Location________________ Stand No._________
Date ______________Licensed Manager's Name _______________________
(Check applicable items only)
Very Standard Improvement
Good Needed
1. GENERAL APPEARANCEa. Floor ................ ( ) () ()b. Walls and ceilings () () ()c. Counters.............. ( ) () ()d. Display equipment () () ()2. SANITATION AND SAFETYa. Refrigerators..... () () ( )b. Dishwashing andutensil washing....... () () ()
c. Storage of clean dishes.... () () ( )d. Food handling....... () () ( )e. Food storage........ () () ( )f. Working area.......... () () ()g. Food temperatures..... () ( ) ()h. Vermin control........ () () ()i. Cleaning of equipment(slicers, grinders, choppers, etc.)... () () ()
j. Cleaning tables,chairs, etc........ () () ()
k. Disposal of garbage;grease disp. and rubbish () () ()
l. First aid facilities. () () ( )3. MERCHANDISING a. Display............... () () ( )b. Appearance............ () () ()c. Quality.............. () ( ) ()d. Quantity.............. () () ()e. Variety............... ( ) () ()f. Other................. () () ()4. CUSTOMER RELATIONSa. Personality........... () () ( )b. Work habits........... () () ()5. EQUIPMENT CARE AND MAINTENANCEa. Counters.............. () () ()b. Refrigeration......... ( ) () ()c. Dishwashing........... () () ()d. Coffee urns........... () () ()e. Ranges................ () () ()f. Hoods................. () () ( )g. Consumables........... () () ()h. Lighting, plumbingand electrical........ () () ()
i. Fire protection....... () () ( )6. OPERATION a. Customer service...... () () ( )b. Courtesy.............. () () ()c. Attitude.............. () ( ) ()d. Speed................. () () ()e. Accuracy.............. ( ) () ()f. Other................. () () ()7. OPERATOR HYGIENEa. Clothing.............. () () ( )b. Body odor............. () () ()c. Hair.................. () ( ) ()d. Breath................ () () ()e. Proper shoes.......... ( ) () ()f. Professional dress.... () () ()8. EMPLOYEE HYGIENEa. Clothing............... () () ( )b. Body odor.............. () ( ) ()c. Hair................... ( ) () ()d. Breath................. () () ()e. Proper shoes........... () () ( )f. Uniformity............. () ( ) ()(REPORT BELOW ANY PROBLEMS OR REACTIONS RECEIVED)
REMARKS: (Please print) Any items checked "IMPROVEMENT NEEDED" must be explained in full below:
IF EQUIPMENT OR
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
_____________________________ ____________________________
Licensed Operator BEP Manager
N.M. Admin. Code § 9.4.7.21
4/15/97; Recompiled 10/01/01