Person completing form

Drive Thru menu boards/speakers clean

DT Lane does not have trash/cigarettes on ground

DT Window area clean

DT Window is closed when no cars in are queue

DT Trash can is not overflowing

DT Menu boards in good repair

Dumpster area with trash only in container

Dumpster area doors remained closed

Doors/Windows Clean

Exterior door is not left open without air curtain operating

Sidewalk/patio have no recent spills

Sidewalk/patio doesn't have trash on the ground

Trash can not overflowing

Tables/chairs are clean and in good repair

Planters are clean and in good repair

Umbrellas clean and in good repair; locked in to place

Building awnings/soffit in good condition/not weathered

Exterior walls in good repair

Landscaping clean and in good condition

Walk off mat clean

Walk off mat in good repair

Door threshold is clean

Doors are in good repair and rodent proof

No smoking signs posted at all customer entrances

Cafe ledges clean and windows are clean

Cafe Ceiling/Ducting/Lighting/Vents are clean

Lights are not out or missing

No dust build up/splatter on ceiling/vents/lighting

Cafe chairs/tables/lamps clean and in good repair

Cafe floor fixtures are clean

Cafe retail shelving clean

Retail shelving not damaged

Retail packaged coffee within code date

Ambient pre-packaged RTE food within code date

Restroom fixtures clean (Hand sinks/faucets/toilet/mirror/air fresheners/handrails/baby changing table)

Restroom faucets/drain pipes are not dripping/secure/free of damage/scald guard present

Approved soap/paper towel dispensers properly stocked and working

Hand washing signs are present at hand sinks

Hand sinks have warm water (100-120degrees F)

Restroom fixtures are in good repair and free of graffiti (Hand sink/faucet/toilet/mirror/baby changing table/door)

Paper towl/soap/toilet paper dispensers/sconce shade/garbage cans in good repair and free of graffiti

Toilet tissue is loaded into the dispenser and not available to customers outside of the dispenser

No odor present

Food/Food contact equipment not stored in restroom

Floors are free of excessive crumbs/trash/debris

Floors are free of dark encrusted buildup

Floors/Cove Molding/Concrete in good repair

Trash cans not overflowing

Ceiling is free of water damage and chipped paint/paint repair color matches

Condiment bar is free of excessive spills

No build up under napkin holders/in trash cabinet/under trash ring/under sugar/sweetener pack container

No encrusted buildup in sugar/sweetener pack container

Condiment/stir stick containers clean

Cabinet with trash can is clean

Condiment bar carafe labels are not peeling/worn/not readable

Condiment bar carafes not visibly dirty

Condiment bar carafes are not chipped/scratched/dented or otherwise damaged

Condiment bar carafes do not have adhesive buildup

Food contact items properly stored

All carafes are below 41degrees

Ambient pre-packaged RTE food within code date at the POS

All products within the pastry case have signage

Allergen signage present in pastry case

Warming display sticker present For Display Only

Non-PHF RTD within code date

Sandwiches/Boxes/Salads/Fruit Cups/Yogurt Parfaits within expiration date

Product is not stored over front vents in the RTD&E case

Stored multi-day pastries dated and within code date

Food items stored protected, approved food covering used

Butter/cream cheese are not stored at room temperature

Potentially hazardous samples are actively sampled and not left at room temperature

No product above 41degrees in RTD&E case

Pastry tongs are free of multiple dried on product build up

In use tongs stored in a clean designated container

External rear grill area (vent/condenser coils) and filter cover clean/free of dust

No damaged shelves, broken pieces

Internal lighting working in case

Pastry cart clean/free of dust

Baskets on front of pastry case are clean and free of crumbs

Thermocouple present in the store/working/in good repair/calibrated

Top portion of the pastry case clean and free of crumbs

Floors are free of excessive crumbs/trash/debris (including under refrigerators and cabinetry)

Floors are free of dark encrusted buildup (including under refrigerators and cabinetry)

Floors/cove molding/concrete in good repair

Trash/Recycling/compost cans not overflowing

Cabinet doors/drawers/hinges/facings/handles in good repair

Cabinets are free of water damage/ rot and no bare wood exposed

Cabinets and drawers clean

Countertops (including under equipment) clean

Countertops have no peeling stickers/adhesive residue on counter

Countertops sealed to wall/splash guard juncture/horizontal gaps

Countertops not excessively worn/damaged/pitted and facings in good repair

Signage Clean

Walls Clean

Walls free of bare wood/exposed dry wall/covering are secure and intact/chipped paint/holes

Ceiling/Lighting/Vents maintained clean and no lights are out/missing

Ceiling is free of water damage and chipped paint/paint repair color matches

Thermometer located in front of case or refigerator

Thermometer does not have any breaks or gaps in the red 'gauge' line/All broken thermometers removed from equipment

