Information
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Audit Title
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Client / Site
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Location
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Conducted on
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Prepared by
Introduction
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Attach photos to any negative responses below.
Food Safety
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Check food safety?
Food and Single Use Item Protection and Storage
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In-use equipment and food contact surfaces are approved, clean and in good repair?
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All foods are within use-by date?
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All foods have been approved and name labeled properly?
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All food contact items are properly stored? (utensils, containers etc)
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Team members do not contact any food or food contact surface with bare hands?
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Team member lunch foods are labeled, stored properly, and there is no eating/drinking in food storage/prep areas?
Hygiene
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Handwashing taking place at appropriate times?
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Hand sinks are accessible, functional, stocked and used properly?
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Team member uniforms are maintained with hair restrained if required?
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No team members are working while ill?
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Dish machine rinse water is properly maintained for sanitizing dishes?
Temperature
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Steaming thermometers in use and calibrated correctly?
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Steamed milk ≥150°F (65.5°C) and is not resteamed?
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Potentially hazardous food is not stored at room temperature?
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Refrigerated potentially hazardous food stored at or lower than ≤41°F (4°C)?
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Refrigeration units at or lower than ≤41°F (4°C)?
Chemical Storage and Usage
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Only approved chemicals present?
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Chemicals properly labeled/stored?
Facilities
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Check facilities?
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Restrooms floors/walls/ceilings in good condition?
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Restrooms fixtures in good condition?
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Floor in good repair in customer areas?
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Walls in good repair in customer areas?
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Ceiling in good repair in customer areas?
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Cabinetry/shelving in customer area in good repair?
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Building entrances maintained in good repair?
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Counter tops in good repair?
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Floors in good repair in non-customer areas?
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Walls in good repair in non-customer areas?
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Ceiling in good repair in non-customer areas?
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Refrigeration units in good repair?
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Plumbing in good repair?
Cleanliness
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Check cleanliness?
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Trash disposed of as needed?
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Free of rodents (and evidence of)?
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Free of flying insects (and evidence of)?
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Free of cockroaches (and evidence of)?
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Free of ants (and evidence of)?
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Non-customer area floors and drains are maintained and clean?
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Non-customer area walls/ceilings maintained clean/lights functioning?
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Non-customer area equipment is maintained and clean?
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Non-customer area dish area/hand sink/storage areas maintained and clean?
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Restrooms facilities are maintained and clean?
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Customer area floors maintained?
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Customer area walls/ceilings maintained and lights functioning?
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Customer area furnishings maintained in good repair?
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Exterior area maintained?
Sign Off
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General Comments
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Additional photo attachments
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Auditor full name and signature