Title Page
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Site conducted
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Conducted on
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Conducted by
Visit Details
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Restaurant - 44K020/54
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Length of Visit
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Restaurant Address
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MOD
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Position
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Visit Type
Exterior
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The Restaurant exterior is clean and well maintained to brand standard?
Guest Area
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Guest area is clean and well maintained and to brand standard?
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Front of house self-serve beverage & condiment station is stocked, clean and<br>well maintained to brand standard?
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Restrooms are clean, maintained and stocked to brand standard?
Product
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Marination process is to Brand Standard?
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Breading station and process is to Brand Standard?
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Frying procedures are to brand standard in all fryer types?
Cooked Chicken Quality ***ASSESS ONLY 3 PRODUCTS***
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Original Recipe Chicken
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Fillets
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Mini Fillets
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Zingers
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Hot Wings
Fries Quality
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Fries are to standard?
Availability
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Products are available when ordered?
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Original Recipe Chicken
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Fillets
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Mini Fillets
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Zingers
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Hot Wings
Accuracy
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All restaurant employees are 100% Trained?
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Team members provide a memorable customer experience?
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Orders are accurately packed, presented, dispatched within brand standards?
Back Of House
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Emergency fire equipment and exits comply with local legislation and<br>brand standard?
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Health & Safety standards comply with local legislation and brand<br>standard?
Equipment
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Required equipment is approved in place and functioning properly?
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Fryers (Pots/Cookers/Vats) are certified and operated to brand standard?
Food Safety Hygiene
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Brand/BU Employee Health Standard is posted visibly for team members?
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Team member must not be observed working with symptoms of illness<br>or infection?
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Significant - Hand washing procedures followed?
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Secondary - Hand washing procedures followed?
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Significant - Hand washing sinks accessible, clean, functioning, in good<br>repair, used only for hand washing, and includes posted hand washing signs?
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Secondary - Hand washing sinks accessible, clean, functioning, in good<br>repair, used only for hand washing, and includes posted hand washing signs?
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How many handwash sinks are BOH? (Kitchen only, not including<br>toilet rooms)?
Proper Temperature Or Time Management
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Thermometers in use are calibrated?
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Cold holding and storage equipment temperature meets standard?
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Hot holding and storage equipment temperature meets standard?
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Cold Temperature Controlled for Safety (TCS) Foods must be held ≤<br>5°C?
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Hot Temperature Controlled for Safety (TCS) Foods must be held ≥<br>63°C?
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Time Controlled for Safety (TCS) Foods using only time for food safety<br>must have documented procedures and be within time?
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Frozen foods are thawed correctly?
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Cooling procedures are properly followed?
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Foods must be cooked or heated to the proper internal food safe<br>temperature?
Control Expiration Dates & Shelf-Life
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Significant - Ingredients and products are correctly labeled with an<br>expiration date and are not expired?
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Secondary - Ingredients and products are correctly labeled with an<br>expiration date and are not expired?
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Significant - Spoiled foods or ingredients are not in use and not for sale?
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Secondary - Spoiled foods or ingredients are not in use and not for sale?
Prevent Contamination
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Food and packaging are properly stored and in good condition;<br>damaged or donated products are segregated; team member food/medication<br>segregated?
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Utensils, smallwares, and food contact surfaces are properly<br>cleaned, stored, air-dried, in good repair, and held properly when in us?
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Significant - Cross contamination or conditions that could lead to cross<br>contamination must not be present?
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Secondary - Cross contamination or conditions that could lead to<br>cross contamination must not be present?
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Team members meet grooming and personal hygiene standards and practices?
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Significant - Single-use disposable food handling gloves and blue or<br>brightly colored (non-flesh colored) bandages are available in the restaurant<br>and used correctly?
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Secondary - Single-use disposable food handling gloves and blue or<br>brightly colored (non-flesh colored) bandages are available in the restaurant<br>and used correctly?
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Significant - Dish washing process set up and followed correctly, proper<br>sanitizer concentration and test strips available?
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Secondary - Dish washing process set up and followed correctly, proper<br>sanitizer concentration and test strips available?
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Equipment is properly cleaned and free of excess debris, buildup?
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Significant - Wiping cloths used and stored properly in a sanitizer<br>bucket with correct concentration?
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Cleaning supplies (e.g., mops, mop bucket, etc.) must be available and<br>stored clean?
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Restaurant BOH floors, walls, ceiling, vents/exhaust hoods, and<br>shelving are clean?
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Lighting sources are properly shielded or have shatter proof bulbs in<br>areas where food, service utensils and equipment are stored or prepared?
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Back flow is prevented at the sink sprayer and all other hoses?
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Is there a dedicated cold storage (walk-in, reach-in refrigeration;<br>not a freezer) for raw animal foods?
Prevent Pest Entry, Harborage & Activity
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Current and Approved Brand/BU Weekly Pest Walks must be<br>completed and retained?
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Pest control devices evident and installed, maintained properly; service<br>is evident and by an approved Pest Management Professional Vendor?
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Pest activity is prevented through elimination of harborage and pest<br>points of entry? (Including outside storage sheds and landscaping)
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Restaurant BOH floors, walls, ceiling, vents/exhaust hoods, and<br>shelving are in good repair?
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Significant - Pest Infestation or Activity not present? (Food Safety<br>Emergency)
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Secondary - Pest Infestation or Activity not present?
Restaurant Basics
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The most recent health department inspection report is available, and<br>evidence is available that corrective actions against any Health Authority<br>critical non-conformances has been completed?
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As required by the Brand/BU or by regulation, at least 1 manager must<br>have locally acceptable food handler certificate on file?
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Team Member food safety training records meets Brand/BU standards?
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Current and Approved Brand/BU Food Safety Checklists must be<br>completed and retained?
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Only approved ingredients or food evident?
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Only approved equipment and smallwares in use?
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Gaskets on refrigeration/freezer units, ice machines, hot holding<br>units, or any other equipment that has gaskets are clean and in good repair?
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Trash receptacles are of sufficient availability, capacity, cleaned, and<br>maintained properly?
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Three-compartment sink, prep sink, dishwasher or PowerSoak sink is<br>functioning properly?
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Approved chemicals are properly labeled and stored, and handled<br>correctly?
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Restaurant has electric power or an alternate power source available<br>for use? (Imminent Health Hazard)
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Significant - Hot water ≥49°C is available in the kitchen as<br>measured at any sink providing hot water other than a handwash sink?<br>(Imminent Health Hazard, Food Safety Emergency)
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Secondary - Hot water is between 43°C and 48°C
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Minimum of one functioning toilet available in the facility for team<br>member use? (Imminent Health Hazard)
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Significant - Drains not clogged and functioning properly? (Imminent<br>Health Hazard)
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Secondary - Drains not clogged and functioning properly?
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Water is from an approved source?
Growth Drivers
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There is an automated product forecasting system?
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There is an automated labour forecasting, scheduling & deployment<br>system?
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If the restaurant does their own delivery, is there a DELIVERY<br>MANAGEMENT SYSTEM in place?
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The restaurant has an automated Kitchen Management System?
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Number of Kiosks in restaurant?
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All Kiosks are available and functional?
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All aggregator or own delivery tablets are functioning correctly and<br>accepting orders?
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The restaurant and the team are prepped and ready for sales?
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The restaurant has KDS screens in the necessary positions?
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The restaurant is meeting the required speed standard for Drive Thru?
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Drive Thru Restaurants have a digital timer that is fully functional?
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Drive Thru Restaurants digital timer measures the following speed<br>attributes?
Signatures
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Inspector
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MOD