SLI Detailed Physical Plant

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Exterior

• Building

• Building Clean/Undamaged

  Yes

  No

  N/A

• Front/Back Doors Illuminated Properly

  Yes

  No

  N/A

• Paint looks fresh, no chips

  Yes

  No

  N/A

• Windows Clean and Ledges Empty and mullions wiped

  Yes

  No

  N/A

• Door glass and frames clean

  Yes

  No

  N/A

• Emergency numbers, alarm system info displayed on window

  Yes

  No

  N/A

• Security door has peep hole or security window

  Yes

  No

  N/A

• Outside storage properly secured with substantial locks

  Yes

  No

  N/A

• No access to building by dumpster, ladder, trash cans, etc.

  Yes

  No

  N/A

• Roof drains to ground properly

  Yes

  No

  N/A

• Roof top and equipment well maintained

  Yes

  No

  N/A

Canopies

• Clean

  Yes

  No

  N/A

• Undamaged

  Yes

  No

  N/A

• Canopy beam lights working

  Yes

  No

  N/A

• Height Clearance signs available

  Yes

  No

  N/A

Drive Thru

• Speakers operational and audible

  Yes

  No

  N/A

• Menu boards clean, no hand made signs.

  Yes

  No

  N/A

• Menu lights and Showcase Lights Operational

  Yes

  No

  N/A

• Menu frames in good condition (no cracks, scratches, etc)

  Yes

  No

  N/A

• Menu background in good condition (no light showing through)

  Yes

  No

  N/A

• POP cards in good condition

  Yes

  No

  N/A

• Poles - none damaged/plates missing, ballards are straight

  Yes

  No

  N/A

• Poles painted, no rust and clean

  Yes

  No

  N/A

• RMHC Clean and in Good Repair

  Yes

  No

  N/A

Signs, Lighting

• Pole/Monument Sign Undamaged

  Yes

  No

  N/A

• Pole/Monument Fully Lit

  Yes

  No

  N/A

• Marquee message current and legible

  Yes

  No

  N/A

• Entrance sign undamaged and fully lit

  Yes

  No

  N/A

• Exit sign undamaged and fully lit

  Yes

  No

  N/A

• Building sign undamaged and fully lit

  Yes

  No

  N/A

• Parking lot well lit

  Yes

  No

  N/A

• Parking lot illuminated at dusk

  Yes

  No

  N/A

• Back door light illuminated at dusk

  Yes

  No

  N/A

Stalls and Lot

• Concrete/Asphalt/Handicap poles/Car stops clean & good repair

  Yes

  No

  N/A

• Landscaped areas free of litter

  Yes

  No

  N/A

• Free from stains (grease, oil, gum, etc)

  Yes

  No

  N/A

• Dumpster Area free from litter/trash

  Yes

  No

  N/A

• Dumpster area free from stains/lids closed

  Yes

  No

  N/A

• Storage Building organized

  Yes

  No

  N/A

• Underground access covers in place and secure

  Yes

  No

  N/A

Landscape

• Free from weeds

  Yes

  No

  N/A

• No dead grass/plants are neatly trimmed<br>

  Yes

  No

  N/A

• Surrounding area free of litter

  Yes

  No

  N/A

• Dumpster fence in good condition

  Yes

  No

  N/A

• Bushes, shrubs trimmed to prevent hiding

  Yes

  No

  N/A

Enter exterior comments below

Interior (Equipment)

Refrigeration

Walk-In Freezer

• Clean and organized

  Yes

  No

  N/A

• Shelving clean (rust free)

