Yes □ All refrigeration units, including milk boxes No □ are clean. N/A □ June 2019 MONTHLY SAFETY INSPECTION -- WEEK THREE NOTE: This is one of a series of four forms. It is recommended one form be completed each week. 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. Record the corrective actions taken in the space beside each observation. Signature of Person in Charge: Date Inspection Completed: June, 20182 FREEZER STORAGE Corrective Actions Taken Date Yes All food is stored properly to allow for good □ No air circulation; shelves not lined; stored at □ least 6 inches off the floor. N/A □ Yes □ All food is properly labeled with received or No □ pack date (month/year) N/A □ Yes □ No FIFO procedure is used for all FROZEN stock. □ N/A □ Yes □ All freezer units are clean and defrosted No □ according to manufacturer instructions. N/A □ Yes Any pre-prepared foods are stored in □ durable, food-grade containers, properly No □ covered and labeled with the amount and N/A □ date (CLAD). Out dated foods are discarded. TRANSPORTING Corrective Actions Taken Date Yes □ All cold and holding equipment is functioning to No □ maintain correct food temperatures. N/A □
□ Yes □ No □ N/A All refrigeration units, including milk boxes are clean. June 2019 MONTHLY SAFETY INSPECTION -- WEEK THREE NOTE: This is one of a series of four forms. It is recommended one form be completed each week. 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. Record the corrective actions taken in the space beside each observation. Signature of Person in Charge: Date Inspection Completed: June, 20182 FREEZER STORAGE Corrective Actions Taken Date □ Yes □ No □ N/A All food is stored properly to allow for good air circulation; shelves not lined; stored at least 6 inches off the floor. □ Yes □ No □ N/A All food is properly labeled with received or pack date (month/year) □ Yes □ No □ N/A FIFO procedure is used for all FROZEN stock. □ Yes □ No □ N/A All freezer units are clean and defrosted according to manufacturer instructions. □ Yes □ No □ N/A Any pre-prepared foods are stored in durable, food-grade containers, properly covered and labeled with the amount and date (CLAD). Out dated foods are discarded. TRANSPORTING Corrective Actions Taken Date □ Yes □ No □ N/A All cold and holding equipment is functioning to maintain correct food temperatures.
1819-pt3haccppln-transp-monit.docx