Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Exterior
Exterior
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Building
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Building Clean/Undamaged
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Front/Back Doors Illuminated Properly
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Paint looks fresh, no chips
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Windows Clean and Ledges Empty and mullions wiped
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Security door has peep hole or security window
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Door glass and frames clean
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Emergency numbers, alarm system info displayed on window
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Outside storage properly secured with substantial locks
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No access to building by dumpster, ladder, trash cans, etc.
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Roof drains to ground properly
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Roof top and equipment well maintained
Canopies
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Clean
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Undamaged
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Canopy beam lights working
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Height Clearance signs available
Menu Housings
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Speakers operational and audible
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Menu tops clean
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Menu lights and Showcase Lights Operational
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Menus clean, including interior
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Menu frames in good condition (no cracks, scratches, etc)
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Menu showcase clean and supported
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Menu background in good condition (no light showing through)
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Poles - none damaged/plates missing
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Poles painted, no rust and clean
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POP cards and banners current
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POP cards in good condition
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POP materials professionally printed, no handwritten signs on menus
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Tray holders in good condition
Signs, Lighting, Playground
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Pole/Monument Sign Undamaged
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Pole/Monument Fully Lit
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EMC fully operational and displaying current message
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Marquee message current and legible
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Entrance sign undamaged and fully lit
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Exit sign undamaged and fully lit
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Building sign undamaged and fully lit
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Parking lot well lit
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Parking lot illuminated at dusk
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Back door light illuminated at dusk
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Exterior telephone wire enclosed in conduit
Stalls and Lot
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Concrete/Asphalt Undamaged
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Landscaped areas free of litter
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Free from stains (grease, oil, gum, etc)
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Dumpster Area free from litter/trash
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Dumpster area free from stains/lids closed
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Storage Building organized
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Underground access covers in place and secure
Landscape
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Free from weeds
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No dead grass/plants are neatly trimmed<br>
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Surrounding area free of litter
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Dumpster fence in good condition
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Bushes, shrubs trimmed to prevent hiding
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Interior view clean and organized
Enter exterior comments below
Interior
Interior (Equipment)
Refrigeration
Walk-In Freezer
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Temp -10 to +10
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Clean and organized
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Shelving clean (rust free)
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Food stored off the floor
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Cases spaced for proper ventilation
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All opened food covered/resealed
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No ice build up on floor
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Food properly dated/rotated
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Evaporator fan clean and not frozen
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Lights work and explosion guard intact
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Accurate interior thermometer
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Gaskets in good condition, no mold
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No evidence of cross-contamintation
Walk-In Cooler
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Temp +34 to 40
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Clean and organized
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Shelving clean and free of mold, rust
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Food stored off the floor
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Cases spaced for proper ventilation
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Opened/Thawed food stored properly
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All thawed food stored to prevent cross-contamination
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Food properly dated/rotated
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Evaporator fan clean/not frozen
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Lights working/explosion guard intact
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Accurate interior thermometer
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Gasket in good condition, no mold
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Meat products on lower shelves
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No evidence of cross-contamination
Reach-In Cooler/Freezer
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Cooler Temp +34 to 40
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Freezer temp -10 to +10
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Both clean and organized
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No mildew, mold, odor or rust
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All food covered
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Evaporator fan clean and not frozen
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Accurate interior thermometer
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Gaskets in good condition, no mold
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No evidence of cross-contamination
Self serve
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Temp +34 to 40
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Clean and organized
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No mold, mildew, rust or odor
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Evaporator fan clean and not frozen
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Ice machine functioning<br>
Grill Freezer
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Temp -10 to +10
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Clean and organized
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No mildew, mold, rust or odor
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All food covered
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Evaporator fan clean and not frozen
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Accurate interior thermometer
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Gaskets in good condition, no mold
Grill
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Hood and filters cleaned daily
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Exhaust operational
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Clamshell Grill Top and bottom temps correct<br>
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Quick disconnect gas line and chain restraint in use
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Gas and electrical cut-off devices installed
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Grill clean, no grease buildup on grill stand or behind grill
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Bun table in good working order
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Bun toaster in good working order
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Grill calibrated/Clamshell Grill Cook Temp Correct
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Waste bucket in use
Front and Back Fried products
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Hood and filters cleaned daily
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Exhaust operational
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Fryers temp setting calibrated
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Shortening quality good
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Salt/bag heating elements operational
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Lids on pans when not in use
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Steamer clean in and out, operating correctly
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Cook times of products verified
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Fryers filtered twice daily, filter powder used appropriately
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Quick disconnect gas line and chain restraint in use
Fountain and Misc
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Dispensed soda at 32 to 40
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All heads clean, no corrosion
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Sodas properly carbonated
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Ice machine bin clean, no corrosion
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Front ice bins clean, no corrosion or mold
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All mixers clean and operational
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Shake machine fully operational/clean
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Interior/Exterior of Machine Cleaned
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Softserve machine fully operational and clean<br>
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Interior/Exterior of machine clean
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Grill certification current<br>
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Coffee maker clean and water temp +195
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Ice tea dispensers and spigots clean
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Can opener clean and operational
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Accurate interior thermometer
Enter interior equipment comments below
Interior (Factility)
Interior (Facility)
Floors and Baseboards
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Clean and undamaged
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No missing tile, mortar or concrete
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No standing water
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Drain covers all intact and clean
Walls
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Clean and undamaged
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All opening properly covered
Ceiling
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Tiles clean
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No missing tiles
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All opening properly covered
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Vents clean (no signs of rust or mold)
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All lighting operational and properly covered
Restrooms
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Fully functional
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Clean and odor free w/ tissue on rollers
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Trash can clean w/ self closing lid
