Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Procedure
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Is the FM working grill only using the blue poly glove procedure correctly? Handling RTE foods without the poly glove and all RAW food with the poly glove.
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MUT - Do all products on the line have a current / proper label? ( Not re-labeling the line every few hours )
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Are all hot held timers used properly, and product discard at the end of the time?
Hand Wash Sinks
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Stocked with paper towels, soap, & hand sanitizer?
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Hot water temperature 100 or higher within 45 seconds?
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Double hand-wash poster at each sink in BOH?
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Sink is CLEAN and not used for anything other than washing hands? (no drinks pored out, gravy or tea whisks left in the sink, towels, etc.)
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Did you observe a FM completing hand-wash correctly?
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Did you observe a FM completing a hand wash after hands had become contaminated and at least every hour if they have not left their station.
Coolers and Freezers
What is the temperature and Gasket condition of:
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Walk-In Cooler, ambient temperature at or below 41 degrees
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Walk-In Freezer ambient temperature at or below 20 degrees
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M/S under MUT cooler, ambient temperature at or below 41 degrees
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M/S Grill Reach-In Cooler, ambient temperature at or below 41 degrees
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M/S Extra Cooler, ambient temperature at or below 41 degrees
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D/T Under MUT Cooler, ambient temperature at or below 41 degrees
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D/T Grill Reach-In cooler, ambient temperature at or below 41 degrees
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D/T Extra Cooler, ambient temperature at or below 41 degrees
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Under Fry Station Freezer, ambient temperature at or below 20 degrees
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Fry Station Reach-In Freezer, ambient temperature at or below 20 degrees
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Front Counter Reach-In Cooler, ambient temperature at or below 41 degrees
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Super Cooler, ambient temperature at or below 32 degrees
Dish Wash Sink
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Are sanitizers strips available, open (unwrapped), and not expired?
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Food Contact surfaces clean and free of debris? Lettuce Chopper/Tomato Slicer/Onion Dicer
Pest Control
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Pests not present in establishment? 10 or less flies in the kitchen area, 20 or less in the Dining room and Restrooms.
Ice Machine/Bins
Are Ice Machines and Bins in clean condition (no eveidence of mold or mildew)
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BOH Ice machine
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Front Drink station ( soda nozzles, ice dispenser, and ice bin )
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D/T & Bubble Drink station ( soda nozzles, ice dispenser, and ice bin )
Orange Guide Book
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FOOD SAFETY CHECKLIST being completed shift/daily as called out in OGB? check last 7 days)
Criticals
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Imminent Health Hazards? (Sewer backing up inside or outside building)
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Time and Temperature Controls? (Proper labels/time, temperature of all cold held products at or below 41 degrees)
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Contamination Prevention? (All products in Coolers stored properly)
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Equipment & Utensils cleaning and Sanitizing
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Personal Hygiene and Food Handling ( No persons present, presenting a symptom of a food borne illness)