TIM HORTONS SURVEY
| Location |
100-03 Cohancy 100-03 North Conduit Avenue Ozone Park, NY 11417 |
| 1. Hand washing sinks clear and not blocked and stocked with hand soap, paper towels, and hand sanitizer? Open gloves stored only at hand washing sinks? | No |
| 1a. TAKE WIDE ANGLE PHOTO OF ENTIRE HAND WASHING STATION | |
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| 2. Gloves worn by everyone? Blue gloves worn by cashier? | Yes |
| 2a. Explain situation and corrective action | |
| 3. Sanitizer concentration in iced capp cup and buckets between 150-400 ppm? Sanitizer buckets not within 12 inches of any food? | Yes |
| 3a. TAKE A CLOSE-UP PHOTO OF THE TEST STRIP AND COLOR CHART WITH THE CORRECT PPM. | |
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| 4. Only blue towels used at the front counter and coffee station? Only red towels used for food contact areas? Cleaning towels stored only in sanitizer buckets? | Yes |
| 4a. Explain situation and corrective action | |
| 5. Take Photo of today's production sheet, hot holding temperature log, cold food temperature log, cold holding equipment log and hand washing log. | |
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| Not up to date,sonia was off yesterday. She always makes excuses. | |
| 6. No food or food packaging stored on floor? | Yes |
| 6a. Explain situation and corrective action | |
| 7. No employee food or beverages on counters, shelves, or in reach in coolers? | Yes |
| 7a. Explain situation and corrective action | |
| 8. Only "KAY" branded chemicals in the Tim Hortons area? (No bleach or store bought chemicals) | Yes |
| 8a. Explain situation and corrective action | |
| 9. Eggs in walk-in cooler stored an bottom shelf one no other food stored next to or under them? | Yes |
| 9a. Explain situation and corrective action | |
| 10. Walk-in cooler; ham, turkey, lettuce, cheeses, milk not expired? Only Tim Hortons food items in walk-in cooler. (Non-Tim Hortons food items must be on a separate shelf under any Tim Hortons food. | Yes |
| 10a. TAKE WIDE ANGLE PHOTO OF WALK-IN COOLER | |
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| Photo of TEMPERATURE GUAGE IN WALK-IN COOLER | |
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| 11. All food items in walk-in freezer properly covered? | No |
| 11a. TAKE WIDE ANGLE PHOTO OF WALK-IN FREEZER | |
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| 12. Walk-in cooler, freezer, dry storage shelves organized? Any items which can be removed from boxes and stacked on shelves are? | No |
| 12a. Explain situation and corrective action |
Last week we received two delivery almost same day
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| 13. Proper Tim Hortons uniform worn? I.e. Tim Horton's shirt and hat, black pants (not yoga type pants), black non slip shoes, only plain rings, no bracelets or watches, no earrings larger than 1 inch, necklace inside shirt. | Yes |
| 13a. TAKE A HEAD TO TOE PHOTO OF ONE OF THE TEAM MEMBERS | |
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| 14. No store bought pest control devices or insect sprays anywhere in the station? | Yes |
| 14a. Explain situation and corrective action | |
| 15. Only blue bandages in stock in the first-aid kit? (No brown bandages) | Yes |
| 15a. TAKE A PHOTO OF THE FIRST-AID KIT | |
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| Type Your First & Last Name Here |
Vishal
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Signature Certifying Accurate and Honest Completion of Tim Hortons Store Survey
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