FACILITY MAINTENANCE CHECKLIST DATE: _________________ INSPECTED BY :____________________ IN = In compliance OUT = Out of compliance (include observation) DATE IN / CORRECTIVE ACTION ITEM OBSERVATION REPAIRS OUT TAKEN COMPLETED GENERAL FOOD ESTABLISHMENT EQUIPMENT COOKING EQUIPMENT (IF OUT, LIST EQUIPMENT) HOT HOLDING EQUIPMENT (IF OUT, LIST EQUIPMENT) COLD HOLDING EQUIPMENT(IF OUT, LIST EQUIPMENT) BEVERAGE DISPENSERS (IF OUT, LIST EQUIPMENT) COOKING HOOD - FIRE SUPRESSION SYSTEM - SEAMS - LIGHTS - FILTERS ICE BINS/ ICE MACHINE MEAT SLICERS/GRINDERS/ SAWS WORK TABLES/CUTTING BOARDS
FACILITY MAINTENANCE CHECKLIST DATE: _________________ INSPECTED BY :____________________ IN = In compliance OUT = Out of compliance (include observation) ITEM IN / OUT OBSERVATION CORRECTIVE ACTION TAKEN DATE REPAIRS COMPLETED GENERAL FOOD ESTABLISHMENT EQUIPMENT COOKING EQUIPMENT (IF OUT, LIST EQUIPMENT) HOT HOLDING EQUIPMENT (IF OUT, LIST EQUIPMENT) COLD HOLDING EQUIPMENT(IF OUT, LIST EQUIPMENT) BEVERAGE DISPENSERS (IF OUT, LIST EQUIPMENT) COOKING HOOD - FIRE SUPRESSION SYSTEM - SEAMS - LIGHTS - FILTERS ICE BINS/ ICE MACHINE MEAT SLICERS/GRINDERS/ SAWS WORK TABLES/CUTTING BOARDS