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| Name of school: |
| Date of inspection: |
| Career-Technical program/course/room: |
| Signature of inspector: |
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Food
Preparation and
Service--Part 4 Self-Inspection Checklist |
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Guidelines: Food preparation and service regulations are issued by State health departments and vary from State to State. This checklist uses the New Jersey Department of Health regulations as a model for assessing food preparation and service areas. Please consult your own State health department for the regulations that are applicable in your State. This checklist applies to school cafeterias and, in general, any area or operation that prepares or serves food to the public with or without charge. A yes answer to a question indicates that this portion of the inspection complies with the OSHA and EPA standard, or with a non-regulatory recommendation. Although not directly applicable to general classroom activities, this checklist will be helpful in reviewing general food safety practices. Definitions of terms in bold type are provided at the end of the checklist.
| Please Circle | |
| Methods
and Facilities for Washing and Sanitizing
Machine Washing and Sanitizing |
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machine does not perform prewashing, are equipment and utensils flushed or scraped? |
Y N N/A ?? |
used, are equipment and utensils placed in racks or in trays to permit unobstructed application of detergent wash and clean rinse water and free draining? |
Y N N/A ?? |
nozzles, and soap dispensers? Note:
Check flow pressure gauges and final cleanliness,
|
Y N N/A ?? |
final rinse reach 160ºF at the plate? Note:
Acceptable wash and finalrinse
temperatures
|
Y N N/A ?? |
and accurate to +/- 3ºF? |
Y N N/A ?? |
least once a day? |
Y N N/A ?? |
| Storage and Handling of Cleaned Equipment and Utensils | |
handled in such a manner as to prevent contamination? Note:
For example, food contact surfaces should not
|
Y N N/A ?? |
handles to prevent cross-contamination? |
Y N N/A ?? |
and thumbs do not contact interior surfaces or rims? |
Y N N/A ?? |
inches from the floor and in a clean, dry place? |
Y N N/A ?? |
articles prohibited from storage in toilet rooms, toilet vestibules, or garbage or mechanical rooms? |
Y N N/A ?? |
| Single-Service Articles | |
nontoxic, safe materials? |
Y N N/A ?? |
other contamination that could be imparted to the food? |
Y N N/A ?? |
above the floor on pallets, dollies, or racks, and in closed cartons or containers? |
Y N N/A ?? |
sewer lines or water lines? |
Y N N/A ?? |
offered with food contact surfaces inserted into holders? |
Y N N/A ?? |
| Sanitary Facilities and Controls | |
water supply system? |
Y N N/A ?? |
where food is prepared and where equipment, utensils, or containers are washed? |
Y N N/A ?? |
| Ice | |
|
Y N N/A ?? |
a sanitary manner so it is protected against contamination? |
Y N N/A ?? |
|
Y N N/A ?? |
storage and dispensing? |
Y N N/A ?? |
for that purpose and not human consumption? |
Y N N/A ?? |
| Size, Installation, and Maintenance of Plumbing | |
from the establishment to the sewerage or sewage disposal system? |
Y N N/A ?? |
backflow and backsiphonage? |
Y N N/A ?? |
| Drains | |
refrigerators), ice storage bins, and ice machines have air gaps or air breaks between them and the drainage system to prevent backflow? Note: Direct connection is prohibited. |
Y N N/A ?? |
without flooding? |
Y N N/A ?? |
| Toliet Facilities | |
conveniently located, and accessible to the students and employees all the time? |
Y N N/A ?? |
Note:
If vermin such as flies enter an establishment,
|
Y N N/A ?? |
clean, in good repair, and free of objectionable odors? |
Y N N/A ?? |
|
Y N N/A ?? |
returning to work? |
Y N N/A ?? |
| Handwashing Facilities | |
repair, and conveniently located? |
Y N N/A ?? |
|
Y N N/A ?? |
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Y N N/A ?? |
available, as well as sanitary towels or another approved hand-drying device? |
Y N N/A ?? |
|
Y N N/A ?? |
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Definitions:
Rinse: clear water that fulfills specified heat requirements.Single service articles: cups, containers, lids or closures, plates, knives, forks, spoons, stirrers, paddles, straws, place mats, napkins, doilies, wrapping materials, and all similar articles that are intended by the manufacturers and generally recognized by the public to be for one usage only and then discarded.
Comments/Corrective action:
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