Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Audit Page

Imminent Health Risk

  • Running hot and cold water is available?

  • Manager and team members are free of illnesses and symptoms?

  • Free of adulterated/contaminated products?

  • Free of flood/sewer back up?

  • Free of pest infestation leading to food/contact surface contamination?

  • Restaurant has sanitizer?

  • Hand washing sinks are provided?

Cleaning & Sanitation

  • Hot water reaches a minimum of 100°F at all sinks,110°F at Ware washing sink, and160°F surface temperature<br> in all high temp dish washing machines?

  • Sanitizer is at proper concentration at all sinks, buckets, cups and low temp ware washing machines?

  • Chemicals are all approved, properly labeled, and stored correctly?

  • Premises of exterior & interior (back of house) Non-food contact surfaces are clean and maintained?

  • All sinks and dish washing machines are setup correctly and used properly?

  • In-use equipment and prep tables are clean and sanitized at proper frequency and maintained?

  • In-use utensils and smallwares are clean and sanitized at proper frequency and maintained?

Employee Health

  • Person in charge understands Brand Standards for reportable illnesses & symptoms and team members know what to report?

  • Handwashing sinks are fully stocked and team members are washing hands properly?

  • Employees are following hygienic practices?

  • Employees are using gloves properly and avoiding bare hand contact?

Time & Tempature

  • Refrigerated food held at 41° For below?

  • Time/Temperature Control for safety (TCS) foods are handled properly?

  • Foods are cooked to the correct temperature?

  • Time/Temperature Control for Safety (TCS) foods in Hot holding are maintained≥135°F?

  • Thermometers are properly calibrated and in-use?

Good Retail Practices

  • Food and packaging are stored in a manner that is protected from any allergen management requirements are followed?

  • Food contact surfaces are protected from contamination and handled properly?

  • Contamination prevention standards are in place and practices to prevent cross-contamination are properly followed?

  • Food is all approved, within date code, and labeled properly?

  • Packaging is used in an approved manner?

Pest Management

  • Restaurant is free of evidence of pests and is receiving pest service?

  • All required pest equipment is present and pest service is performed at least monthly?

  • All required pest documentation is available (license,reports,etc.)?

Documentation

  • Cold holding temperature documents (including cooling & thawing records) are complete, accurate, and with corrective actions?

  • Cooking temperature documents are complete, accurate, and with corrective actions?

  • Hot Holding temperature documents are complete, accurate, and with corrective actions?

  • Receiving documents are complete, accurate, and with corrective actions?

  • Additional required Food Safety documentation and resources are present and accessible as required?

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.