Title Page
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Restaurant
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Conducted on
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Prepared by
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Location
1. HAND WASHING
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Hand washing sink properly working
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Hand washing sink clean no evidence of other use different to hand washing
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Soap available
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Sanitizer available
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Paper towel available
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Gloves available
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Instructions poster available
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Employees doing hand washing when required
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II hand washing sink temperature over 55C (safely risk), no evidence of failure to hand washing procedure
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Employees following correct procedure as per standard: nailbrush use, duration, steps sequence...
2. SANITIZING SOLUTION
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W/R/S/(R) process properly followed (smallwares sanitize for 1 min)
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Approved sanitizing test strips available and within expiration date
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Sanitizer buckets approved and properly labelled
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Sanitizer buckets/bottles according to concentration limits (Chl 100-200/0UAT 450-600 ppm) (1 fail allowed} All open required stations having designated bucket
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Cloths totally submerged in each bucket (1 fail allowed}
3. CROSS CONTAMINATION
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Onion/tomato/lettuce slicers clean No tongs burnt or smallware cracked
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Soft drink machine nozzle and BIB connectors clean in part in direct contanct with food
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Interior of ice machine is clean and ice not used as storage for other items Ice scoop is clean and properly stored in a pan
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Correct tongs in use: frozen vs cooked
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No tongs handler in touch with food inside freezers/coolers No evidence of new and old product mix
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Allergen disclaimer and content poster available in front counter
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Allergen disclaimers available in at least 1 door, DT pay window and DT menuboard
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Allergen BOH training poster completed with: list of products, hospital route map. all employees signature
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All allergen storage areas labelled with appropriate disclaimer Minimum of 1 POS sticker for cashier reference in case of Guest doubts Smallwares used for allergen product identified as per OPS Alert
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No other evidence of cross contamination
4. SOFT SERVE MACHINE
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Correct number of brushes properly stored, clean and maintained KAY 5 sanitizer available and within date Food grade tube available and within date In Taylor machine, agitator is clean and properly maintained S.
5. HOT WATER
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Hand washing sink temperature is reaching a minimum of 38 °C. If failure, wait 15 minutes before measuring temperature again.
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3-compartiment sink temperature is reaching a minimum of 49 °C. If failure, wait 15 minutes before measuring temperature again.
6. COOKOUT
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Reef cookout register log all temperature logs completed or no more than 3 highlighted missing
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No registered temperatures out of range
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Cookout performed every 3 hours, prior to open and prior to peak hour
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MIC Knowledge' both during physical demonstration or verbalization
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Minimum temperature 70
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Maximum temperature 77
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Duration of cookout 15 sec, monitored by use of digital tool (stopwatch/mobile stop watch)
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Probe positioning: 45 degrees in the centre of the patty between 2 chain marks
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Correct use of tools: sanitize probe. sanitize and room temperature pan, hand washing when required Patty position in broiler depending on broiler type
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What to do if temperature below minimum
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What to do if temperature above maximum
7. TEMPERATURE CONTROL (PW1: proteins. dairy products sliced vegetables)
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All hot PHF's above minimum temperature: products in PHU
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All cold PHF's below maximum temperature: PHF in coolers, milk in coffee machine, soft serve... I approved and calibrated thermometer available
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Quality checks log: no more than 3 missing temperature for products other than beef
8. TIME CONTROL (PHFs: proteins. dairy products, sliced vegetables)
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All PHF's products on board marked with PTO and not expired. 10 minutes allowance for employees to realize if no one on board, not to use.
9. UNAPPROVED ITEMS
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No unapproved food present in the restaurant
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No unapproved chemicals present in the restaurant
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No unapproved equipment present in the restaurant No unapproved smallware/tools present in the restaurant
10. PEST CONTROL
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No evidence of pest infestation
11. HEALTH INSPECTION REPORT
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No Health Deparment report failures not amended within 10 days or specific date
12. OTHER FSC
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No evidence of water back-up in the kitchen
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No evidence of employees working in sick condition
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No cleaning supplies/chemicals stored close to food
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No yellow cleaning tools for toilets (yellow brush or cloth) in touch with anything else
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ServSafe Certificate available and in use for Manager on duty
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Roof in good repair in all preparation and storage areas
COMPLETED BY
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Name & Signature