Title Page

  • Conducted on

  • Prepared by

  • Location

Restaurant Cleanliness/Organization: PATIO

  • Patio has no stains or dirt/grease buildup and there is evidence of regular scrub?

  • Chairs and Tables free of dirt and debris?

  • Railing and Fencing clean?

  • Décor/Pots, etc. updated as needed? Plants watered if applicable?

  • Ledges and Windows/Doors free of dirt and prints.

  • Lighting working?

  • Heat Lamps/Umbrellas in working condition as needed for the season?

Restaurant Cleanliness/Organization: ENTRY AND HOST

  • Concrete pad at front door scrubbed?

  • Windows and doors free of dirt and prints?

  • Ledges and Trim free of dust and dirt?

  • Coat rack clean and in good repair?

  • Waiting area clean and organized?

  • Décor clean and dusted?

  • Host station clean, organized and professional? (also check conditions of supplies)

Restaurant Cleanliness/Organization: DINING ROOM

  • Décor in good condition/clean? (including wine fridge)

  • Lighting working? (more than 2 lights out)

  • Ceiling tiles clean and in good condition?

  • Vents free of dust and debris?

  • Floors clean?

  • Rugs/runners clean?

  • Tables clean? (including bases)

  • Chair and chair legs clean?

  • Bar clean and organized?

  • Trim/baseboards clean?

  • Table setting/soy bottle nead and tidy?

Restaurant Cleanliness/Organization: RESTROOMS

  • Doors clean?

  • Kick plates shine?

  • Lighting all working?

  • All supplies stocked? (soap, paper, etc)

  • Trash emptied and relined? (including sanitary napkin dispensers)

  • Stall doors wiped down?

  • Sinks and toilets wiped town/bowl scrubbed? (including urinals)

  • Fresh smell?

Cleanliness/Organization: SUSHI BAR

  • Display case wiped down/organized?

  • Product in case organized looks organized, fresh and appealing?

  • Counters and cutting surfaces organized/clean?

  • Stainless surfaces wiped down?

  • Reach ins wiped out and clean?

  • Floors and baseboards clean?

  • Light lenses clean and lights working?

  • Ceiling tiles clean?

Cleanliness/Organization: COOK STATION

  • Grills/Wok Station/Fryers clean?

  • Reach Ins clean? (inside and out)

  • Hoods cleaned?

  • Floors clean/not greasy? (including under equipment)

  • Covings or baseboards clean?

  • Ceiling tiles/light lenses clean?

  • Lighting all working?

Cleanliness/Organization: BOH/DISH

  • Floors clean?

  • Dry storage/shelving organized?

  • Freezers/Refrigerators clean and organized?

  • Chemical storage organized and safe?

  • Mop sink clean?

  • Floors clean?

  • Ceiling tiles and light lenses clean?

  • Dish washer cleaned and maintained?

  • Dishes stored properly?

  • Dish wash racks clean?

Uniforms: FOH

  • All servers in full uniform? (including tie)

  • Hosts in proper uniform or professional dress?

  • Busers in uniform?

  • Manager in professional dress?

Uniforms: BOH

  • Chefs/Head Chefs in proper uniform? (including hat or skull cap)

  • Cooks in proper uniform? (including hat or skull cap)

  • Dishwasher in proper uniform? (including hat)

Food Quality

  • Is food presentation according to standard? (order 3 separate items, verifying portions and presentation)

  • Does food meet standards on taste? (taste food. Is it fresh, tastes good)

  • PIC Confirmation Signature

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.