Information
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Audit Title
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Conducted on
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Prepared by
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Date/Time
GRILL STATION
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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All squeeze bottles labeled and dated?
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Action Taken
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Action Taken?
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Toaster Clean?
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Grill Clean
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Lowboy Clean? (Shelves, Gaskets)
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Thermometers present and working?
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Action taken?
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Floors are clean under all equipment?
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Sani buckets tested 50-100 ppm?
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Gloves present?
MIDDLE STATION
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Action Taken
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Action Taken
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Deep fryer clean above and inside?
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Thermometers present, working?
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Microwave clean?
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Low boy clean? Shelves, gaskets
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Gloves present?
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Floors clean under all equipment?
SALAD STATION
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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All squeeze bottles labeled and dated?
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Oyster tags
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Microwave clean?
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Thermometers present and working?
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Lowboy clean? Shelves, gaskets
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Floors are clean under all equipment?
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Gloves present?
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Sani-bucket tested? 100-200ppm
DRY STORAGE
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Cans inspected, dented removed.
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Tops of buckets clean?
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All open items are in air tight containers?
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Floors are clean under all shelves?
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No chemicals stored?
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No clothes, personal belongings stored?
PREP KITCHEN
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Thermometer present, working?
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Freezer clean? All items labeled and dated?
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Slicer clean? No visible particles around?
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All items on shelf are inverted and clean?
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All equipment is clean and free of food particles?
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Ovens are clean?
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All knives are clean?
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Can opener is clean?
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Shelves under table are clean?
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All bread is labeled and dated?
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Sani buckets tested 200-250 ppm?
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Gloves present?
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Floors are clean under all shelves, tables?
DISH AREA
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Deck inspected, free of debris and mold?
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Underside of deck dry? free of debris and mold?
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No leaks present?
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Exhaust free of dust?
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Dish machine free of mold?
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Drop off rack free of food particles?
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Under deck is clear of standing water?
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Soap and sanitizer present In dish machine?
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Dish machine working properly?
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Gloves present?
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Three pot sink clean?
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Sanitizer tested?
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No standing water under sink?
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All equipment over pot sink free of food particles?
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All equipment inverted?
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Ice machine free of mold inside and out?
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Containers are free of old tags?
WALK IN BOX
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Action Taken
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Labeled and Dated?
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Floors free of debris?
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Fans free of dust?
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Thermometers present and working?
GENERAL
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All hand sinks clean and not blocked!
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Hand towels stocked?
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Hand soap stocked?
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Mops, brooms, scoopers hanging?
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Mop bucket in sink and clean?
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All drains front and back are clean?
Review
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Were all issues discussed with mod?
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Manager on duty signature
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Kitchen supervisor signature