Information

  • Audit Title

  • Conducted on

  • Prepared by

  • Date/Time

GRILL STATION

  • Mixed Greens

  • Action Taken

  • Labeled and Dated?

  • Roasted vegetables

  • Action Taken

  • Labeled and Dated?

  • Goats cheese

  • Action Taken

  • Labeled and Dated?

  • Smoked Salmon

  • Action Taken

  • Labeled and Dated?

  • Diced Red Onions

  • Action Taken

  • Labeled and Dated?

  • Marinated Shrimp

  • Action Taken

  • Labeled and Dated?

  • NY Strip Steaks

  • Action Taken

  • Labeled and Dated?

  • Tuna Steak

  • Action Taken

  • Labeled and Dated?

  • All squeeze bottles labeled and dated?

  • Action Taken

  • Cheddar Cheese

  • Action Taken?

  • Toaster Clean?

  • Grill Clean

  • Lowboy Clean? (Shelves, Gaskets)

  • Thermometers present and working?

  • Lowboy temp?

  • Action taken?

  • Floors are clean under all equipment?

  • Sani buckets tested 50-100 ppm?

  • Gloves present?

MIDDLE STATION

  • Whole eggs

  • Action Taken

  • Labeled and Dated?

  • Liquid eggs

  • Action Taken

  • Labeled and Dated?

  • Egg Whites

  • Action Taken

  • Labeled and Dated?

  • Duck

  • Action Taken

  • Labeled and Dated?

  • Scallions

  • Action Taken

  • Labeled and Dated?

  • Goats cheese

  • Action Taken

  • Labeled and Dated?

  • Alfalfa sprouts

  • Action Taken

  • Labeled and Dated?

  • Wings

  • Action Taken

  • Labeled and Dated?

  • Roasted vegetables

  • Action Taken

  • Labeled and Dated?

  • Sausage

  • Action Taken

  • Bacon

  • Action Taken

  • Oatmeal

  • Action Taken

  • Deep fryer clean above and inside?

  • Thermometers present, working?

  • Microwave clean?

  • Low boy clean? Shelves, gaskets

  • Gloves present?

  • Floors clean under all equipment?

SALAD STATION

  • Pancake batter

  • Action Taken

  • Labeled and Dated?

  • Mushrooms

  • Action Taken

  • Labeled and Dated?

  • Poached eggs

  • Action Taken

  • Labeled and Dated?

  • Smoked chicken

  • Action Taken

  • Labeled and Dated?

  • Shrimp Cocktail

  • Action Taken

  • Labeled and Dated?

  • All squeeze bottles labeled and dated?

  • Oyster tags

  • Microwave clean?

  • Thermometers present and working?

  • Lowboy clean? Shelves, gaskets

  • Floors are clean under all equipment?

  • Gloves present?

  • Sani-bucket tested? 100-200ppm

DRY STORAGE

  • Cans inspected, dented removed.

  • Tops of buckets clean?

  • All open items are in air tight containers?

  • Floors are clean under all shelves?

  • No chemicals stored?

  • No clothes, personal belongings stored?

PREP KITCHEN

  • Cut fruit

  • Action Taken

  • Labeled and Dated?

  • Yogurt Parfait

  • Action Taken

  • Labeled and Dated?

  • Milk

  • Action Taken

  • Labeled and Dated?

  • Thermometer present, working?

  • Freezer clean? All items labeled and dated?

  • Slicer clean? No visible particles around?

  • All items on shelf are inverted and clean?

  • All equipment is clean and free of food particles?

  • Ovens are clean?

  • All knives are clean?

  • Can opener is clean?

  • Shelves under table are clean?

  • All bread is labeled and dated?

  • Sani buckets tested 200-250 ppm?

  • Gloves present?

  • Floors are clean under all shelves, tables?

DISH AREA

  • Deck inspected, free of debris and mold?

  • Underside of deck dry? free of debris and mold?

  • No leaks present?

  • Exhaust free of dust?

  • Dish machine free of mold?

  • Drop off rack free of food particles?

  • Under deck is clear of standing water?

  • Soap and sanitizer present In dish machine?

  • Dish machine working properly?

  • Gloves present?

  • Three pot sink clean?

  • Sanitizer tested?

  • No standing water under sink?

  • All equipment over pot sink free of food particles?

  • All equipment inverted?

  • Ice machine free of mold inside and out?

  • Containers are free of old tags?

WALK IN BOX

  • Smoked Chicken

  • Action Taken

  • Labeled and Dated?

  • Baked potatoes

  • Action Taken

  • Labeled and Dated?

  • Cooked chicken

  • Action Taken

  • Labeled and Dated?

  • Burger set-ups

  • Action Taken

  • Labeled and Dated?

  • Bacon, cooked

  • Action Taken

  • Labeled and Dated?

  • Cooked wings

  • Action Taken

  • Labeled and Dated?

  • Sliced cheddar

  • Action Taken

  • Labeled and Dated?

  • Liquid eggs

  • Action Taken

  • Labeled and Dated?

  • Crawfish Roll

  • Action Taken

  • Labeled and Dated?

  • Burgers

  • Action Taken

  • Labeled and Dated?

  • Butternut squash soup

  • Action Taken

  • Labeled and Dated?

  • Tuna steaks

  • Action Taken

  • Labeled and Dated?

  • Calamari

  • Action Taken

  • Labeled and Dated?

  • Shrimp marinated

  • Action Taken

  • Labeled and Dated?

  • Floors free of debris?

  • Fans free of dust?

  • Thermometers present and working?

GENERAL

  • All hand sinks clean and not blocked!

  • Hand towels stocked?

  • Hand soap stocked?

  • Mops, brooms, scoopers hanging?

  • Mop bucket in sink and clean?

  • All drains front and back are clean?

Review

  • Were all issues discussed with mod?

  • Manager on duty signature

  • Kitchen supervisor signature

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