SBISD CNS Field Supervisor On-Site Audit - 2014/2015

• Name of Document

• Conducted on

  Date

• Prepared By:

  Sign

• Location

  Select Memorial High School Spring Woods High School Northbrook High School Stratford High School Westchester AIS Cornerstone/SOC Landrum Middle School Memorial Middle School Spring Branch Middle School Spring Woods Middle School Spring Forest Middle School Spring Oaks Middle School Northbrook Middle School Bendwood Elementary Bunker Hill Elementary Edgewood Elementary Frostwood Elementary Holibrook Elementary Housman Elementary Hunters Creek Elementary Meadow Wood Elementary Memorial Drive Elementary Pine Shadows Elementary Ridgecrest Elementary Rummel Creek Elementary Shadow Oaks Elementary Spring Branch Elementary Valley Oaks Elementary Westwood Elementary Woodview Elementary Wilchester Elementary Sherwood Elementary Spring Shadows Elementary Nottingham Elementary Terrace Elementary Thornwood Elementary Cedar Brook Elementary Treasure Forest Elementary Buffalo Creek Elementary Wildcat Way School Panda Path School Lion Lane School Bear Blvd. School Tiger Trail School

  • Memorial High School
  • Spring Woods High School
  • Northbrook High School
  • Stratford High School
  • Westchester AIS
  • Cornerstone/SOC
  • Landrum Middle School
  • Memorial Middle School
  • Spring Branch Middle School
  • Spring Woods Middle School
  • Spring Forest Middle School
  • Spring Oaks Middle School
  • Northbrook Middle School
  • Bendwood Elementary
  • Bunker Hill Elementary
  • Edgewood Elementary
  • Frostwood Elementary
  • Holibrook Elementary
  • Housman Elementary
  • Hunters Creek Elementary
  • Meadow Wood Elementary
  • Memorial Drive Elementary
  • Pine Shadows Elementary
  • Ridgecrest Elementary
  • Rummel Creek Elementary
  • Shadow Oaks Elementary
  • Spring Branch Elementary
  • Valley Oaks Elementary
  • Westwood Elementary
  • Woodview Elementary
  • Wilchester Elementary
  • Sherwood Elementary
  • Spring Shadows Elementary
  • Nottingham Elementary
  • Terrace Elementary
  • Thornwood Elementary
  • Cedar Brook Elementary
  • Treasure Forest Elementary
  • Buffalo Creek Elementary
  • Wildcat Way School
  • Panda Path School
  • Lion Lane School
  • Bear Blvd. School
  • Tiger Trail School

Arrival

• Was back door locked upon arrival?

  Yes

  No

  N/A

• Were all safety and security procedures in place?

  Yes

  No

  N/A

• Were there any non-CNS personnel inside the kitchen during visit?

  Yes

  No

  N/A

• Was the exterior of the building clean and free of debris?

  Yes

  No

  N/A

Building

• Are the floors clean and in good repair?

  Yes

  No

  N/A

• Are the walls clean and in good repair?

  Yes

  No

  N/A

• Are the ceilings clean and in good repair?

  Yes

  No

  N/A

• Are the lights and fixtures clean and in good repair?

  Yes

  No

  N/A

• Is the A/C and/or heat working properly?

  Yes

  No

  N/A

• Is all the production equipment working properly? If not, please list the repairs and/or service needed. Attach pictures if needed.

  Yes

  No

  N/A

• Is the First Aid kit available and properly stocked?

  Yes

  No

  N/A

• Are all MSDS documentation available?

  Yes

  No

  N/A

• Is the HACCP plan posted and available?

  Yes

  No

  N/A

• Are all fire extinguishers currently serviced and working properly?

  Yes

  No

  N/A

• Are all employees current with fire extinguisher training?

  Yes

  No

  N/A

Storage, Preparation, and Service Areas

• Is the storage area clean?

  Yes

  No

  N/A

• Were all products dated for FIFO?

  Yes

  No

  N/A

• Was there an excessive amount of stock on-hand? If so, please indicate the product that was excessive and the plan discussed to eliminate the excess.

  Yes

  No

  N/A

• Were all products stored more than 6" off the floor?

  Yes

  No

  N/A

• Was there adequate clearance from the ceiling: 18" from ceilings w/sprinklers or 24" from ceilings w/o sprinklers?

  Yes

  No

  N/A

• Were all cleaning supplies stored away from food items?

  Yes

  No

  N/A

• Is sanitizing solution available in all areas: serving lines, prep areas, 3-comp sinks?

  Yes

  No

  N/A

• Is it of the proper PPM concentration?

