Title Page
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Conducted on
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Prepared by
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Location
Weekly Inspection
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Temperatures for refrigerators and freezers are recorded daily. (7 days a week.)
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All refrigerators and freezers have a secondary separate mechanical temperature gauge.
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Original container or approved secondary dispenser, properly labeled and dated.
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Food properly protected during storage, preparation, display, service, transportation.
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Person with inspection are not permitted to work.
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Hands are washed and clean, good hygiene practices.
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Clothes are clean, hair is restrained.
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Food contact surfaces are clean and properly maintained.
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Non food services are clean and properly maintained.
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Dishwashing stations are properly maintained and operated.
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Wash, rinse clean water.
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Sanitizing rinse, clean: Rinse temperature recorded daily. (180 degrees without sanitizer. 150 or above with sanitizer)
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Wiping cloths: clean, stored, limited in use.
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Water source is safe: hot and cold water under pressure
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Toilet and hand washing facilities adequate in number, accessible, properly cleaned.
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Toilet rooms are enclosed, self closing doors, fixtures in good repair, hand cleaner, hand drying device, soap, toilet tissue, waste receptacles, provided. Adequate ventilation.
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Waste containers covered: adequate number, insect/rodent proof, clean and not over flowing, lids closed
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No insect, rodents, birds or ther animals
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Floors: properly constructed, drained, clean
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Walls and ceilings: properly constructed, clean
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Proper ventilation: No odors, steam condensation.
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Dressing room: clean, lockers provided
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Necessary toxic chemicals are properly stored, labeled and used. Separate storage required.
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Premises maintained free of litter.
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Cleaning/Maintenance equipment and supplies are properly stored.
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Clean/Soiled linen separated and properly stored.