Title Page
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Conducted on
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Prepared by
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Name of Auditor
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Auditor Title
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Store #
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Date and time of audit
High Violations
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Proper Handwashing: All associates are washing hands before starting work, between duties, after touching body, eating, and coughing.
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Hot Holding: Are all hot holding temperatures above 140?
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Proper Cooking: Are all cooked items cooked to 165 or above?
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Cold Holding: Are all cold holding 41F or below?
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Temperature Logs: Are all temps log filled out completely and not falsified?
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Employee Health: is there any unprotected coughing or sneezing, discharge from eyes, nose, and mouth from any associate?
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Pest: Is there any pest activity or signs of any pest activity such as, rats and/or roaches?
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Flies: Is there any flies touching food or food contact surfaces?
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Sanitizer: is sanitizer available in the store?
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Water: is there water in the store?
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Hot water: Does water in store reach 120F or above?
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Sewage back up: is there a back flow in 2 or more drains? Ex: floor drains, bathroom, sinks, toilet.
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Toilet: Is there at least 1 working toilet?
Medium Violations
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Hot holding: Any hot holding items temping between 126F-139F?
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Improper thawing: Are there any items thawing at room temperature, submerged under water, or in standing water?
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Food protected: Are all food items covered in storage, labeled correctly and above 6 inches off the ground?
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Risk of contamination: Are all pieces of C4 being temped before removing from grill?
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Risk of contamination: Is sink washed every time before being used?
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Food separated: Is WIC layout and execution correct? Ready to eat on top, then shrimp/seafood, then beef, and poultry on the bottom?
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Hand sink: Are hand sinks stocked with paper towels and soap?
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Employee practices: Do all employee drinks have a lid, straw and are stored in a designated area?
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Employee practices: Do all associates know and are washing hand properly? 20 seconds and with hot water?
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Risk of contamination: Are any handles touching food contact surfaces or food? Ex: tong or knife handle on cutting board, measuring cups on top of non food contact surfaces, ice scooper buried inside ice, raw meat spoon not stored inside bowl)
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Critical sink fixture: Are all sinks operable?
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Critical sink fixture: Are all hand sinks accessible with nothing blocking their way to be used?
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Toxic substances: Are all chemical bottles labeled properlyand properly stored?
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Employee practices: If associates have any cuts, are they covered with a bandage and have glove over it?
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Food contact surfaces: Are all food contact surfaces cleaned and sanitized such as: slicer, soda nozzles, mixing bowls, knife, thermometers, food processor, ice maker, ice bin, and rice cabinet water changed and cleaned daily?
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Sanitizer: Is sanitizer between 150-400ppm in sanitizer compartment of 3 compartment sink and all buckets?
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Cold holding: Any cold holding items temping between 42F-59F?
Low Violations
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Any dented cans?
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Are all floor drains clean?
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Any associates wearing fake nails, long nails or jewelry on hands?
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Non food contact surfaces-unclean: shelves, racks, fryer cabinet, wheels, fan guards, under grill, under cooking range, catch pans, counters, gaskets and handles.
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Do all pipes have a 1 inch gap between drains?
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Is there mold or spoilage of food?
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Is the hood clean?
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Are all light shields, fryer baskets and gaskets in good condition?
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Are all vents cleaned?
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Are sanitizer strips available in store and working properly?
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Thermometer in WIC, prep table, prep freezer and WIF
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Are floors, walls and ceiling clean?
Best practice
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Are all wells on induction on and working properly?
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Do all associates have a valid food handlers card?
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Does the manager have a valid Servsafe certificate?
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Are chowmein mix, prepped cabbage, eggs, and green onion on iced bath and reaching temp?
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I certify that I have completed the food safety walkthrough and have addressed all areas of opportunity identified in this walkthrough.