Health & Safety
Store:
*
Please Select
562: Northern Lights
782: Campus
1567: West 1
1696: Eastland
2062: Maple Canyon
4723: Alum Creek
5100: Harrisburg Pike
5386:Clintonville
5407: West 2
6380: Sunbury
10165: Sinclair
10512: Franklinton
10553: East Broad
14144: Community Park
17683: Maxtown
18112: Lockbourne
20080: Reynoldsburg
26628: James Road
274472: Cassady
34956: New Albany
Who Completed?
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First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Critical Health & Safety
Rows
Yes
No
Comments
Emergency Exit/Fire Extinguishers: Emergency exit and fire extinguishers equipment is visible, accessible, and operational and in good condition.
Exit door is locked from inside and requiring a key to open
Exit door or path to exit is not blocked
Exit door is hard to open
Fire extinguishers are not signed off on
Personal Protective Equipment: Face shield, filtering apron, gloves, oven mitt, safety vest. NO HOLES.
Cooking Equipment Fire Suppression System: Restaurant has automatic ansuls over fryers and grills and inspected every 6 months.
C02 Tank is secured and ain good condition. Make sure is bolted down.
C02 Alarms and Detectors are in correct spots and working properly.
PlayPlace Equipment: Doesn't have unapproved items
Occupational Safety
Rows
Yes
No
Comments
Safety Standards and Regulatory Compliance: 3 points. Managers and crew are trained on and can explain the emergency action plan.
Restaurant Fire Prevention and Protection
Rows
Yes
No
Comments
1 point: Hoods, Ducts, and fans over fryers are expected every 3 months.
1 point: Grill and fryer filters, blank off plates, and grease collection cups are cleaned regularly, installed correctly.
1 point: the grills and fryers are clean and free of excessive food debris and grease underneath the equipment.
1 point: electrical outlets connectors cords are in good repair.
1 point: managers know how to turn off electricity, gas, and water
1 point: the inside of the restaurant is free of gasoline or other flammable liquids.
Playplace Safety
Rows
Yes
No
Comments
3 points: Operational and inspection procedures are established, communicated, and implemented to promote safety in play place.
Chemical Safety
Rows
Yes
No
Comments
1 point: Hazcom app is available and can be accessed by employees.
1 point: only approved cleaning products, stored properly, and labeled properly.
Slip and Fall prevention:
Rows
Yes
No
Comments
3 points: Mopping/Slip and fall prevention tools are in good condition, operational procedures are being correctly followed, and floors are clean and slip resistant when walked on.
3 points: exterior walkways, patios, parking lots, curbs, ramps, and driveways are in good repair, and free of obstacles and conditions in which a person could slip and fall.
Building Safety
Rows
Yes
No
Comments
1 point: Self-serve ice machine storage bin lids are correctly in place and not at risk of falling.
1 point: flag poles, light poles, and sign poles include their bace plates and anchor bolts are in good repair.
3 points: Kitchen equipment and interior and exterior chairs and tables are stable and free of conditions that could cause injury.
1 point: the interior and exterior ladders are safe, in good repair and enable safe transfers and access to and from the roof's surface, and railing.
Security
Rows
Yes
No
Comments
1 point: All outside delivery freezer door unit locking mechanisms and locked and in good operating condition.
1 point: drive-thru windows have locks that are in good operating condition and are secured when unattended.
1 point: the back door is equipped with an unobstructed and working external view device.
1 point: there is a safe, locked, and functioning at all times in manager office.
1 point: there is a designated area to enable safe cash handling procedures and IT equipment.
3 points: Restaurant management and crew have received safety training.
3 points: restaurant management can describe the proper security procedures to be followed on stagger opening and closed.
Submit
Should be Empty: