yes

  No

  N/A

• Tabletops - Clean and In Good Condition

  Yes

  No

  N/A

• Gum under dining room tables

  Yes

  No

  N/A

• Light fixtures - no bugs, stains, cracks, or dust

  Yes

  No

  N/A

• Ceiling tiles and vents - clean and in good condition

  Yes

  No

  N/A

• Fans and neon - clean and in good condition

  Yes

  No

  N/A

• Pop machine nozzles, heads and ice overflow - clean and in good condition

  Yes

  No

  N/A

• Tea urns - spickets changed - clean and in good condition

  Yes

  No

  N/A

• Overall dining room cleanliness

  Yes

  No

  N/A

RESTROOMS

• Waste receptacles provided w/ covers - men's & women's

  Yes

  No

  N/A

• Condition of fixtures - faucets, dryers, toilets, mirrors, light fixtures, door locks, and TP dispenser

  Yes

  No

  N/A

• Hot water

  Yes

  No

  N/A

• RESTROOMS Hot Water - Temp

• Soap and toilet paper provided

  Yes

  No

  N/A

• Employee "Handwashing" sign posted

  Yes

  No

  N/A

• Ceiling, vents, and walls - clean and in good condition

  Yes

  No

  N/A

• Overall restroom cleanliness

  Yes

  No

  N/A

KITCHEN

• Floors - condition and cleanliness (dry, no broken/loose tiles or drains)

  Yes

  No

  N/A

• Ceiling tiles, vents & walls - clean and in good condition

  Yes

  No

  N/A

• Light fixtures - no bugs, stains, cracks, or dust

  Yes

  No

  N/A

• Walk-in cooler - clean/dry floors, walls, ceiling, shelves and vents clean

  Yes

  No

  N/A

• Walk-in cooler - curtain and door closure

  Yes

  No

  N/A

• Can opener blade - clean and in good condition (KFC Only)

  Yes

  No

  N/A

• Protective globes on hood, walk-in and freezer lights<br>

  Yes

  No

  N/A

• DT pop machine nozzles, heads and ice chute - clean and in good condition

  Safe

  At Risk

  N/A

• Ice machine - no rust, scoop stored properly, buckets clean and in good condition

  Safe

  At Risk

  N/A

• Hand sinks - clean, stocked, handwashing sign posted

  Safe

  At Risk

  N/A

• 3-Compartment Sink - set up correctly, test strips used, water = 150ppm - 200ppm, no leaks

  Safe

  At Risk

  N/A

• Wiping towels - 2 colors, stored properly, water = 150ppm - 200ppm

  Safe

  At Risk

  N/A

• Digital thermometer - available, used/stored properly<br>

  Safe

  At Risk

  N/A

• Digital thermometer - Calibrated

  Safe

  At Risk

  N/A

• Rethermalizer - clean and in good condition

  Yes

  No

  N/A

• Rethermalizer - Temp:

• Bunn hot water - clean and in good condition

  Yes

  No

  N/A

• Bunn hot water - Temp:

• GTO Line - clean and in good condition

  Yes

  No

  N/A

• GTO Line - Temp:

• Hot item temperature - Item: Temp:

• Hot item temperature - Item: Temp:

• Cold line(s) - clean and in good condition

  Yes

  No

  N/A

• Cold line(s) - Temp:

• Cold item temperature - Item: - Temp:

• Cold item temperature - Item: - Temp:

• Reach-in - clean and in good condition

  Yes

  No

  N/A

• Reach-in - Temp:

• Heated cabinets: clean and in good condition

  Yes

  No

  N/A

• Heated cabinets: Temp:

• Walk-in - Temp

• Freezer - Temp

• REACH-IN-FRZR - Temp

• Prep and Hold procedures in use

  Yes

  No

  N/A

KITCHEN SAFETY

• First Aid kit stocked, including burn supplies

  Yes

  No

  N/A

• Blue bandages and gloves used together<br>

  Yes

  No

  N/A

• All employees wearing approved slip resistant shoes

  Yes

  No

  N/A

• Overall kitchen cleanliness

  Yes

  No

  N/A

STORAGE AREAS

• Rotation evident in dry storage, walk-in and freezer

  Yes

  No

  N/A

• Delivery dates posted on all products<br>

  Yes

  No

  N/A

• Expiration times/dates posted

  Yes

  No

  N/A

• Back supports available and used

  Yes

  No

  N/A

• Heavy items stored on lower shelves

  Yes

  No

  N/A

• Safety knives used - no unprotected blades

  Yes

  No

  N/A

• Ladders in good condition

  Yes

  No

  N/A

• Roof hatch closed and locked

  Yes

  No

  N/A

• Overall storage area cleanliness

  Yes

  No

  N/A

FIRE and SECURITY

• Exhaust hood filters cleaned weekly - no build-up on hood or ducts

  Yes

  No

  N/A

• No combustibles near heaters or compressors

  Yes

  No

  N/A

• Fire extinguishers - charged and mounted

  Yes

  No

  N/A

• Auto fire protection - charged and clean

  Yes

  No

  N/A

• Security system used properly every day

  Yes

  No

  N/A

• Crew knowledgeable about security procedures

  Yes

  No

  N/A

• Opening and closing security procedures followed - ask crew to describe procedures

  Yes

  No

  N/A

• Slide lock and override light in walk-in working - ask if the crew is knowledgeable

  Yes

  No

  N/A

• Back door policy posted

  Yes

  No

  N/A

• Back door alarm works properly - TEST

  Yes

  No

  N/A

• Emergency phone numbers posted (911, Medcor, Guardian, DC/MC)<br>

  Yes

  No

  N/A

• Timelock sign posted on the safe

  Yes

  No

  N/A

• Timelock safe functioning/used properly

  Yes

  No

  N/A

ADMINISTRATIVE

• How many Communicators does the store have for DT?

• All Communicators work properly

  Yes

  No

  N/A

• 5-in-1 poster and work comp notices posted

  Yes

  No

  N/A

• K-MAC Mission Statement posted

  Yes

  No

  N/A

• Administrative Manual - present with current signatures

  Yes

  No

  N/A

• MSDS Manual - present with current signatures

  Yes

  No

  N/A

• Food Safety - managers certified

  Yes

  No

  N/A

• Food Safety Review Checklist completed two times per day

  Yes

  No

  N/A

• Food Safety Review Checklist on file for last 30 days

  Yes

  No

  N/A

• Food Prep Chart posted and in use

  Yes

  No

  N/A

• Training Up-to-Date<br>

  Yes

  No

  N/A

• Shift Excellence Board in use

  Yes

  No

  N/A

• Bar Schedule posted (7 days)

  Yes

  No

  N/A

• Seven Day Deployment Sheet in use

  Yes

  No

  N/A

• Deployment Chart completed w/ MIC in correct position<br>

  Yes

  No

  N/A

• CHAMPS Board posted and current

  Yes

  No

  N/A

ACTION PLANS

• Item #1:

• Steps

• Who's Responsible:

• Due Date:

• Item #2:

• Steps

• Who's Responsible:

• Due Date:

• Coaching or Additional information

• STORE MANAGER:

  Sign

• DISTRICT MANAGER:

  Sign