TIM HORTONS SURVEY

Location 4030 Merrick Rd Seaford
4030 Merrick Road
Seaford, NY 11783
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? Hand washing job aid posted? Yes
1a. TAKE WIDE ANGLE PHOTO OF ENTIRE HAND WASHING STATION
2. Coffee dispenser NOT expired? Yes
2a. Explain why coffee expired 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. INCLUDE EXPIRATION DATE IN PHOTO.
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 BOTH pages of today's production sheet, hot holding temperature log, cold food temperature log, cold holding equipment log and hand washing log.
EXPLAIN WHY IF ABOVE LOGS NOT COMPLETED PROPERLY
6. Do all donuts meet quality standards? Yes
Take a clear photo of all of the donuts in the case.
Take a clear, close up photo of the Boston Crème donut.
Take a clear, close up photo of the Maple Dip donut.
7. No employee food or beverages on counters, shelves, or in reach in coolers? Yes
7a. Explain situation and corrective action
7.5. Thermometer probe and alcohol pads available? Yes
8. Only "KAY" branded chemicals in the Tim Hortons area? (No bleach or store bought chemicals) Yes
8a. Explain situation and corrective action
8.5. Do ALL refrigeration units have working and easily viewable thermometers? Yes
Please explain
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
10b. Photo of THERMOMETER IN WALK-IN COOLER
11. All food items in walk-in freezer properly covered? Yes
11a. TAKE WIDE ANGLE PHOTO OF WALK-IN FREEZER
Take a photo of each shelf in walk-in cooler
Photo of walk-in cooler shelf
Photo of walk-in cooler shelf
12. Walk-in cooler, freezer, dry storage shelves organized? Any items which can be removed from boxes and stacked on shelves are? Yes
12a. Explain situation and corrective action
12.5. ALL opened food and thawing food labels are labeled with an expiration date (fondant, fillings, toppings, sandwich ingredients, cold foam, coffee, etc.)? No
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
14. Pest control report NOT older than 30 days? Yes
Please include photo of pest report.
14a. Take a photo of any pest activity if applicable.
14b. Please write a detailed description of where and when the pest activity was seen, if applicable.
15. Only blue bandages in stock in the first-aid kit? (No brown bandages) Yes
15a. TAKE A PHOTO OF THE INSIDE OF THE FIRST-AID KIT & BOTH BODILY FLUID CLEAN-UP KITS.
15.5. Please attach a photo of the most recently completed order guide with date
16. Guest Feedback Form not older than 30 days? Yes
Attach photo of Guest Feedback Form
17. Please attach a photo of today's shift checklists with dates (include all three)
Type Your First & Last Name Here
Ricky Romero and Jillian Schulman
Signature Certifying Accurate and Honest Completion of Tim Hortons Store Survey