Restaurants, Pubs and Bars

• Customer Account Name

• Group Name (if applicable)

• Customer Site Contact (Manager)

• Site Number

• Customer Account Number

• Kersia UK TSC Name

• Start Time

  Date

• End Time

  Date

• Any cleaning / chemical related issues at entrance / reception area

  Yes

  No

• Provide details of issues

• Are all the surface chemical dispensing units clean and functioning?

  Yes

  No

• Are all the surface chemical dispensing units dosing correctly?

  Yes

  No

• Are all soap and or hand sanitizer dispensers clean and working?

  Yes

  No

• Are correct chemicals in each dispenser?

  Yes

  No

• Do all chemicals drums have some chemical in them?

  Yes

  No

• All cleaning products are in the Kersia range?

  Yes

  No

• Are all spray bottles correctly labelled?

  Yes

  No

• Are all charts and labels in place?

  Yes

  No

• General Kitchen Hygiene

  Good

  Fair

  Poor

• Kitchen Hygiene Observations (floors, surfaces, equipment etc).

Dishwasher

• External / Internal Dosing

  Yes

  No

• Titration

• Dishwasher Wash Temperature

• Dishwasher Rinse Temperature

• General Dishwasher Condition

  Good

  Fair

  Poor

• Dishwasher condition details

• General Dishwasher results

  Good

  Fair

  Poor

• Results details

Equipment Replaced

• Dishwasher Peristaltics

• M8 Soap dispensers

• Tubing

• Chemical dispenser

• Bracket

• Others

General

• Is the relevant PPE available for use

  Yes

  No

• Are staff aware of surface sanitisation process and contact time

  Yes

  No

• Is correct surface sanitisation process and contact time observed

  Yes

  No

• Suggested new products to assist with kitchen challenges

• Other Comments

• Are all the surface chemical dispensing units clean and functioning?

  Yes

  No

• Are all the surface chemical dispensing units dosing correctly?

  Yes

  No

• Are all soap and or hand sanitizer dispensers clean and working?

  Yes

  No

• Are correct chemicals in each dispenser?

  Yes

  No

• Do all chemicals drums have some chemical in them?

  Yes

  No

• All cleaning products are in the Kersia range?

  Yes

  No

• Are all spray bottles correctly labelled?

  Yes

  No

• Are all charts and labels in place?

  Yes

  No

• General Kitchen Hygiene

  Good

  Fair

  Poor

• Kitchen Hygiene Observations (floors, surfaces, equipment etc).

Glasswasher

• External / Internal Dosing

  Yes

  No

• Titration

• Dishwasher Wash Temperature

• Dishwasher Rinse Temperature

• General Dishwasher Condition

  Good

  Fair

  Poor

• Dishwasher condition details

• General Dishwasher results

  Good

  Fair

  Poor

• Results details

Equipment Replaced

• Glasswasher Peristaltics

• M8 Soap dispensers

• Tubing

• Chemical dispenser

• Bracket

• Others

General

• Is the relevant PPE available for use

  Yes

  No

• Are staff aware of surface sanitisation process and contact time

  Yes

  No

• Is correct surface sanitisation process and contact time observed

  Yes

  No

• Suggested new products to assist with bar challenges

• Other Comments

• Are all the surface chemical dispensing units clean and functioning?

  Yes

  No

• Are all the surface chemical dispensing units dosing correctly?

  Yes

  No

• Are all soap and or hand sanitizer dispensers clean and working?

  Yes

  No

• Are correct chemicals in each dispenser?

  Yes

  No

• Do all chemicals drums have some chemical in them?

  Yes

  No

• All cleaning products are in the Kersia range?

  Yes

  No

• Are all spray bottles correctly labelled?

  Yes

  No

• Are all charts and labels in place?

  Yes

  No

• General FOH / Toilets Hygiene

  Good

  Fair

  Poor

• FOH / Toilets Observations (floors, surfaces, equipment etc).

Equipment Replaced

• M8 Soap dispensers

• Tubing

• Chemical dispenser

• Bracket

• Others

General

• Is the relevant PPE available for use

  Yes

  No

• Are staff aware of surface sanitisation process and contact time

  Yes

  No

• Is correct surface sanitisation process and contact time observed

  Yes

  No

• Suggested new products to assist with FOH Toilet challenges

• Other Comments

• Housekeeping / Accommodation on site

  Yes

  No

• Any cleaning / chemical related issues in Housekeeping / Accommodation

  Yes

  No

• Provide details of issues and actions

• Laundry on site

  Yes

  No

• Any cleaning / chemical related issues in the laundry

  Yes

  No

• Provide details of issues and actions

• Outside areas at site

  Yes

  No

• Any cleaning / chemical related issues in the outside areas

  Yes

  No

• Provide details of issues and actions

• Multi-Surface Cleaner

• Surface Disinfectant

• Heavy Duty Cleaner

• Floor Cleaner

• WUL

• Dishwash Detergent

• Dishwash Rinse Aid

• Hand-soap

• Washroom Cleaner

• Toilet Cleaner