Title Page

  • Store #

  • Conducted on

  • Location
  • Manager

  • Personnel on duty

  • Prepared by

Customer Service

  • Team member offers a friendly greeting.

  • Team member is engaged and does not seem to be just "going through the motions".

  • Team member provides a specific suggestive sell.

  • Speed of service is under 3 minutes.

  • Team member mentions suggestive sell combo meal and/or the benefits of the Star Saver program.

  • Team member keeps paying bills outside cash drawer during transaction.

  • Team member counts change back, coins first.

  • Team member offers receipt.

  • Team member provides thank you and appropriate exit remark.

Team Member Appearance

  • Team member is wearing a readable name badge.

  • Team member is wearing logo shirt, promo t-shirt, or franchise uniform.

  • Team member is wearing pants required by franchise.

  • Team member is wearing approved safety shoes.

  • Team member is wearing a hat.

  • Team member appears well groomed and clean.

Cleanliness/Dining Area

  • 3 tables or less are in need of cleaning.

  • No evidence of any pest activity.

  • All seats and fixtures are clean.

  • All restaurant lights are illuminated.

  • TV with closed captioned on and not loud.

  • Radio is on.

  • Fly trap bulb and tape are working.

  • Misters are working.

  • Drive thru window clean and smudge free?

  • Ovens, retarders, warming unit, and bread cabinets are clean inside and out?

  • All prep tables, walls, and floors are clean?

  • Behind service line is clean without food and gloves on the floor?

  • Refrigerator floor is clean?

  • All food is stored off the floor in the refrigerator?

  • All open or prepped items in refrigerator are dated and not expired?

  • Freezer floor is clean?

Condiment Bar/Order Line

  • Serving line/front area is clean.

  • Serving line is fully stocked.

  • Sneeze guard/fry station area is clean.

  • No menu board pricing/appearance issues.

  • Walls/trash receptacles appear clean.

  • All items are available.

  • Franchise food formulas/standards are followed.

  • All items on line are dated and not expired.

Safety

  • Confirm freezer is at proper temperature.

  • Confirm refrigerator is at proper temperature.

  • Confirm reach-in refrigerator is at proper temperature.

  • Confirm FIFO is used in product rotation and all boxes are dated.

  • Are all hand wash sinks stocked?

  • Correct hand washing procedures are used.

  • No one is seen sneezing/coughing during food prep without washing hands or touches money and then goes to food prep position without washing hands.

Test 3 hot foods for correct holding temperatures. (Example: soup, chicken >140°)

  • Example 1:

  • Example 2:

  • Example 3:

Test 3 cold foods for correct holding temperatures. (Example: tomatoes = <40°)

  • Example 1:

  • Example 2:

  • Example 3:

  • Temperatures have been taken today and 2 times/daily.

  • No spills or debris are observed without wet floor signs.

  • Are sanitizer strips available?

  • Are ice machines free of slime and mold?

  • Is first aid kit accessible and stocked?

Restrooms - Mens

  • Toilet bowl and/or urinals are sparkling clean.

  • The lid and underneath the lid is clean.

  • The sink is clean.

  • The floor is clean, bug free, litter free.

  • Paper towels are available.

  • Toilet paper is available.

  • Diaper changer liners are available.

  • Soap (and sanitizer, if applicable) are available.

  • Mirror is clean.

  • There is a pleasant odor in the restroom.

  • Walls and/or stall dividers are clean.

  • Everything is operational (toilets, sinks, soap dispenser,dryer).

  • Trash isn't full and container is clean.

  • No lights are out or have bugs in lenses.

  • Vents are not dusty.

  • Check restroom supplies for outages

Restroom - Womens

  • Toilet bowls are sparkling clean.

  • The lid or underneath the toilet lid is clean.

  • Sink is clean.

  • Floor is clean, bug free, litter free.

  • Paper towels are available.

  • Toilet paper is available.

  • Diaper changer liners are available.

  • Soap (and sanitizer, if applicable) are available.

  • Mirror is clean.

  • There is a pleasant odor in the restroom.

  • Walls and/or stall dividers are clean.

  • Everything is operational (toilets, sinks, soap dispensers,dryer).

  • Trash isn't full and container is clean.

  • No lights are out or bugs in lenses.

  • Vents are not dusty or dirty.

  • Check restroom supplies for outages

Administrative - Safety and Compliance

  • Is the video viewable and manager viewing & logging min/day?

  • Is the yellow Emergency/Safety book by the register?

  • Are all surveillance cameras working and displaying clearly?

  • Is communication log posted and current?

  • Is most recent check stuffer posted?

  • Is the most recent Star Savers' transactions posted?

  • Are walkarounds current?

  • Are deficiencies in employee training log being addressed?

  • Are franchise required forms complete?

Signature

  • I hereby certify that the above form is true and accurate to the best of my knowledge.

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.