  Yes

  No

  N/A

• Food stored off the floor

  Yes

  No

  N/A

• Cases covered and spaced for proper ventilation

  Yes

  No

  N/A

• All opened food covered/resealed

  Yes

  No

  N/A

• No ice build up on floor

  Yes

  No

  N/A

• Food properly dated/rotated

  Yes

  No

  N/A

• Evaporator fan clean and not frozen

  Yes

  No

  N/A

• Door Heater Working

  Yes

  No

  N/A

• Lights work and explosion guard intact

  Yes

  No

  N/A

• Accurate interior thermometer

  Yes

  No

  N/A

• Gaskets in good condition, no mold

  Yes

  No

  N/A

Walk-In Cooler

• Temp +34 to 40

  Yes

  No

  N/A

• Clean and organized

  Yes

  No

  N/A

• Shelving clean and free of mold, rust

  Yes

  No

  N/A

• Food stored off the floor

  Yes

  No

  N/A

• Cases covered and spaced for proper ventilation

  Yes

  No

  N/A

• Opened/Thawed food stored properly

  Yes

  No

  N/A

• All thawed food stored to prevent cross-contamination

  Yes

  No

  N/A

• Food properly dated/rotated

  Yes

  No

  N/A

• Evaporator fan clean/not frozen

  Yes

  No

  N/A

• Lights working/explosion guard intact

  Yes

  No

  N/A

• Accurate interior thermometer

  Yes

  No

  N/A

• Gasket in good condition, no mold

  Yes

  No

  N/A

• Meat products on lower shelves

  Yes

  No

  N/A

• No evidence of cross-contamination

  Yes

  No

  N/A

Reach-In Cooler/Freezer

• Cooler Temp +34 to 40

  Yes

  No

  N/A

• Freezer temp -10 to +10

  Yes

  No

  N/A

• Both clean and organized

  Yes

  No

  N/A

• No mildew, mold, odor or rust

  Yes

  No

  N/A

• All food covered

  Yes

  No

  N/A

• Evaporator fan clean and not frozen

  Yes

  No

  N/A

• Accurate interior thermometer

  Yes

  No

  N/A

• Gaskets in good condition, no mold

  Yes

  No

  N/A

• No evidence of cross-contamination

  Yes

  No

  N/A

Front Counter Coolers

• Temp +34 to 40

  Yes

  No

  N/A

• Clean and organized

  Yes

  No

  N/A

• No mold, mildew, rust or odor

  Yes

  No

  N/A

• Evaporator fan clean and not frozen

  Yes

  No

  N/A

Grill Freezer

• Temp -10 to +10

  Yes

  No

  N/A

• Clean and organized

  Yes

  No

  N/A

• No mildew, mold, rust or odor

  Yes

  No

  N/A

• All food covered

  Yes

  No

  N/A

• Evaporator fan clean and not frozen

  Yes

  No

  N/A

• Accurate interior thermometer

  Yes

  No

  N/A

• Gaskets in good condition, no mold

  Yes

  No

  N/A

Grill

• Hood and filters cleaned daily

  Yes

  No

  N/A

• Exhaust operational

  Yes

  No

  N/A

• Clamshell Grill Top and bottom temps correct<br>

  Yes

  No

  N/A

• Quick disconnect gas line and chain restraint in use

  Yes

  No

  N/A

• Gas and electrical cut-off devices installed

  Yes

  No

  N/A

• Grill clean, no grease buildup on grill stand or behind grill

  Yes

  No

  N/A

• Bun table in good working order

  Yes

  No

  N/A

• Bun toaster in good working order

  Yes

  No

  N/A

• Grill calibrated/Clamshell Grill Cook Temp Correct

  Yes

  No

  N/A

• Waste bucket in use

  Yes

  No

  N/A

Front and Back Fried products

• Hood and filters cleaned daily

  Yes

  No

  N/A

• Exhaust operational

  Yes

  No

  N/A

• Fryers temp setting calibrated

  Yes

  No

  N/A

• Shortening quality good

  Yes

  No

  N/A

• Salt/bag heating elements operational

  Yes

  No

  N/A

• Lids on pans when not in use

  Yes

  No

  N/A

• Steamer clean in and out, operating correctly

  Yes

  No

  N/A

• Cook times of products verified

  Yes

  No

  N/A

• Fryers filtered twice daily, filter powder used appropriately

  Yes

  No

  N/A

• Quick disconnect gas line and chain restraint in use

  Yes

  No

  N/A

Fountain and Misc

• Ice machine functioning<br>

  Yes

  No

  N/A

• Dispensed soda at 32 to 40

  Yes

  No

  N/A

• All heads clean, no corrosion

  Yes

  No

  N/A

• Sodas properly carbonated

  Yes

  No

  N/A

• Ice machine bin clean, no corrosion

  Yes

  No

  N/A

• Front ice bins clean, no corrosion or mold

  Yes

  No

  N/A

• All mixers clean and operational

  Yes

  No

  N/A

• Shake machine fully operational/clean

  Yes

  No

  N/A

• Interior/Exterior of Machine Cleaned

  Yes

  No

  N/A

• Softserve machine fully operational and clean<br>

  Yes

  No

  N/A

• Interior/Exterior of machine clean

  Yes

  No

  N/A

• Grill certification current<br>

  Yes

  No

  N/A

• Coffee maker clean and water temp +195

  Yes

  No

  N/A

• Ice tea dispensers and spigots clean

  Yes

  No

  N/A

• Can opener clean and operational

  Yes

  No

  N/A

• Accurate interior thermometer

  Yes

  No

  N/A

• Temp -10 to +10

  Yes

  No

  N/A

Enter interior equipment comments below

Interior (Facility)

