Service Kitchen
Date & Time
Date
Prepared by
Sign
Food is kept at least 6" off the ground
Compliant
Violation
Corrected
Not Observed
Not Applicable
Food is stored in a clean dry place that is not exposed to contamination
Compliant
Violation
Corrected
Not Observed
Not Applicable
Containers are labeled with the food name and delivery date
Compliant
Violation
Corrected
Not Observed
Not Applicable
Food is stored using the FEFO method (First Expired First Out)
Compliant
Violation
Corrected
Not Observed
Not Applicable
Food-contact surfaces are clean and sanitized
Compliant
Violation
Corrected
Not Observed
Not Applicable
Freezer and Refrigerator Maintenance
Freezer Thermometer is present and accurate
Compliant
Violation
Corrected
Not Observed
Not Applicable
Freezer Temperature is holding at 0˚F or below
Compliant
Violation
Corrected
Not Observed
Not Applicable
Refrigerator Thermometer is present and accurate
Compliant
Violation
Corrected
Not Observed
Not Applicable
Refrigerator Temperature is at 40˚F or below
Compliant
Violation
Corrected
Not Observed
Not Applicable
Freezer and Refrigerators are clean
Compliant
Violation
Corrected
Not Observed
Not Applicable
Food items are correctly identified and date marked
Compliant
Violation
Corrected
Not Observed
Not Applicable
Food is stored using the FEFO method (First Expired First Out)
Compliant
Violation
Corrected
Not Observed
Not Applicable
Freezer Temperature Check Item 1
Freezer Temperature Check Item 2
Refrigerator Temperature Check Item 1
Refrigerator Temperature Check Item 2
Food is protected from cross contamination (Covered)
Compliant
Violation
Corrected
Not Observed
Not Applicable
Frozen food is properly thawed in the refrigerator or under running water
Compliant
Violation
Corrected
Not Observed
Not Applicable
Staff have clean hands, disposable gloves, and or utensils when handling food
Compliant
Violation
Corrected
Not Observed
Not Applicable
Rice is held at 140˚F or higher
Compliant
Violation
Corrected
Not Observed
Not Applicable
Cheese sauce is held at 140˚F or higher
Compliant
Violation
Corrected
Not Observed
Not Applicable
Food preparation area, shelves and cabinets are clean and sanitized
Compliant
Violation
Corrected
Not Observed
Not Applicable
Prep Line Refrigerator Temperature Check Item 1
Prep Line Refrigerator Temperature Check Item 2
Prep Line Refrigerator Temperature Check Item 3
Washing station is set and in compliance (Wash-Rinse-Sanitize) Sanitizer at 200ppm
Compliant
Violation
Corrected
Not Observed
Not Applicable
Smallware/utensils are properly cleaned and sanitized between uses
Compliant
Violation
Corrected
Not Observed
Not Applicable
Utensils are properly air dried after washing
Compliant
Violation
Corrected
Not Observed
Not Applicable
Water source is safe at 85˚F
Compliant
Violation
Corrected
Not Observed
Not Applicable
Hand soap and hand washing sign available
Compliant
Violation
Corrected
Not Observed
Not Applicable
Cleaning equipment available and stored correctly
Compliant
Violation
Corrected
Not Observed
Not Applicable
Employees are wearing clean uniforms and hairnets
Compliant
Violation
Corrected
Not Observed
Not Applicable
Employees wash hands regularly and correctly
Compliant
Violation
Corrected
Not Observed
Not Applicable
Cuts and bandages are covered
Compliant
Violation
Corrected
Not Observed
Not Applicable
Jewelry and nail polish policies are followed
Compliant
Violation
Corrected
Not Observed
Not Applicable
No eating in the kitchen policy
Compliant
Violation
Corrected
Not Observed
Not Applicable
Personal items are stored away from food preparation areas
Compliant
Violation
Corrected
Not Observed
Not Applicable
Personal food items are clearly identified and kept in designated areas
Compliant
Violation
Corrected
Not Observed
Not Applicable
Pest and Checmical Controls
No presence or breading of insects / rodents / pests
Compliant
Violation
Corrected
Not Observed
Not Applicable
Outer openings protected from insects /rodents / pests
Compliant
Violation
Corrected
Not Observed
Not Applicable
Garbage and refuge is properly disposed off
Compliant
Violation
Corrected
Not Observed
Not Applicable
All chemicals and labeled and identified
Compliant
Violation
Corrected
Not Observed
Not Applicable
All chemicals are properly stored and away from food
Compliant
Violation
Corrected
Not Observed
Not Applicable
Safety and Miscellaneus (reporting purposes only)
Fire extinguishers equipment
Compliant
Violation
Corrected
Not Observed
Not Applicable
All exits are not block or locked
Compliant
Violation
Corrected
Not Observed
Not Applicable
Electrical wiring / outlets in good repair
Compliant
Violation
Corrected
Not Observed
Not Applicable
Curent License is properly displayed
Compliant
Violation
Corrected
Not Observed
Not Applicable
Serv Safe Certifications are current and properly displayed
Compliant
Violation
Corrected
Not Observed
Not Applicable
Bathrooms are in working order and accessible
Compliant
Violation
Corrected
Not Observed
Not Applicable
Lockers and break area is available for staff
Compliant
Violation
Corrected
Not Observed
Not Applicable
Refrigerator Temperature Log Unti 1
Compliant
Violation
Corrected
Not Observed
Not Applicable
Refrigerator Temperature Log Unit 2
Compliant
Violation
Corrected
Not Observed
Not Applicable
Refrigerator Temperature Log Unit 3
Compliant
Violation
Corrected
Not Observed
Not Applicable
Freezer Temperature Log
Compliant
Violation
Corrected
Not Observed
Not Applicable
Chemical Disinfection Log
Compliant
Violation
Corrected
Not Observed
Not Applicable
Cheese Sauce Temperature Log
Compliant
Violation
Corrected
Not Observed
Not Applicable
Rice Temperature Log
Compliant
Violation
Corrected
Not Observed
Not Applicable
Thermometer Calibration Log
Compliant
Violation
Corrected
Not Observed
Not Applicable
Receiving Log
Compliant
Non-Compliant
N/A
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Fernando Asencio
Service Kitchen Audit
This checklist is to be completed at the beginning of the PM shift.
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.