Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Covid Check

  • Covid Questions and Temperature Log

  • Picture of Sanitation set up (Bleach diluted bottle, White towel in Sanitizer (Red bucket), Blue towel in soap&Water(Green Bucket)

  • Photo of Restroom Checklist

  • Photo of Online Rack

  • Online Rack clean and organized not rust or debris build up.

Exterior walk through

  • Trash Cans & Enclosed Receptacles (Clean & in good repair)

  • Exterior Landscape (Free of Trash, cigarettes, healthy Plants

  • Patio / Patio Tables (Umbrellas Up, tables clean & table slats free of debris, patio free of debris ie. napkins, trash, forks, etc.)

  • Picture of Patio Setup

  • Windows clean and streak free

  • Front Door/Exterior Windows Clean (Glass clean of finger prints or smudges)

Interior Walkthrough-FOH

  • Lobby Trash Cans (Cans relined, emptied, surface clean, no odor)

  • Restroom (Cleaned and stocked, no order, trashed changed)

  • High Chairs Clean

  • Tables & Chairs (Cleaned and sanitized, no gum, table set up correct)

  • Dining Room Pictures (Free of dust, no streaking)

  • Display Case (Cleaned and stocked, contains secondary thermometer

  • Beverage / Condiment Station (Cleaned and Stocked including fresh cut lemons)

  • Paper Menus and Chips Stocked

  • POS set up / pens / register paper / cashier checklist

  • Tablets and Phones are on and fully charged

  • Ambience (music,light, and temperature)

  • Uniforms 100% including all Name Tags and Black Face Masks

  • All employee meals have been rung through POS for current shift?

  • Waste Log filled out and accurately?

  • Photo of Waste Log

Interior Walkthrough-BOH

  • Trash Cans (re-lined, emptied, surfaces clean, no odor)<br>

  • Quat Sanitary Bucket (proper ppm 200-400)

  • Sneeze Guard Glass (clean and streak free, proper marketing material in place)

  • Aiolis & Dressings (area cleaned and stocked, back up sauces in place)

  • Breadbox (Proper rotation, stocked and lid close) Timer Set

  • Bread Timers & Cookie Timers (In use & working)

  • To Go Containers, Paper Wrap, (stocked and in proper place)

  • Checklists (AM or mid afternoon completed.)

  • Break Chart (in use and communicated)

  • Picture of Break Forecast

Produce Specifications

  • Picture of Line Prep List

  • Tomatoes (Color is vibrant, fresh, stocked, recipe adherence)

  • Corn Bean Salsa (Color is vibrant, fresh, stocked, recipe adherence)

  • Pickled Products Drained with back up in liquid.

  • Feta Cheese (Color is vibrant, fresh, stocked)

  • Apple Cole slaw ( Stocked, Fresh apples and Proper Measuring Utensil)

  • Lettuce (Color is vibrant, fresh, stocked, recipe adherence)

  • Arugula ( Color vibrant and product is fresh)

  • Cilantro looks fresh and green

  • Nuts (Stocked, Fresh, Clean and proper Spoon)

  • Bacon Bits (Fresh, Stocked, Clean and proper Spoon)

  • Spring Mix (Color is vibrant, fresh, stocked)

  • Chop Salad (Color is vibrant, fresh, stocked)

  • Cucumber (Color is vibrant, fresh, stocked) Thickness of Cucumber 3.3mm

  • Jalapeno's (Color is vibrant, fresh, stocked) Thickness of Jalapeno's 1.8mm

  • Radish (Color is vibrant, fresh, stocked) Thickness of Radish 2.2 mm

  • Gourmet Area has fresh avocado, mushroom, cucumber and radishes

Protein Specifications

  • Rotation (protein is all labeled with the correct date)

  • Protein Portions (Proper Visual, Accurate Weight, and Labeled)

  • Take 3 Pictures to show average weight (Chicken)

  • Take 3 Pictures to show average weight (Ahi Tuna)

  • Take 3 Pictures to show average weight (Tri Tip)

  • Take 3 Pictures to show average weight (Turkey)

  • Chicken Thickness 4.5mm

  • Tofu Thickness 10.5 mm

  • Tri Tip Thickness 2.2mm

  • Turkey Thickness 2mm

  • Ahi Tuna (On Ice, Correct Specification & Handling/Rotation)

  • Albacore Tuna Cans stored in walk in.

  • Meat Slicer (cleaned and sharpened)

  • Warmers (in use and accurate)

  • Steamers (Cleaned inside & out. No solid/hard water deposits & steam holes clear)

  • Picture of Inside the top of Steamer

Walk-in Cooler

  • Organization (product off the floor, shelves labeled, items in place, Raw product on bottom shelf away from all other products)

  • Cleanliness (floors, walls, doors, shelves, handles)

  • All products labeled accurately / No Expired Products

  • Tuna (On Ice, Correct Specification & Handling/Rotation)

  • Picture of Ahi Tuna on Ice

  • Picture of Tuna Salad double wrapped

Prep Kitchen & Dish Station

  • Dish Area (wash, rinse, sanitize)

  • Quat Sanitizer (PPM 200-400)

  • All Chemical Bottles Properly Labeled

  • Mop Sink ( clean, organized, chemicals in proper place)

  • Organization ( product off floors, shelves labeled, items in place)

  • Cleanliness ( floors, walls, doors, shelves, handles clean)

  • Picture of Prep 1 & 2 List's

  • Picture of Cooling Chart

  • Picture of Prep 1 & Prep 2 Area

  • Take a photo of all checklists. (If performed in AM show previous Close if in PM so that current AM is complete)

Temperatures

  • If any temps do not meet target temp do the following steps:
    1) check if equipment is on/plugged in/ or working.
    2) if equipment isn't working contact your district manager.

  • Soups above >165*

  • Grape Tomatoes <41*

  • Feta Cheese <41*

  • Ahi Tuna <41*

  • Tuna Salad<41*

  • Apple Coleslaw <41*

  • Aiolis <41*

  • Italian Chicken below <41*

  • BBQ Tri Tip below <41*

  • Walk in cooler <41*

  • Hand Sink water >110*

  • Wash water >110*

  • Rinse water >120*

  • Sanitizer water <75*

  • Signature..

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.