FDA/CFP: Food Establishment Plan Review Guide

Food and Drug Administration and Conference for Food Protection

FOOD ESTABLISHMENT PLAN REVIEW GUIDE
2000

REGULATORY AUTHORITY COMPLIANCE
REVIEW LIST AND
APPROVAL/DISAPPROVAL FORM

REGULATORY AUTHORITY COMPLIANCE REVIEW LIST

SAT. UNSAT. N/A INSUFF.
INFORM.

1. Food Preparation Review

    Raw food prep table(s)
    (as menu dictates) (  ) (  ) (  ) (  )

    Raw food prep sink(s)
    (as menu indicates) (  ) (  ) (  ) (  )

    Adequate refrigeration (  ) (  ) (  ) (  )

    Adequate hot holding facilities (  ) (  ) (  ) (  )

    Adequate hot food preparation equip. (  ) (  ) (  ) (  )

    Vacuum packaging
    (HACCP plan) (  ) (  ) (  ) (  )

2. Utensil & Equipment Storage

      Clean (  ) (  ) (  ) (  )

      Soiled (  ) (  ) (  ) (  )

    Counter mounted equip. (  ) (  ) (  ) (  )

    Floor mounted equip. (  ) (  ) (  ) (  )

    Vacuum packaging equip. (  ) (  ) (  ) (  )

    Bulk Food (  ) (  ) (  ) (  )

    Self service (  ) (  ) (  ) (  )

      Salad (  ) (  ) (  ) (  )

      Hot/Cold Buffet (  ) (  ) (  ) (  )

3. Kitchen Equipment

    Spacing between units or wall closed; moveable, or adequate space for easy cleaning (  ) (  ) (  ) (  )

    Work space & aisles sufficient (  ) (  ) (  ) (  )

    Storage 6" off floor (  ) (  ) (  ) (  )

    Countertops & cutting boards
    of suitable material (  ) (  ) (  ) (  )

    Self serve food area
    adequately protected (  ) (  ) (  ) (  )

    Approved thermometer for each
    refrigerator & freezer, and for
    taking food temperatures (  ) (  ) (  ) (  )

4. Finish Schedule

    Kitchen (  ) (  ) (  ) (  )

    Bar (  ) (  ) (  ) (  )

    Food Storage (  ) (  ) (  ) (  )

    Other Storage (  ) (  ) (  ) (  )

    Toilet Rooms (  ) (  ) (  ) (  )

    Dressing Rooms (  ) (  ) (  ) (  )

    Garbage & Refuse Storage (  ) (  ) (  ) (  )

    Mop Service Area (  ) (  ) (  ) (  )

    Warewashing Area (  ) (  ) (  ) (  )

    Walk-in refrigerator & freezers (  ) (  ) (  ) (  )

5. Plumbing

    Cross Connections (  ) (  ) (  ) (  )

    Water Supply (  ) (  ) (  ) (  )

    Sewage Disposal (  ) (  ) (  ) (  )

    Hand Sinks (  ) (  ) (  ) (  )

    Dishwashing & Pot Sinks (  ) (  ) (  ) (  )

    Grease Traps (  ) (  ) (  ) (  )

    Service/Janitorial Sinks (  ) (  ) (  ) (  )

    Hot Water (  ) (  ) (  ) (  )

6. Physical Facilities

    Dressing Rooms (  ) (  ) (  ) (  )

    Separate Toxic Storage (  ) (  ) (  ) (  )

    Laundry Facilities (  ) (  ) (  ) (  )

    Linen Storage (  ) (  ) (  ) (  )

    Lighting (  ) (  ) (  ) (  )

    Food Storage (  ) (  ) (  ) (  )

    Dry Storage Goods (  ) (  ) (  ) (  )

7. Refuse & Pest Control

    Gargbage & Refuse Storage (  ) (  ) (  ) (  )

    Insect & Rodent (  ) (  ) (  ) (  )

    Control Measures (  ) (  ) (  ) (  )

8. Ventilation

    Exhuast Hoods (  ) (  ) (  ) (  )

    Ventilation (  ) (  ) (  ) (  )

9. Employee Restrooms

    Location (  ) (  ) (  ) (  )

    Number ______ (  ) (  ) (  ) (  )

    Soap Dispensers (  ) (  ) (  ) (  )

    Hand Drying (  ) (  ) (  ) (  )

    Lavatories (  ) (  ) (  ) (  )

    Water Closets (  ) (  ) (  ) (  )

    Urinals (  ) (  ) (  ) (  )

    Hot & Cold Water Provided (  ) (  ) (  ) (  )

    Waste Receptacles (  ) (  ) (  ) (  )

10. Patron Restrooms

    Location (  ) (  ) (  ) (  )

    Number ______ (  ) (  ) (  ) (  )

    Soap Dispensers (  ) (  ) (  ) (  )

