Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Dumpster Area

  • Are the scrubbers, squeegees, and brooms hung up correctly? Are they clean? In good repair?

  • Is the surrounding dumpster area clear of debris?

  • Are fly controls being used?

  • Are the cardboard, grease, and dumpster lids closed?

  • Are boxes broken down?

  • Is lighting operational and adequate?

  • Are the doors clean and functioning?

  • Is the milk crate shelf clean and organized?

  • Is the hose reel working properly? Disconnected?

  • Is the dumpster compacting? Light not flashing? (full)

Offices and Staff Bath

  • Are walls and ceilings clean?

  • Is lighting operational and adequate?

  • Is the restroom clean and stocked?

  • Are the offices clean and organized?

  • Are Walkies plugged in and charging?

  • Are the floors clean?

  • Are the windows clean? (Outdoor and kitchen facing)

  • Are the chairs, desks, cubbies clear, organized and working?

  • Is the first aid kit stocked and organized?

Bakery

  • Is the microwave clean?

  • Are the scales clean and organized? Working properly?

  • Are the proofers clean and operational?

  • Is the big mixer clean? Working properly?

  • Is the small mixer clean? Working properly?

  • Are the pan extenders clean and organized?

  • Are the hanging utensils clean and organized?

  • Is the shelving clean and organized? Not cluttered?

  • Are the measuring utensils clean and organized?

  • Are the flour and sugar bins clean and organized? Deep cleaned according to schedule?

  • Are the floors, walls and ceilings clean?

  • Is the fly control working?

  • Is the prep sink clean?

  • Is the hand sink working, clean and stocked?

Walk-In Fridge

  • Are the walls and ceilings clean?

  • Are the floors clean and clear?

  • Is the door clean and functioning properly?

  • Is food stored properly? (labeled, rotated, sealed, location)

  • Is food at least 6 inches off the floor?

  • Is the fridge at the proper temperature? (35º-40ºF)

  • Are the fans clear of obstruction and working?

  • Are shelves clean?

  • Is lighting operational and adequate?

Freezer

  • Are floors, walls and ceiling clean?

  • Is the door clean and functioning properly?

  • Is lighting operational and adequate?

  • Is food stored properly? (sealed, labeled, rotated, location)

  • Is food at least 6 inches off the ground?

  • Is the freezer at proper temperature? (below zero)

  • Are speed racks consolidated?

  • Are shelves clean?

Back Line

  • Are the ovens and oven racks clean? Restraints connected?

  • Is the griddle clean? Shelf organized? Restraint connected?

  • Are the fryers clean? Oil changed accordingly? Restraint connected?

  • Are the hood vents clean? Hood working properly?

  • Are the hood lights working and clean?

  • Are the work tables and counters clean?

  • Are the knives clean? Stored properly?

  • Are all shelves clean and organized? Everything in its place?

  • Is the can opener clean? Functioning?

  • Are the cutting boards clean and organized?

  • Are the Robo coupe parts organized? Working properly?

  • Are the dicers, slicer, wedger assembled? In good repair?

  • Is the lighting operational and adequate?

  • Are the ceiling grids clean?

  • Are the walls clean?

  • Are the floors clean and clear? No slippery areas?

  • Are the floor drains clean and clear?

  • Is the hand sink clean, functioning and stocked?

  • Is the food prep sink clean and functioning?

  • Are the stainless steel walls clean?

  • Are thermometers available and working?

Dry Storage

  • Is the shelving organized? Everything in its place?

  • Are the floors clean, clear and dry?

  • Is the can rack organized? FIFO rotation used?

  • Are the food products stored at least 6 inches off of the floor?

  • Are the speed racks clean and organized? Working properly?

  • Are the walls and ceilings clean?

  • Is lighting operational and adequate?

  • Is food stored properly? (sealed, rotated, labeled)

  • Is there anything stored in the aisles or on the shelves that don't belong there?

Drink Room

  • Are the bread boards clean and organized?

  • Is the water sink clean? Are handles turned off?

  • Is the ice machine functioning? Is there mold inside the machine?

  • Is the pitcher shelf clean and organized? Pitchers not stained?

  • Is the ketchup dispenser clean and stocked?

  • Are all storage shelves cleaned and organzied?

  • Are the floor drains clean and clear?

  • Are the storage shelves below coffee maker clean and organized?

  • Is the beverage table clean and organized?

  • Are the floors and walls clean?

  • Are the ceiling grids clean?

  • Is the lighting operational and adequate?

  • Is the condiment fridge clean and organized?

  • Is the milk fridge clean and organized?

  • Are all milk gallons/carafes properly labeled?

  • Is the coffee restock shelf clean and organized?

Front Line

  • Are the tilt skillets clean? Exterior and interior clean?

  • Are the hoses clean and working? Handles turned off?

  • Are the floors and walls clean?

  • Are the drains clean?

  • Is the 4 burner stove clean and operational? Is the shelf clear of all items?

  • Are the shelves on front line clean and organized?

