Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Outside

  • Is back door locked or attended by manager if unlocked?

  • Are outside walks,steps and railings in good condition?

  • Add media

  • Is outside dining furniture including chairs, tables and umbrellas secure and the area free from debris?

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Office

  • Is MSDS notebook readily available, clean and stocked with up to date data sheets?

  • Is there assorted sizes of shoe covers available for employee use?

  • Is first aid kit fully stocked with approved product?

  • Are back braces available for employees lifting objects weighing more than 50 pounds?

  • Are newly hired employees being oriented and documented in their employee folder?

  • Is the last safety audit less than 30 days old?

  • Is incident folder up to date with required documents?

  • Are alarms tested monthly?

  • Is employee file cabinet locked?

  • Is office door locked at ALL times?

  • Are security cameras being used?

  • Are security camera lenses clean and in focus?

  • Is state specific worker comp poster displayed?

Dining Room

  • Are chair seats securely attached?

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  • Are high chairs clean and free from any defects?

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Overall

  • Are surveillance cameras working and in good condition? Free from debris and cobwebs? Is the DVR recording so playback is available?

  • Are fire extinguishers up to date?

  • Are there at least six wet floor signs available?

  • Are all line employees wearing proper slip resistant shoes?

  • Are all delivery drivers wearing proper slip resistant shoes?

  • Are all managers wearing proper slip resistant shoes?

  • Compare alarm monitoring report to AOD to verify the 2 person rule is being followed at open and close?

Cooler/Freezer

  • Are freezer floors covered with mat or non-slip surface and free of ice build up?

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  • Is food being properly rotated consistent with manufacturers use by dates?

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  • Is there a step ladder located in the walk in?

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Back of House

  • Is a dry mop kept separately for use after a wet mop to clean spills?

  • Are hot mitts stored close to oven and in good condition?

  • Is there a step ladder located in dry storage?

  • Are chemical bottles properly labeled?

  • Is a 8 ft ladder clean and available for use?

Prep

  • Are protective gloves used when cleaning slicer?

  • Have the Nimco dicer blades been replaced within the last 90 days and documented in red book?

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  • Are knives sharpened/replaced on a routine schedule?

Restrooms

  • Are bathroom baby changing stations clean, in good condition and working properly?

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  • Are toilet seats in good condition and fastened securely?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.