Safety Assessment - Food Service Industry

• STORE

• Conducted on

  Date

• Audit Title

• Location
  Address

• Personnel

1.0 - Previous Safety inspections

• Have all identified safety hazards from previous inspection corrected

  Yes

  No

  N/A

• Have all reported maintenance issues from previous inspection been repaired

  Yes

  No

  N/A

2.0 - Outside (PARKING,DT,SIDEWALKS)

• Lot surface condition -potholes,cracks

  Yes

  No

  N/A

• Tripping hazards - curbs,landscaping edging,other

  Yes

  No

  N/A

• Lighting adequate - timer set correctly

  Yes

  No

  N/A

• Dumpster area - Lids closed,condition of dumpster

  Yes

  No

  N/A

3.0 - INSIDE (CUSTOMER AREA)

• Door Mats - Used,Clean and In Good Condition

  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

• Overall dining room cleanliness good

  Yes

  No

  N/A

4.0 - KITCHEN

• Are floors clean, dry and in safe condition

  Yes

  No

  N/A

• Are wet floor warning signs available and used

  Yes

  No

  N/A

• Are all aisles and emergency exits free of boxes and clutter

  Yes

  No

  N/A

• No loose floor tiles or missing floor drain covers

  Yes

  No

  N/A

• Are trash can empty and stored out of high traffic area's

  Yes

  No

  N/A

• Are hoses rolled and store safely

  Yes

  No

  N/A

• Are ladders in good safe condition and store safely

  Yes

  No

  N/A

• Are electrical outlets, switches and components working properly, are all covers securely on

  Yes

  No

  N/A

• Are electrical extension cords in safe condition and out of walking area's

  Yes

  No

  N/A

• Are emergency fire extinguishers accessible and clearly marked

  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 in good condition

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Slip resistant mat in freezer

  Yes

  No

  N/A

• Are floor mats in good condition, lay flat, smooth edges

  Yes

  No

  N/A

• All employees wearing slip resistant footwear

  Yes

  No

  N/A

• Are first aid kits adequately stocked and accessible

  Yes

  No

  N/A

• Are all cleaning supplies labeled properly

  Yes

  No

  N/A

• Are combustibles stored away from heat sources (ovens, fryers, grills, water heaters)

  Yes

  No

  N/A

• Is personal protective equipment (PPE) clean and available for employees

  Yes

  No

  N/A

• Are brooms, dust pans, mops, buckets and cleaning equipment stored safely and out of exits, high traffic area's

  Yes

  No

  N/A

• Are current emergency evacuation diagrams posted

  Yes

  No

  N/A

• Overall Kitchen cleanliness good

  Yes

  No

  N/A

Additional Hazards/Concerns or Safe Behaviors

STORAGE AREAS

• Heavy items stored on lower shelves

  Yes

  No

  N/A

• Safety knives used - no unprotected blades

  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

• Has Ansul fire extinguisher system been inspected and serviced within the last 6 months (check tags)

  Yes

  No

  N/A

• Are compressed gas cylinders

  Yes

  No

  N/A

• Security system used properly every day

  Yes

  No

  N/A

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

  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

ADMINISTRATIVE

• OSHA poster and work comp notices posted

  Yes

  No

  N/A

• OSHA 300 posted February 1st - April 30th (If Applicable)

  Yes

  No

  N/A

• Company Safety Program / Injury and Illness Prevention Program (IIPP) - present <br><br><br>

  Yes

  No

  N/A

• HAZCOM - MSDS Program present

  Yes

  No

  N/A

• Training - HAZCOM training current

  Yes

  No

  N/A

• Training - Emergency evacuation training

  Yes

  No

  N/A

• Training - Ladder training

  Yes

  No

  N/A

Company Personnel

• STORE MANAGER:

  Sign

• INSPECTION BY:

  Sign