Rush Bowls

• Client / Site

• Conducted on (Date and Time)

  Date

• Inspected by

• Location
  Address

PERSONAL HYGIENE

• Employees wear clean and proper clothing, including closed-toe shoes

  Yes

  No

  N/A

• Effective hair restraints, such as a hairnet or hat, are properly worn

  Yes

  No

  N/A

• Hands are washed properly, frequently, and at appropriate times

  Yes

  No

  N/A

• Eating, chewing gum, smoking and using tobacco are allowed only in designated areas away from preparation, service, and food storage

  Yes

  No

  N/A

• Staff beverages have lids and are kept where they cannot spill onto foods

  Yes

  No

  N/A

• Employees use disposable tissues when coughing or sneezing, and immediately wash hands and change gloves

  Yes

  No

  N/A

• Hand sinks are stocked with soap, disposable towels, and warm water

  Yes

  No

  N/A

FOOD PREPARATION

• Food equipment, utensils, and food contact surfaces are properly washed, rinsed, and sanitized before every use

  Yes

  No

  N/A

• Frozen food is thawed under refrigeration, in the microwave, cooked to a proper temperature from a frozen state, or in cold running water

  Yes

  No

  N/A

• Food is handled with suitable utensils, such as single-use gloves or tongs

  Yes

  No

  N/A

• Clean reusable towels are used only for sanitizing equipment and surfaces and not for drying hands, utensils or the floor

  Yes

  No

  N/A

• Food is cooked to the proper internal temperature and is tested with a clean, calibrated thermometer. Temperature is documented.

  Yes

  No

  N/A

REFRIGERATOR AND FREEZER

• Refrigerator and freezer units are clean and neat

  Yes

  No

  N/A

• Refrigerator temperature is at or below 41°F

  Yes

  No

  N/A

• Food is protected from contamination

  Yes

  No

  N/A

FOOD STORAGE AND DRY STORAGE

• All food is stored 6-8 inches off the floor

  Yes

  No

  N/A

• Food is stored in the original container or a food grade container

  Yes

  No

  N/A

• There are no bulging or leaking canned goods

  Yes

  No

  N/A

• Food is protected from contamination

  Yes

  No

  N/A

• Chemicals are clearly labeled and stored away from food

  Yes

  No

  N/A

UTENSILS AND EQUIPMENT

• Utensils and equipment are cleaned and sanitized between uses

  Yes

  No

  N/A

• Work surfaces and utensils are clean

  Yes

  No

  N/A

• Food cart or container used to transport food is cleaned daily

  Yes

  No

  N/A

• Thermometer is cleaned and sanitized between uses

  Yes

  No

  N/A

• Can opener is clean

  Yes

  No

  N/A

DISHWASHING

• Three-compartment sink is properly set up for ware washing or dish machine is working properly

  Yes

  No

  N/A

• Water temperatures are correct

  Yes

  No

  N/A

• Smallware and utensils are allowed to air dry

  Yes

  No

  N/A

GARBAGE STORAGE AND PEST CONTROL

• Kitchen garbage cans are clean and emptied as necessary

  Yes

  No

  N/A

• Boxes and containers are removed from the site

  Yes

  No

  N/A

• No evidence of pests is present

  Yes

  No

  N/A

COMPLETION

• Recommendations

• Full Name and Signature of the Inspector

  Sign