Title Page

  • Conducted on

  • Prepared by

  • Employee beverages are in designated areas

Hand Washing & Hand Sinks

  • All hand sinks have hand soap, warm water, & paper towels. Paper towels need to be in a dispenser to limit contamination

  • All hand sinks are free of clutter (not blocked)

  • Hand hygiene must be observed

  • All hand sinks have a trash can next to them

Personal Hygiene & Safety

  • Slip resistant shoes are worn & name badge is visible

  • Everyone is wearing either a hair net or hat. All long hair is pulled back. Beard restraints worn as needed

  • Gloves or clean utensils are used to handle ready-to-eat foods.

  • Personal belongings including uniforms not stored in the work area. Nothing in uniform coat pockets that can fall into food

Cold Production

  • Items are labeled and dated in Cooks/Cafe Fridge

  • No expired items in Cooks/Cafe Fridge

  • Items are labeled and dated in Pantry Fridge

  • No expired items in Pantry Fridge

  • Are food carts clean and in good repair

  • Cut gloves are used if food is being cut with a knife or slicer

  • There’s a red sanitizing bucket at pantry prep and/or CC prep

  • Items are labeled and dated in Roll In Fridge

  • No expired items in Roll In Fridge

  • Condiment containers are clean and dated.

  • Microwave is clean

  • Can opener clean and free of debris

  • Knives are clean and kept in knife holder

Dish Room

  • Dish room is clean and free of debris

  • Fan on the wall is clean

  • Manual three compartment sink water temperature is at a minimum of 110 degrees Fahrenheit

  • Pots and pans are completely dry before stacking

  • Utensils must be on a drying rack

  • Check ice machine for mold - thorough cleaning

  • Eyewash station inspected weekly

Cook’s Area

  • Items are labeled and dated in Cook’s Fridge and Freezer

  • No expired items in Cook’s Fridge and Freezer

  • All spices and dry items are labeled and dated

  • No expired spices and dry items

  • Hood is clean

  • Flat top and grill are clean

  • Oven, Merrychef, and microwave are clean

  • Meat slicer is dialed at zero with blade guard in place when not in use

  • Cut gloves are used if food is being cut with a knife or slicer

  • All cutting boards are clean and without deep scratches

  • There’s a red sanitizing bucket at the work station

Chemical Room

  • Chemicals are stored properly

Dry Storage

  • Floors are swept and walkways clear

  • All items have Received Dates and stored with FIFO method

  • Food containers are stored off the floor and away from walls to allow for adequate ventilation

  • There’s 18 inches or more open space below fire sprinkler heads

  • No dented cans

  • Dented cans are stored on the cart outside the room

  • Items are labeled and dated

  • No expired items

  • Back exit path is not impeded with storage on shelving

Walk In Fridge

  • Does the door close properly

  • All lights are working

  • Clean and all open items are covered and dated

  • No expired items

  • Food is correctly ordered on the shelves

Cafeteria

  • Tables and counters are cleaned/sanitized

  • No expired items

  • Items are labeled and dated

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.