  Yes

  No

  N/A

• Does the handwash area have soap, sanitizer, and paper towels?

  Yes

  No

  N/A

• Does the kitchen have adequate hot water?

  Yes

  No

  N/A

• Do all trash cans have liners?

  Yes

  No

  N/A

• Is there any personal food stored in any SBISD areas?

  Yes

  No

  N/A

Production and Service

• Is the serving line clean, properly set-up, and ready for the first student? PLEASE TAKE A PICTURE.

  Yes

  No

  N/A

• Was there any excessive 'pre-plating' of food? If so, please indicate measures taken to prevent future issues.

  Yes

  No

  N/A

• Are employees wearing the proper uniform including slip resistant shoes?

  Yes

  No

  N/A

• Are all servers wearing gloves and hairnets?

  Yes

  No

  N/A

• Do appropriate employees have instant-read thermometers in their pockets?

  Yes

  No

  N/A

• Approved jewery?

  Yes

  No

  N/A

• Are all servers ready to serve on-time?

  Yes

  No

  N/A

• SBISD employee badge clearly visible?

  Yes

  No

  N/A

• Was all staff courteous and smiling?

  Yes

  No

  N/A

• Are menus/menu boards updated and displaying the correct menu information?

  Yes

  No

  N/A

• During observation of service, were all customers recognized and greeted by the servers?

  Yes

  No

  N/A

Compliance

• Is a variety of fluid milk being properly offered?

  Yes

  No

  N/A

• Is the published menu being served? If not, please indicate the reason why.

  Yes

  No

  N/A

• Are all 5 meal components properly offered?

  Yes

  No

  N/A

• Are the correct serving utensils used?

  Yes

  No

  N/A

• Are all OVS procedures being followed?

  Yes

  No

  N/A

• Are all meals only being counted at the "point of service?"

  Yes

  No

  N/A

• Are all self-serve items protected from contamination?

  Yes

  No

  N/A

• Are back-up rosters at each cashier station?

  Yes

  No

  N/A

Temperatures and Food Safety

• Entree and temp:

• Entree and temp:

• Entree and temp:

• Vegetable and temp:

• Vegetable and temp:

• Vegetable and temp:

• Fruit and temp:

• Fruit and temp:

• Fruit and temp:

• Milk/juice/drink temp:

Leftover Foods

• Leftover foods properly stored and labeled?

  Yes

  No

  N/A

• Any other issues?

Production Records & Recipes

• Were Production Records prepared in advance?

  Yes

  No

  N/A

• Are all recipes being followed correctly?

  Yes

  No

  N/A

• Are recipe books current and complete?

  Yes

  No

  N/A

• Is enough food shown on PR to serve the planned number of meals?

  Yes

  No

  N/A

Other Paperwork

• Are all tracking logs complete and accurate?

  Select refrigeration log dish-machine log serving line temp log leftover temp log receiving temp log thermometer calibration log milk box temp log

  • refrigeration log
  • dish-machine log
  • serving line temp log
  • leftover temp log
  • receiving temp log
  • thermometer calibration log
  • milk box temp log

• Are all posters displayed properly?

  Select "And Justice for All" sanitation handwashing choking sulfite Workers Compensation FMLA memo

  • "And Justice for All"
  • sanitation
  • handwashing
  • choking
  • sulfite
  • Workers Compensation
  • FMLA memo

• Are meal contribution stickers displayed?

  Yes

  No

  N/A

• Are work schedules posted?

  Yes

  No

  N/A

• Are menu posters correctly displayed?

  Yes

  No

  N/A

• Are Mgt/Asst Mgr/PA Health Certificates displayed?

  Yes

  No

  N/A

• Is the Solid Waste Manifest posted?

  Yes

  No

  N/A

• Is the Food Dealers Permit displayed and current?

  Yes

  No

  N/A

• Was the pest management documentation (including the date of the last extermination treatment) displayed?

  Yes

  No

  N/A

Edit Check

• Did the number of meals served on the day of observation exceed the number of allowable meals?

  Yes

  No

  N/A

• Did the number of meals served on the day of observation exceed the Average Daily Attendance limits?

  Yes

  No

  N/A

Breakfast in the Classroom (if applicable)

• Were all bags/meals ready at the proper time?

  Yes

  No

  N/A

• Are all teachers/staff following the proper procedures for counting and claiming?

  Yes

  No

  N/A

After School Snack Program (if applicable)

• Was the snack prepared in accordance with the published recipe?

  Yes

  No

  N/A

• Was the snack left in a secure location?

  Yes

  No

  N/A

• Supervisor Signature

  Sign

• Manager Signature

  Sign

• Notes or comments: