Sample Manager Self-Inspection Checklist - Gwinnett Environmental Health Services printable pdf download

Sample Manager Self-Inspection Checklist - Gwinnett Environmental Health Services

Gwinnett Environmental Health Services

455 Grayson Highway - Suite 600

Lawrenceville, GA 30046

Phone: 770.963.5132

Fax: 770.339.4282

Sample Manager Self-Inspection Checklist

Date: _________________Person-In-Charge: _____________________________________

****Use this checklist 2 times a week to determine areas in your operation requiring corrective action.

YOU MUST RECORD ALL CORRECTIVE ACTION TAKEN AND KEEP COMPLETED

RECORDS IN A NOTEBOOK FOR FUTURE REFERENCE AND MONITORING PURPOSES.

FOODBORNE ILLNESS RISK FACTORS: (All violations in this category must be corrected

IMMEDIATLEY

Yes/

Compliance Status

Corrective Action

PERSONAL HYGIENE

Employees hands are washed at critical points

(finger nails short & unpolished)

Open sores, cuts are completely bandaged and

covered while handling food(s)

No discharge from eyes, nose, mouth

No bare hand contact with ready to eat foods

Hand sinks supplied with proper supplies (soap

and towels)

COOLERS AND FREEZERS

All coolers maintaining 41oF (Foods at 41oF

inside all coolers)

All freezers maintaining foods at a hard frozen

state

Hanging thermometers present in all coolers and

freezers (conspicuous and accurate)

HOT HOLDING FACILITIES

Food is cooked/reheated to proper temperature

before placing in hot holding (advisory posted if

applicable)

Food is being hot held at 135°F or higher

Food is protected from contamination

Time as public health control being documented

and followed

Page 1 of 4

02-22-12

Sample Manager Self-Inspection Checklist - Gwinnett Environmental Health Services