Information
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Document No.Suu
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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
Food Receiving and Storage Practices
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Are food items received from approved sources, in good condition, and at proper temperatures?
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Is food labeled and stored off the floor during storage?
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Is food covered or wrapped? Are secondary containers sealed?
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Are food storage rooms clean and organized?
Cold Storage of Food
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Are equipment gaskets in good working condition and clean?
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Are refrigerator temperatures at 40 degrees or less? (Source: USDA)
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Is cold food at 40 degrees or less within refrigerators?
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Are freezer temperatures 0 or below? (Ice cream hard)
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Are food products covered within the walk in refrigerator(s)?
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Are food products labeled with name, date, and time of preparation?
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Is raw meat, poultry, and seafood covered and stored under prepared food and produce?
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Are refrigerators and freezers kept clean (walls, ceiling, floors, fans, and shelving)?
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Are all units equipped with temperature monitoring systems and checked?
Food Preparation Practices
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Is food thawed properly (in refrigerator, under running cold water, or as part of the cooking process)?
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Are fruits and vegetables washed before preparation?
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Is cross contamination avoided during preparation (hands/equipment washed between uses, different designated cutting boards for meats & produce)?
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Are wiping cloths soaking in sanitizer water? Can staff speak to the proper concentration process?
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Is food adequately cooled (to 70 degrees within 2 hours and then 40 degrees within an additional 4 hours)?
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Is hand contact with ready to eat food minimized (no unnecessary handling of food)?
Cooking and Hot Holding
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Are probe thermometers used to verify internal food temperatures?
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Are thermometers calibrated or replaced routinely?
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Is hot food held above 140 degrees?
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Is food reheated rapidly (not on a steam table) to 165 degrees?
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Are prepared to order eggs cooked to 145 degrees? Egg dishes 165, "fried" eggs until yolk and white are firm,
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Is poultry cooked to 165 degrees?
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Are hamburgers cooked to 160 degrees? Ground poultry mixtures to 165 degrees.
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Are beef products cooked to 145 degrees?
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Is fish cooked to 145 degrees (or flesh is flaky and opaque)?
Employee Practices
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Certified personnel? Adequate?
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# of personnel:
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Are employees wearing clean clothing?
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Do employees use hair restraints?
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Are hand sinks accessible, in good repair, and stocked with soap and paper towels?
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Do employees only use the hand sink for hand washing?
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Do employees wash their hands after using the restroom, after break time, and before starting work?
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Do employees follow good hygiene practices while working with food?
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Are employees observed washing their hands after handling raw meats, garbage, mops, money, etc?
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Employees do not eat, drink, or smoke in the kitchen?
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Are employees free of any illness or infections?
Kitchen and Equipment
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Is all food equipment washed, rinsed, and sanitized after use?
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Is the sanitizing rinse at the 3 compartment sink at the proper concentration?
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Is the dish machine final rinse at the proper concentration?
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Does the dish machine reach the proper temperature and is it tested regularly?
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Is the kitchen kept clean in all areas?
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No evidence of vermin, bugs, or droppings?
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Are chemicals labeled and stored separated from food areas?
Facility
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Are floors, walls, and ceilings clean and in good repair?
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Are all restrooms clean and stocked with soap, paper towels, and toilet paper?
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Is dumpster kept closed, clean and organized area?
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External trash removed immediately?
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Outside: is area for receiving food and supplies free of insect and rodent infestations?
Other:
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Action Plan
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Action plan due to Infection Control by: Action plan as decided by department Director and/or their designee:
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Infection Control Practitioner
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Food and Nutrition Services Director or Designee