Title Page

  • Restaurant Number

  • Restaurant Number

  • Address; GPS Locate
  • Conducted on

  • Prepared by

  • Person in Charge

PLACE

  • Menuboard is correct and in good condition with proper menu panels and pricing in place.

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  • Proper POP is up and the restaurant matrix is followed; no old POP

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  • Parking lot is clean of debris

  • Dumpster gates are closed and dumpster lids are closed

  • Dining room tables and chairs are clean. Condiment station is cleaned and stocked. Floors are clean and dry; mat in front of the drink station.

  • Restrooms are cleaned and stocked with soap, paper towels and toilet paper.

PRODUCT

  • Triple Bacon Buttery Jack was assembled properly, meat was hot and fresh, in correct packaging

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  • Grilled French Toast Plate was assembled properly, powdered sugar, correct packaging, received accompaniment packet with 2 syrups, fork, knife and napkins.

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  • Fish Sandwich was assembled properly, hot fish filet, in correct packaging.

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  • Microwavable Rice Packet was cooked properly, rice is thawing for 14+ hours, shears available at the assembly station, microwave cook times are programmed properly.

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  • Fries were at 150 degrees or hotter when received

  • All flavors are available at the Freestyle Unit, white light is cleared

ORDER ACCURACY

  • My order was confirmed at the speaker, "Do I have your order correct on the screen."

  • My order was confirmed before payment?

  • My order was confirmed during delivery?

  • My receipt was checked off by the person assembling and delivering my order?

  • My order was 100% accurate?

PEOPLE

  • Well Trained; guest service team members can describe the new products.

  • Freindly; team members are smiling and connect with guests right away.

  • Neat and Well-Groomed; clean uniforms, hair neat and pulled back, hats and visors, shirts tucked in, name tags on all employees.

CONSISTENT & QUICK SERVICE

  • Did you receive your order in a "reasonable" amount of time?

  • Was the correct packaging used?

  • Did you receive condiments, napkins and a fork if applicable?

FOOD SAFETY

  • Everyone handling food is wearing gloves upon arrival.

  • Was the handwash timer on upon arrival? If not was proper corrective action taken?

  • Is the "final flip and check" occurring at the grill?

  • Is the managers Serve Safe Certificate posted in the office?

  • Do all the sanitize buckets meet the standard of 150PPM to 400 PPM?

  • Fish is stored on the bottom shelf of the POU and is being bagged properly. No "gloved hand or bare hand contact" with fish.

  • Is the Food Safety Checklist properly completed for the last 5 days?

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.