Title Page
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Conducted on
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Prepared by
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Location
Equipment
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Are all Gaskets Well-Maintained and Easy to Clean? (Check Cooler, Freezer, Thaw Cabinets, all Lowboys)
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Describe Corrective Action
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Are Cutting Boards in Good Condition, Without excessive Cracks?
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Describe Corrective Action
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Are Handles on Thaw Cabinets and Lowboys Clean and Free of Debris?
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Describe Corrective Action
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Are Beverage Nozzles are Clean and Free of Mold? (Take multiple nozzles off, put on glove, and run finger through the inside)
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Describe Corrective Action
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Do We have a Bodily Fluid Kit Available?
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Describe Corrective Action:
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Are there any cracks in Ice Machine?
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Describe Corrective Action
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Are all Dishes free of cracks?
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Describe Corrective Action
Floors
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Are all Tiles in Good Repair?
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Describe Corrective Action
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Are Walls and Wall/Floor Junctions clean and free of mold?
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Describe Corrective Action
Walls
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Is there mold in any grouting? (Check behind 3 compartment sink, mop sink, front hand washing sink?)
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Describe Corrective Action
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Are walls free of holes?
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Describe Corrective Action
Ceiling
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Are Vents, Fanguards, and Filters clean?
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Describe Corrective Action
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Are all Lights Working and in Good Repair?
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Describe Corrective Action
Water
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Is Water hitting 100 Degrees within 60 seconds in Men's Restroom?
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Describe Corrective Action
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Is Water hitting 100 Degrees within 60 seconds in Women's Restroom?
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Describe Corrective Action
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Does Water in the 3-compartment sink meet 171 degrees?
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Describe Corrective Action