Survey templates

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Type of clean

• Kitchen Deep Clean

  Grease Extract

  Kitchen & GREX

  Air

Start Time

Site Induction

Additional Security Info

Parking

• on site car park

  no parking

  loading bay

  height restrictions

  parking restrictions

Specialist Access Equipment

• scaffold tower

  boom reach

  scissor lift

  rope access

• Specialist Equipment Specific's I.E size etc

• Page not required

  Off

  On

Main Kitchen

• Room Size

Main Kitchen Structure - Walls

• Not Included

• white rock cladding

  tiled

  painted gloss

  painted matt

  not included

Main Kitchen - Ceiling

• Not Included

• acoustic

  baffle filter

  painted

  metal tile

  not included

Main Kitchen - Floor

• Not Included

• Altro

  Tiled

  Lino

  Painted concrete

  Not Included

Canopies

• Not Included

• Select S/S Wall Mounted S/S Central Mounted Alu Wall Mounted Alu Wall Mounted Georgian Wire not included U.V

  • S/S Wall Mounted
  • S/S Central Mounted
  • Alu Wall Mounted
  • Alu Wall Mounted
  • Georgian Wire
  • not included
  • U.V

• Number of Canopies

Filter Type

• Not Included

• Filter Type

  Select S/S Baffle Alu Baffle S/S Mesh Gal Mesh Box Veritech

  • S/S Baffle
  • Alu Baffle
  • S/S Mesh
  • Gal Mesh
  • Box
  • Veritech

• Number of Filters

Hot Equipment Gas Oven

• Not Included

• Cooker 4 or 6 Burner Oven

  4 Burner Oven

  6 Burner Oven

• Number of Items

Solid Top Oven

• Not Included

• Number of Items

Fryers

• Not Included

• Fryers - Double

  Double Bin

  Single Bin

  Triple Bin

• Number of Items

• Fryers - Single

  Double Bin

  Single Bin

  Triple Bin

• Number of Items

Eye Level Grill

• Not Included

• Number of Items

Combination Ovens

• Not Included

• select a size

  Large Only

  Medium Only

  Small Only

  Mixture of All Three

• Number of Items

Griddle Plates

• Not Included

• Griddle/Hot Plate/Char-Grill

  char grill

  hot plate

  griddle

• Griddle/Hot Plate/Char-Grill

  char grill

  hot plate

  griddle

• Number of Items

Steamers

• Not Included

• Type of steamer

  Pressure

  High Pressure

• Number of Items

Jacket Boiler

• Not Included

• Jacket Boiler

  Large Jacket

  Small Jacket

• Number of Items

Bratt Pan

• Not Included

• Number of Items

All Fridges, Freezers, Walk in Fridges - External Only

• Not Included

• Number of Items

Prep Tables

• Not Included

• Number of Items

Wall Shelves, Racks, Pot Boys, Waste Disposal

• Not Included

• Included

Dishwasher Unit

• Not Included

• Type of dishwasher

  flight type

  hood type

  conveyor

Additional Information

• Page not required

  Off

  On

Prep Room 1 Size & Name

• Room Not Included

• Room Size

Walls

• white rock cladding

  tiled

  painted gloss

  painted matt

  not included

Ceiling

• acoustic

  baffle filter

  painted

  metal tile

  not included

Floor

• Altro

  Tiled

  Lino

  Painted concrete

  Not Included

Hot Equipment - Please List Below

• Not Included

Prep Tables

• Number of Items

• Not Included

Fridges, Freezers, Walk in Fridges - External Only

• Not Included

• Number of Items

Other Information

• Page not required

  Off

  On

Prep Room 2

• Room not included

• Room Size

Walls

• white rock cladding

  tiled

  painted gloss

  painted matt

  not included

Ceiling

• acoustic

  baffle filter

  painted

  metal tile

  not included

Floor

• Altro

  Tiled

  Lino

  Painted concrete

  Not Included

Additional Items - please list

Additional Information

• Page not required

  Off

  On

Dishwasher Room

• Room not Included

• Room Size

Walls

• white rock cladding

  tiled

  painted gloss

  painted matt

  not included

Ceiling

• acoustic

  baffle filter

  painted

  metal tile

  not included

Floor

• Altro

  Tiled

  Lino

  Painted concrete

  Not Included

Dishwasher Type

• flight type

  hood type

  conveyor

Additional Equipment Inc carousels, racks, waste disposal and shelves etc

• Page not required

  Off

  On

Servery

• Room not Included

• Room Size

Walls

• white rock cladding

  tiled

  painted gloss

  painted matt

  not included

Ceiling

• acoustic

  baffle filter

  painted

  metal tile

  not included

Floors

• Altro

  Tiled

  Lino

  Painted concrete

  Not Included

Hot counters

• Hot & Cold Counters

  Select hot cupboard baine Marie hot cupboard hot top cold display chill well back counter lowerator

  • hot cupboard baine Marie
  • hot cupboard hot top
  • cold display
  • chill well
  • back counter
  • lowerator

• Hot & Cold Counters

  Select hot cupboard baine Marie hot cupboard hot top cold display chill well back counter lowerator

  • hot cupboard baine Marie
  • hot cupboard hot top
  • cold display
  • chill well
  • back counter
  • lowerator

• Hot & Cold Counters

  Select hot cupboard baine Marie hot cupboard hot top cold display chill well back counter lowerator

  • hot cupboard baine Marie
  • hot cupboard hot top
  • cold display
  • chill well
  • back counter
  • lowerator

• Hot & Cold Counters

  Select hot cupboard baine Marie hot cupboard hot top cold display chill well back counter lowerator

  • hot cupboard baine Marie
  • hot cupboard hot top
  • cold display
  • chill well
  • back counter
  • lowerator

• Hot & Cold Counters

  Select hot cupboard baine Marie hot cupboard hot top cold display chill well back counter lowerator

  • hot cupboard baine Marie
  • hot cupboard hot top
  • cold display
  • chill well
  • back counter
  • lowerator

• Hot & Cold Counters

  Select hot cupboard baine Marie hot cupboard hot top cold display chill well back counter lowerator

  • hot cupboard baine Marie
  • hot cupboard hot top
  • cold display
  • chill well
  • back counter
  • lowerator

Additional Equipment

• List Additional Equipment

Additional Information

• Additional Information

• Page not required

  Off

  On

Grease Extract System

• Not included

Canopies

• Not included

• Select S/S Wall Mounted S/S Central Mounted Alu Wall Mounted Alu Wall Mounted Georgian Wire not included U.V

  • S/S Wall Mounted
  • S/S Central Mounted
  • Alu Wall Mounted
  • Alu Wall Mounted
  • Georgian Wire
  • not included
  • U.V

• Select from range

Filters

• Not included

• Select S/S Baffle Alu Baffle S/S Mesh Gal Mesh Box Veritech

  • S/S Baffle
  • Alu Baffle
  • S/S Mesh
  • Gal Mesh
  • Box
  • Veritech

• Select from range

Percentage of system that can be currently cleaned

• %

Percentage of system that can be cleaned after additional access panels are fitted

• %

Survey Findings

• Description of the System

Recommendations

• Please list system recommendations

Ductwork Access

• Please list ductwork access including plant room location

Fan isolation switch

• Please state the location of the isolation switch

Number of access panels required

• Spiral or Rectangle

  spiral

  rectangle

• Number of each type

• Spiral or Rectangle

  spiral

  rectangle

• Number of each type

Pictures

• Add media

  Media

Basic System Drawing

• Add drawing

  Drawing