Title Page
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Conducted on
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Prepared by
Kitchen Area
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Are staffed dressed out in a clean and proper uniform with the appropriate PPE? (Hairnet | Apron | Gloves)
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Lighting
- Clean
- Functional
- Dirty
- Non Functional
- Missing
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Ceiling Tiles
- Clean
- Functional
- Dirty
- Non Functional
- Missing
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Floors
- Clean
- Functional
- Dirty
- Non Functional
- Missing
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Kitchen Equipment & Appliances
- Clean
- Functional
- Dirty
- Non Functional
- Missing
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Food Prep Sink: Identified |Clean | Functional
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Sink basin free of standing water?
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Sink Sanitizer Functional
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Hand Washing Sink
- Clean
- Functional
- Dirty
- Non Functional
- Missing
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Paper Towels and Soap Available and Stocked
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Overhead Vent & Exhaust System
- Clean
- Functional
- Dirty
- Non Functional
- Missing
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Fire Suppression System Inspection Label Visible & Current
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Fire Suppression nozzles aligned properly and capped
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Temperature Logs visible and current for all refrigerators and freezer
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Refrigerators and freezer interiors clean and free of debris
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Are meats and vegetables stored separately
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Are all food/food containers prepared food and/or open food items labeled and dated properly
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SDS Right to Know Station Available
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Is the Chemical Storage Area clean and organized (Electrical panel accessible no trip hazards etc)
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Is the Pantry clean and organized (no open containers items on the floor are sealed etc)
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Containers not in use covered/sealed
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First Aid Kit: Available and Stocked
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Record the temperature of the Wash Cycle | Rinse Cycles
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Laundry Room: clean organized and lint traps free of lint?
- Clean
- Functional
- Dirty
- Non Functional
- Missing
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