    Hand Drying (  ) (  ) (  ) (  )

    Lavatories (  ) (  ) (  ) (  )

    Water Closets (  ) (  ) (  ) (  )

    Urinals (  ) (  ) (  ) (  )

    Hot & Cold Water Provided (  ) (  ) (  ) (  )

    Waste Receptacles (  ) (  ) (  ) (  )

Comments: (explain why any item was noted "Unsatisfactory")

______________________________________________________________

_______________________________________
Reviewer Signature

___________________________
Date

___________________________
Reviewer Title

APPROVAL: _____________ DATE: ________

DISAPPROVAL: _____________ DATE: ________

REASON FOR DISAPPROVAL:

______________________________________________________________

Home | Plan Review: Table of Contents

Hypertext updated by dms/ces 2000-MAR-30

	SAT.	UNSAT.	N/A	INSUFF. INFORM.
1. Food Preparation Review
Raw food prep table(s) (as menu dictates)	( )	( )	( )	( )
Raw food prep sink(s) (as menu indicates)	( )	( )	( )	( )
Adequate refrigeration	( )	( )	( )	( )
Adequate hot holding facilities	( )	( )	( )	( )
Adequate hot food preparation equip.	( )	( )	( )	( )
Vacuum packaging (HACCP plan)	( )	( )	( )	( )
2. Utensil & Equipment Storage
Clean	( )	( )	( )	( )
Soiled	( )	( )	( )	( )
Counter mounted equip.	( )	( )	( )	( )
Floor mounted equip.	( )	( )	( )	( )
Vacuum packaging equip.	( )	( )	( )	( )
Bulk Food	( )	( )	( )	( )
Self service	( )	( )	( )	( )
Salad	( )	( )	( )	( )
Hot/Cold Buffet	( )	( )	( )	( )

3. Kitchen Equipment
Spacing between units or wall closed; moveable, or adequate space for easy cleaning	( )	( )	( )	( )
Work space & aisles sufficient	( )	( )	( )	( )
Storage 6" off floor	( )	( )	( )	( )
Countertops & cutting boards of suitable material	( )	( )	( )	( )
Self serve food area adequately protected	( )	( )	( )	( )
Approved thermometer for each refrigerator & freezer, and for taking food temperatures	( )	( )	( )	( )

4. Finish Schedule
Kitchen	( )	( )	( )	( )
Bar	( )	( )	( )	( )
Food Storage	( )	( )	( )	( )
Other Storage	( )	( )	( )	( )
Toilet Rooms	( )	( )	( )	( )
Dressing Rooms	( )	( )	( )	( )
Garbage & Refuse Storage	( )	( )	( )	( )
Mop Service Area	( )	( )	( )	( )
Warewashing Area	( )	( )	( )	( )
Walk-in refrigerator & freezers	( )	( )	( )	( )

5. Plumbing
Cross Connections	( )	( )	( )	( )
Water Supply	( )	( )	( )	( )
Sewage Disposal	( )	( )	( )	( )
Hand Sinks	( )	( )	( )	( )
Dishwashing & Pot Sinks	( )	( )	( )	( )
Grease Traps	( )	( )	( )	( )
Service/Janitorial Sinks	( )	( )	( )	( )
Hot Water	( )	( )	( )	( )

6. Physical Facilities
Dressing Rooms	( )	( )	( )	( )
Separate Toxic Storage	( )	( )	( )	( )
Laundry Facilities	( )	( )	( )	( )
Linen Storage	( )	( )	( )	( )
Lighting	( )	( )	( )	( )
Food Storage	( )	( )	( )	( )
Dry Storage Goods	( )	( )	( )	( )
7. Refuse & Pest Control
Gargbage & Refuse Storage	( )	( )	( )	( )
Insect & Rodent	( )	( )	( )	( )
Control Measures	( )	( )	( )	( )
8. Ventilation
Exhuast Hoods	( )	( )	( )	( )
Ventilation	( )	( )	( )	( )
9. Employee Restrooms
Location	( )	( )	( )	( )
Number ______	( )	( )	( )	( )
Soap Dispensers	( )	( )	( )	( )
Hand Drying	( )	( )	( )	( )
Lavatories	( )	( )	( )	( )
Water Closets	( )	( )	( )	( )
Urinals	( )	( )	( )	( )
Hot & Cold Water Provided	( )	( )	( )	( )
Waste Receptacles	( )	( )	( )	( )
10. Patron Restrooms
Location	( )	( )	( )	( )
Number ______	( )	( )	( )	( )
Soap Dispensers	( )	( )	( )	( )
Hand Drying	( )	( )	( )	( )
Lavatories	( )	( )	( )	( )
Water Closets	( )	( )	( )	( )
Urinals	( )	( )	( )	( )
Hot & Cold Water Provided	( )	( )	( )	( )
Waste Receptacles	( )	( )	( )	( )