Yes □ No □ Ice Machine is clean and sanitary. N/A □ Yes □ Properly sized plastic liners in all garbage cans located No □ in each work area. N/A □ Yes Chlorine bleach (5.25% sodium hypochlorite bleach) □ or another EPA registered cleaning chemical for No □ norovirus is readily available to use for potential N/A □ norovirus (vomitus and/or fecal) events in the food preparation or service areas. July 2018 MONTHLY SAFETY INSPECTION – CONTROL CHECKLIST Pests can pose a significant program within a foodservice operation. One of the first lines of defense is to conduct a monthly inspection so you can identify and correct potential problems. Directions: Complete this checklist as part of your monthly food safety inspection cycle. Refer to Part 1: Prerequisite Programs and Safe Food Handling for specific information about the standards which must be met to answer “Yes”. If you answer “No” to any of the items, you must take corrective action as soon as possible. Record the corrective actions taken in the space beside each observation. Signature of Person in Charge: Date Inspection Completed: July, 2018 PREPARATION, STORAGE, TRASH COLLECTION AREAS Corrective Actions Taken Date Yes □ The building exterior and perimeter is clean and No □ free of clutter and debris. N/A □ Yes □ Dumpster and dumpster pad area maintained in No a clean condition. Dumpster plugs are in place. □ N/A □ Yes □ No Recyclables are properly stored □ N/A □ Yes □ Insecticides and rodent traps properly used in No □ and near the garbage and waste area. N/A □ Yes □ No □ Only pest control products labeled for use in N/A food-handling areas are used. □
□ Yes □ No □ N/A Ice Machine is clean and sanitary. □ Yes □ No □ N/A Properly sized plastic liners in all garbage cans located in each work area. □ Yes □ No □ N/A Chlorine bleach (5.25% sodium hypochlorite bleach) or another EPA registered cleaning chemical for norovirus is readily available to use for potential norovirus (vomitus and/or fecal) events in the food preparation or service areas. July 2018 MONTHLY SAFETY INSPECTION – CONTROL CHECKLIST Pests can pose a significant program within a foodservice operation. One of the first lines of defense is to conduct a monthly inspection so you can identify and correct potential problems. Directions: Complete this checklist as part of your monthly food safety inspection cycle. Refer to Part 1: Prerequisite Programs and Safe Food Handling for specific information about the standards which must be met to answer “Yes”. If you answer “No” to any of the items, you must take corrective action as soon as possible. Record the corrective actions taken in the space beside each observation. Signature of Person in Charge: Date Inspection Completed: July, 2018 PREPARATION, STORAGE, TRASH COLLECTION AREAS Corrective Actions Taken Date □ Yes □ No □ N/A The building exterior and perimeter is clean and free of clutter and debris. □ Yes □ No □ N/A Dumpster and dumpster pad area maintained in a clean condition. Dumpster plugs are in place. □ Yes □ No □ N/A Recyclables are properly stored □ Yes □ No □ N/A Insecticides and rodent traps properly used in and near the garbage and waste area. □ Yes □ No □ N/A Only pest control products labeled for use in food-handling areas are used.
1819-pt3haccppln-transp-monit.docx