Refrigerator/Food Case not above 41degrees

Refrigerator is clean (shelves/fan guards/interior/exterior/floor)

Refrigerator shelves/door free of damage

For-here cups/plates are not cracked

For-here serve ware stored clean

Cutlery free of rust and not bent

Warming tongs/knives are free of multiple dried on product buildup

In use tongs stored on a clean cutting board or other clean surface

Utensil holder not rusting/in good repair

Cutting boards are free of visible dried up buildup in grooves

Food contact items are from an approved source and food grade

Silverware/unwrapped plasticware stored handles up

Silverware/plasticware stored in clean container

Plexi cubes not cracked/chipped

In use plexi cubes are clean

Warming oven interior/hinges/back of oven clean/under tray

Warming oven exterior/vents clean

Oven tray is not cracked/chipped

Non-PHF food within code date

PHF foods within code date

Food items stored protected, approved food covering used

Food contact items properly stored

Floors are free of excessive crumbs/trash/debris (including under refrigerator and cabinetry)

Floors are free of dark encrusted build-up (including under refrigerator and cabinetry)

Floors/cove molding/concrete in good repair

Trash/Recycling/Compost cans not overflowing

Drains clean/no strong odors present

Cabinet doors/hinges/facings/handles in good repair

Cabinets are free of water damage/rot and no bare wood exposed/no cabinet built over drain with no access

Cabinets and drawers clean

Countertops (including under equipment) clean

Shelving not damaged in cabinetry

Countertops have no peeling stickers/adhesive residue on counter

Countertops sealed to wall/splash guard juncture/horizontal gaps

Countertops not excessively worn/damaged/pitted and facings in good repair

Sink/ice bin/drain pan sealed to countertop

Signage Clean

Walls clean including behind oven (free of grease and splatter)

Walls free of bare wood/exposed dry wall/covering are secure and intact/chipped paint/holes

Ceiling/Lighting/Vents maintained clean and no lights are out/missing

Ceiling is free of water damage and chipped paint/paint repair color matches

No ceiling tiles missing/dislodged, sprinkler rings not missing

Faucet fixtures secure/free of damage/not dripping (including drainpipes)

Sink/faucet is clean

Sink/drain pan sealed to countertop

Coffee brewer maintained clean

Coffee warmers maintained clean

Coffee grinder and scale maintained clean

Bunn membrane is not discolored or damaged

Spoodle/coffee scale scoop clean and free of chips/dents

Spoodle stored in a clean designated storage container

Tea tongs stored in a clean designated storage container

Coffee filters stored covered and protected

Food contact items are not stored under dripping condensate or sewage lines

Food contact items are from an approved source and food grade

Stored smallwares are clean

Clean smallwares stored covered /inverted/on a clean surface

Clean smallwares stored seperated from non-food related items

Unpackaged cups/lids stored inverted and in plexi cubes

Plexi cubes not cracked/broken/no peeling tape

In use plexi cubes are clean

Single use cups/lids/reusable cups are free of splash/splatter and stored away from splash range of sinks

Exposed lids stored sip side up

Sample cups stored protected

Pour over brewing smallwares are clean and free of damage

Pour over brewing coffee scoop stored in clean designated container

Airpots not chipped/excessively dented

Airpots labeled

Ground coffee and whole bean coffee stored protected

Ground coffee dated

Tea and whole bean coffee is dated and within code date

Blender(s)/housing clean

Blender shroud free of cracks or pieces missing

Blender pitcher rinser clean including underside/no major leaks

Ice scoops stored in clean designated area

Ice scoops are free of chips and handle is not broken

Ice scoop is clean and free of splatter and adhesive buildup, sanitized every 2 hours

Unpackaged cups/lids stored inverted and in plexi cubes

Plexi cubes not cracked/broken

Ice bins/caddies absent of mold/slime build up

Ice bins/caddies covered and protected, in good condition

Nitro cold brew unit interior and exterior clean, gaskets in good condition

Dairy/soy in reach in within code date

Tea and coffee pitchers dated

Open dry inclusion bags/pouches dates

CBS beverage syrups within code date and dated

CBS sauces/concentrates/refreshers mixes within code date and dated

CBS powders/mocha within code date and dated

Peeled bananas dated and within code date

DBS dry inclusions/shakers labeled with contents

All squeeze bottles labeled

PHF are not left on counter above 41degrees

No wiping cloths left sitting on counters/shelves/or in sink

Wiping cloths are stored in container with sanitizing solution

DT Window area clean handoff plane/window ledges/register area

DT Window is not left open except during window interactions