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Lighting operational and covered (light shield is clean)
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Hand washing signs posted
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No cracks or chips in any fixtures
Dry Storage
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Neat and organized
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Stored items free from dust and debris
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Undershelving clean and dry
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All storage off floor
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Paper stored apart from food
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Chemicals labeled and stored away from food
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Ice bin area dry, no spills
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Water hose in good condition and stored properly
Back Door
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Emergency Exit equipped w/ panic bar, door swings outward
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Exit alarm functional and engaged
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Inner door equipped w/scope peep hole or window
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Inner door not open after dusk
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Exit signage in working condition
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Never propped open or unattended
Freezer/Cooler Doors
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Hardware permitting exit from freezer/cooler operational
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Freezer door heater operational
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If equipped w hasp locks, permits exit from interior
MIsc
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3 comp sink w wash/rinse/sanitize (Sinks are properly labeled)
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Hand sinks have hot water, soap, paper towels/dryer
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Sanitizer buckets in appropriate areas
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Sanitizer at proper strength and temp
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Dust pans, mops, brooms clean and stored properly
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Fire suppression system date valid (Please note date)
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Portable extinguishers charged (Please note date)
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First aid kit properly stocked, colored band-aids available
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Bloodborne pathogen kit available and complete
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Safety cutting gloves
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Heat resistant gloves, apron
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CO2 detector functioning<br>
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Co2 tank and helium secured with chain or strap
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Electrical boxes properly labeled
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Doors and aisles clear of trash and debris
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No evidence of bugs/rodents
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Safe properly locked and anchored
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Security cameras properly aimed and focused
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Security DVR on and recording
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Employees wearing proper footwear
Enter interior facility comments below
Service
Service
Speaker Attendant
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Speaker Response time less <10 seconds?
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Ask ask tell used
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Response friendly and courteous w name in greeting?
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Response clear and understandable?
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Order repeated
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Cost given
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Suggestive selling done
Front cashiers
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Complete clean and neat uniform with nametag (Long sleeve black shirt may be worn under crew shirt)
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Hands and nails clean
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Wearing a friendly smile
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Hair pulled back
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Make up acceptable
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Jewelry within food safety standard
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Not chewing gum
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Telling guests about how to complete voice survey
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Smile and make eye contact
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Greet the guest and introduce yourself
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Ask ask tell used
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Give the total and receipt pagers in use
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Offer ketchup - ask how many
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Thank the guest
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Look for trash on lot
Order
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Service time <3:30? (Please note delivery time for 3 orders)
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DT Service Time <2:00 from end of order taking to leaving with food
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Order accurate
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Food hot, fresh, cooked properly
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Bun fresh, toasted (or steamed)
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Toppings fresh, quality and portioned correctly
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Side orders hot, crisp, fresh and salted
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Side order properly portioned
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Drink only 1/2 full of ice (except for tea)
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Drink filled to 1/4 in from top, no spillage
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Received correct amount of napkins
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Meal packaged neatly and presentable
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Sandwich flat in bag
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Drink fresh, no off taste
Image
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No horseplay
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No unsanitary behavior
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Complaints handled appropriately
Enter service comments below
Operations
Operations
Grill
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Completes mandatory food safety daily
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Approved holding times observed
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60 days of accurate complete food safety checklist available for review
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Grill timer in place and operational
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Yellow spatula used for chicken, eggs, burrito mix
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Salt/Pepper Mix used appropriately
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Proper product placement observed
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Verify internal temp of meat
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Proper tong storage
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No cross-contamination
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Bacon properly cooked and sized
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Towel stored in sanitizer buckets
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Sense of urgency noted
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Grease bucket maintained
Prep table
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Proper bun coverage
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Holding unit working and timer in use
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Special order tickets used as required
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Products and pans rotated, old product not mixed with new
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Buns fresh, caramelized and hot
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Not getting too far ahead on toasted buns
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Toasted buns not placed on unheated cutting board
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Bun Table sanitized at least every 2 hours
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Towel stored in sanitizer bucket
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Sliced cheese stocked in unit
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All produce fresh and crisp
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Sense of urgency noted
Fountain
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Ice scoop in use
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Drinks 1/2 full of ice (except tea)
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No drips left on cups
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Lids marked when appropriate
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Sense of urgency noted
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Towel used for wiping cups kept in sanitizer when not in use, and periodically dipped in sanitizer during use
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Ice bucket labeled "ice only" and stored off floor
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Ice scoop held in ice caddy
Ice Cream
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Scale used properly
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Shakes mixed properly
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Ice cream overrun correct
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Shake machine overrun correct
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Ice cream recipes correct
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Towel stored in sanitizer buckets
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Sense of urgency noted
Misc Op Items
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Active and inactive trash cans used properly
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Only NSF equipment used
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Only NSF equipment and utensils used
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Only approved chemicals in Drive-In
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List unapproved chemicals found
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Enter operations comments below
Administrative
Administration
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Office area neat and organized
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Access to Operations Manual on Partner Net
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Crisis hotline posted and accessible
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All-in-one poster current
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All required state posters current
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Non-harassment poster current
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All required licenses displayed
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Pest control contract and license on hand
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Change fund matches balance sheet Safe Audit
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Mgr cancels and cash paid outs available for review
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Labor schedule posted timely - scheduler used as required
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PC Printer, Scanner operational
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E-Learning Up to Date
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E-Learning training documentation available
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Managers and Assistants Servsafe certified
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All managers have met annual e-learning requirements
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All employees in proper uniform
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Mgmt professionally dressed/groomed
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All employee personal hygiene (hair, hands, etc) acceptable
Enter administration comments blow
Action Plan
Action Plan
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Supervisor
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Partner