  • Are dish dollies clean and stored properly?

  • Are the carts clean are stored against the wall?

  • Are the warmers clean and functioning properly?

  • Are the stainless steel walls clean?

  • Are the hoods and hood vents clean?

  • Are the hood lights clean and operational?

  • Is the hand sink clean, functional and stocked?

  • Is the dry erase board clean?

  • Is the silverware shelf clean and functional? Handles facing up?

  • Is the food saver & server tray shelf clean and organized?

  • Are trash cans in good repair and clean?

Laundry

  • Is the lighting operational and adequate?

  • Are the washer and dryer clean? Working properly?

  • Are the floors clean and clear?

  • Is the chefwear clean and organized?

  • Is the mop sink clean and water handles turned off?

  • Are the cleaning supplies organized?

  • Are the walls and ceilings clean?

  • Are sanitizer bottles reaching the correct PH level?

  • Are all chemical bottles properly labeled?

PITS Area

  • Are the receiving area shelves clean and organized?

  • Are all bus tubs clean and in good condition?

  • Are the green rolling shelves clean and in good repair?

  • Are the 'dirty side' tables clean? Are dishes organized and not piling up?

  • Is the squeegee/steel wool shelf clean and organized?

  • Is the garbage disposal working properly? Is it clean?

  • Are spray nozzles working properly?

  • Are the ceiling grids clean?

  • Is the lighting operational and adequate?

  • Is the HOBART interior clean and working properly?

  • Is the HOBART exterior clean and organized?

  • Are the dish washing procedures being followed correctly?

  • Are the 'clean side' tables clean? Rollers functioning properly?

  • Are the floor drains clean and clear?

  • Are the floors clean, clear and dry?

  • Are walls clean?

  • Are the floors underneath the dirty side of pits and HOBART clean?

  • Are all chemicals filled and dispensing correctly?

Deep PITS

  • Are the cooking pots clean and organized?

  • Are the 3 compartment sinks clean? Are drain covers in place?

  • Are the lexan/hotel pan/sheet tray shelves clean and organized?

  • Are the floor drains clean and clear?

  • Are the floors clean, clear and dry?

  • Are the dish washing procedures being followed correctly?

  • Are the spray nozzles working properly? Plenty of pressure? No leaks?

  • Is the sanitizer reaching the correct PH level?

Country Store

  • Are all linen shelves organized? Not cluttered?

  • Is the sliding door functional and clean?

  • Are lights operational and adequate?

  • Are the walls, floors and ceilings clean?

  • Any lost and found items or miscellaneous trash?

CO-OP

  • Are the tables and chairs organized?

  • Are the buffet and outdoor materials organized and clean? Functional?

  • Are the floors, walls and ceilings clean?

  • Are the stairs clear?

  • Are the doors clean and functional?

  • Is the lighting adequate and operational?

  • Are all boxes off the floor by at least 6 inches?

  • Are shelves clean and organized? No empty boxes left on shelves.

Stage/Backstage

  • Are floors, walls and ceilings clean?

  • Are the stairs and railing clean?

  • Lighting operational and adequate?

  • Decor clean and organized properly?

  • Is the backstage area and closet organized?

  • Is the ramp clean and clear?

  • Are microphones and stands working?

Dining Hall

  • Are the windows clean?

  • Is the lighting operational and adequate?

  • Are the tables and chairs set up appropriately? Are they clean? Functional?

  • Is the stage area clean and organized?

  • Are the coffee stations clean and stocked?

  • Is the fruit station operational and clean?

  • Are the centerpiece items full and clean?

  • Are the doors leading into the kitchen clean and operational?

  • Are floors clean?

  • Are doormats clean and vacuumed?

  • Is work crew storage area clean? Lost and found items? Trash?

Sound Booth

  • Is the sound booth clean and organized?

  • Are the TV remotes working?

  • Is the sound booth computer working?

  • Are the floors and walls clean?

  • Is lighting operational and adequate?

  • Is the vacuum working properly?

  • Is the lighting control board working?

  • Is the sound board working?

Bathrooms / Vestibule

  • Are ADA doorways functioning properly?

  • Are windows and doors clean?

  • Are floors, walls and ceiling clean?

  • Is the water fountain working and clean?

  • Is the HK closet stocked, clean and organized?

  • Is lighting operational and adequate?

  • Are bathroom sinks clean and working?

  • Are mirrors clean?

  • Are toilets clean and working?

  • Are bathrooms stocked?

  • Are stall doors working?

  • Are paper towel dispensers working?

  • Are soap dispensers working?

  • Are trash cans clean and emptied?

Porch and Surrounding Areas

  • Is the golf cart parked correctly and functioning properly?

  • Is the porch clean and organized?

  • Are rockers, tables and chairs in good repair and clean?

  • Are the lights functioning properly?

  • Are the trash barrels in good repair, clean and empty?

  • Are exterior doors functioning and clean?

  • Is the area clear of trash and lost and found items?

  • Is the lost and found bin clean and in working condition?

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.