Floors and Baseboards

• Clean and undamaged

  Yes

  No

  N/A

• No missing tile, mortar or concrete

  Yes

  No

  N/A

• No standing water

  Yes

  No

  N/A

• Drain covers all intact and clean

  Yes

  No

  N/A

Walls

• Clean and undamaged

  Yes

  No

  N/A

• All opening properly covered

  Yes

  No

  N/A

Ceiling

• Tiles clean

  Yes

  No

  N/A

• No missing tiles

  Yes

  No

  N/A

• All opening properly covered

  Yes

  No

  N/A

• Vents clean (no signs of rust or mold)

  Yes

  No

  N/A

• All lighting operational and properly covered

  Yes

  No

  N/A

Restrooms

• Fully functional

  Yes

  No

  N/A

• Clean and odor free w/ tissue on rollers

  Yes

  No

  N/A

• Trash can clean w/ self closing lid

  Yes

  No

  N/A

• Lighting operational and covered (light shield is clean)

  Yes

  No

  N/A

• Hand washing signs posted

  Yes

  No

  N/A

• No cracks or chips in any fixtures

  Yes

  No

  N/A

Dry Storage

• Neat and organized

  Yes

  No

  N/A

• Stored items free from dust and debris

  Yes

  No

  N/A

• Undershelving clean and dry

  Yes

  No

  N/A

• All storage off floor

  Yes

  No

  N/A

• Paper stored apart from food

  Yes

  No

  N/A

• Chemicals labeled and stored away from food

  Yes

  No

  N/A

• Ice bin area dry, no spills

  Yes

  No

  N/A

• Water hose in good condition and stored properly

  Yes

  No

  N/A

Back Door

• Emergency Exit equipped w/ panic bar, door swings outward

  Yes

  No

  N/A

• Exit alarm functional and engaged

  Yes

  No

  N/A

• Inner door equipped w/scope peep hole or window

  Yes

  No

  N/A

• Inner door not open after dusk

  Yes

  No

  N/A

• Exit signage in working condition

  Yes

  No

  N/A

• Never propped open or unattended

  Yes

  No

  N/A

Freezer/Cooler Doors

• Hardware permitting exit from freezer/cooler operational

  Yes

  No

  N/A

• Freezer door heater operational

  Yes

  No

  N/A

• If equipped w hasp locks, permits exit from interior

  Yes

  No

  N/A

MIsc

• 3 comp sink w wash/rinse/sanitize (Sinks are properly labeled)

  Yes

  No

  N/A

• Hand sinks have hot water, soap, paper towels/dryer

  Yes

  No

  N/A

• Sanitizer buckets in appropriate areas

  Yes

  No

  N/A

• Sanitizer at proper strength and temp

  Yes

  No

  N/A

• Dust pans, mops, brooms clean and stored properly

  Yes

  No

  N/A

• Fire suppression system date valid (Please note date)

  Yes

  No

  N/A

• Portable extinguishers charged (Please note date)

  Yes

  No

  N/A

• First aid kit properly stocked, colored band-aids available

  Yes

  No

  N/A

• Bloodborne pathogen kit available and complete

  Yes

  No

  N/A

• Heat resistant gloves, apron

  Yes

  No

  N/A

• CO2 detector functioning<br>

  Yes

  No

  N/A

• Co2 tank and helium secured with chain or strap

  Yes

  No

  N/A

• Electrical boxes properly labeled

  Yes

  No

  N/A

• Doors and aisles clear of trash and debris

  Yes

  No

  N/A

• No evidence of bugs/rodents

  Yes

  No

  N/A

• Safe properly locked and anchored

  Yes

  No

  N/A

• Security cameras properly aimed and focused

  Yes

  No

  N/A

• Security DVR on and recording

  Yes

  No

  N/A

• Employees wearing proper footwear

  Yes

  No

  N/A

Enter interior facility comments below

Administration

• Office area neat and organized

  Yes

  No

  N/A

• Access to Operations Manual on Partner Net

  Yes

  No

  N/A

• Crisis hotline posted and accessible

  Yes

  No

  N/A

• All-in-one poster current

  Yes

  No

  N/A

• All required state posters current

  Yes

  No

  N/A

• Non-harassment poster current

  Yes

  No

  N/A

• All required licenses displayed

  Yes

  No

  N/A

• Pest control contract and license on hand

  Yes

  No

  N/A

• Change fund matches balance sheet Safe Audit

  Yes

  No

  N/A

• Mgr cancels and cash paid outs available for review

  Yes

  No

  N/A

• Labor schedule posted timely - scheduler used as required

  Yes

  No

  N/A

• Managers and Assistants Servsafe certified

  Yes

  No

  N/A

Enter administration comments blow

Action Plan

• Supervisor

  Sign

• Partner

  Sign