Information

  • Audit Title

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

Introduction

  • Attach photos to any negative responses below.

Food Safety

  • Check food safety?

Food and Single Use Item Protection and Storage

  • In-use equipment and food contact surfaces are approved, clean and in good repair?

  • All foods are within use-by date?

  • All foods have been approved and name labeled properly?

  • All food contact items are properly stored? (utensils, containers etc)

  • Team members do not contact any food or food contact surface with bare hands?

  • Team member lunch foods are labeled, stored properly, and there is no eating/drinking in food storage/prep areas?

Hygiene

  • Handwashing taking place at appropriate times?

  • Hand sinks are accessible, functional, stocked and used properly?

  • Team member uniforms are maintained with hair restrained if required?

  • No team members are working while ill?

  • Dish machine rinse water is properly maintained for sanitizing dishes?

Temperature

  • Steaming thermometers in use and calibrated correctly?

  • Steamed milk ≥150°F (65.5°C) and is not resteamed?

  • Potentially hazardous food is not stored at room temperature?

  • Refrigerated potentially hazardous food stored at or lower than ≤41°F (4°C)?

  • Refrigeration units at or lower than ≤41°F (4°C)?

Chemical Storage and Usage

  • Only approved chemicals present?

  • Chemicals properly labeled/stored?

Facilities

  • Check facilities?

  • Restrooms floors/walls/ceilings in good condition?

  • Restrooms fixtures in good condition?

  • Floor in good repair in customer areas?

  • Walls in good repair in customer areas?

  • Ceiling in good repair in customer areas?

  • Cabinetry/shelving in customer area in good repair?

  • Building entrances maintained in good repair?

  • Counter tops in good repair?

  • Floors in good repair in non-customer areas?

  • Walls in good repair in non-customer areas?

  • Ceiling in good repair in non-customer areas?

  • Refrigeration units in good repair?

  • Plumbing in good repair?

Cleanliness

  • Check cleanliness?

  • Trash disposed of as needed?

  • Free of rodents (and evidence of)?

  • Free of flying insects (and evidence of)?

  • Free of cockroaches (and evidence of)?

  • Free of ants (and evidence of)?

  • Non-customer area floors and drains are maintained and clean?

  • Non-customer area walls/ceilings maintained clean/lights functioning?

  • Non-customer area equipment is maintained and clean?

  • Non-customer area dish area/hand sink/storage areas maintained and clean?

  • Restrooms facilities are maintained and clean?

  • Customer area floors maintained?

  • Customer area walls/ceilings maintained and lights functioning?

  • Customer area furnishings maintained in good repair?

  • Exterior area maintained?

Sign Off

  • General Comments

  • Additional photo attachments

  • Auditor full name and 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.