Information
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FORM ABC-1234 (6-07-2012) Draft 3 DEPARTMENT OF TESTING IT Administration
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SHORT CAFE INSPECTION CHECKLIST
EQUIPMENT AND FURNISHINGS
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1. Drip trough
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2. Trash cabinets
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3. Trash bags/cans
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4. Dispensers
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5. Cutting boards
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6.<br>...<br>49. Cashier stand
GLASS SURFACES
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1. Windows
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2. Doors
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3. Dessert unit
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... 7. Tile wall cleaning
STAINLESSS STEELSURFACES
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1. Serving line counter
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2. Refrigerator, 2D, kitchen
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... 15. Other
Other Controls
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Checkbox: Are Floormats Clean?
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Draw here:
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Information: You may add text/media/link here
Caution: Floors may be slippery -
Multiple choice responses
- dirty
- slippery
- cracks
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Fire Extinguisher: Slide to ON position if pressure is in acceptable range
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Single line text
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Multiple line text
AUDITOR
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Location of Inspection Site
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Inspector Name
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Signature
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Date/Time of Inspection
