Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Top 10 Critical Opportunities

  • Ice protected in FOH and BOH areas

  • Temperature logs complete in duty roster

  • Condiment bar carafes

  • Potentially hazardous foods within code date

  • Sanitizer strength at proper concentration/proper test strips available (at or above 200 ppm)

  • Chemicals properly labeled & properly stored

  • Refrigeration units

  • In-use wiping cloths properly stored in sanitizer between use

  • All hand sinks properly stocked with soap and paper towels. Dispensers functioning properly

  • Refrigerated PHF

  • Notes

Other Critical Opportunities

  • Bare hand contact: partners do not contact ready to eat food or food contact surfaces with bare hands

  • Proper hand washing taking place at appropriate times

  • Hand sinks are accessible and used properly

  • Partners not working while ill

  • Thermocouple present and properly working

  • Potentially hazardous food is not stored at room temp

  • Permit/Food service license to operate available as required by jurisdiction

  • Partner food safety trade not no adequate as required

  • Dish machine rinse water is properly maintained for sanitizing dishes (>180F or 50-110 ppm)

  • Hot water available in store

  • No pest evidence : rodents, flying insects, cockroaches or ants

  • Flex drain hose not placed in sewer pipe

  • No sewage backup in facility

  • Notes

General In each section of the store, check for the following

  • Equipment clean and in good repair

  • Lights are working

  • Area is free if spills and debris

  • Trash is not overflowing

  • Walls are clean, free of splatter

  • Thermometers read <41F placed in front of case or refrigerator

  • Floor or baseboards are clean, free of encrusted build-up

  • Food/beverage containers labeled with name and shelf life/expiration date

  • Ceiling/cents

  • Notes

Warming Station

  • Tong/knife/cutting boatd

  • Oven clean

  • Notes

Bar

  • Steaming pitchers rinsed after each use

  • Condiment bar: milk in carafes is all below 41F

  • Notes

Pastry Case

  • Allergen sticker present

  • Warming stores have "for display only" signage

  • BOH: all items at least 6" off floor

  • Notes

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.