Certified Cleaning Inspection Checklist

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Clean Bay Certified Inspection Checklist

Restaurant Name: Permit #:


Site Address:
Owner/Manager: Staff On-Site:
Mailing Address:
Date: Time:
Phone Number: Email:
Inspection Results Y N N/A NOTES
General
Storm drain inlets are labeled □ □ □
Area free of visible discharges to the storm drain system □ □ □
Implements a recycling program: □ □ □
Two water conservation measures in place, specify: □ □ □
1 2
Use less toxic, biodegradable and phosphate-free cleaning products for outdoor cleaning □ □ □
* Does not use plastic bags for take out (instead use paper, reusable, only upon request, etc.) □ □ □ * May vary by city
Does not use polystyrene take out containers □ □ □
Dumpter Area
Garbage container area free of trash (ground, walls, etc.) □ □ □
Outside area is free of trash □ □ □
Outside trash bin free of leakage □ □ □
Dumpster free of any liquid waste □ □ □
Trash bin lids closed □ □ □
Equipment and Outdoor Cleaning
Areas around restaurant are dry swept and if needed spot cleaned with high pressure low volume □ □ □
Parking areas are kept clean & regularly swept (no evidence of food, litter, heavy staining, oils, grease) □ □ □
No evidence of floor mats being washed outside □ □ □
Liquid waste from equipment cleaning is drained into an approved sewage system □ □ □
No evidence of cigarette butt litter □ □ □
Outdoor drains have no evidence of stains or non-stormwater discharge entering outdoor drains □ □ □
Loading/unloading areas are free of leftover trash, food waste, debris, etc. □ □ □
Effective clean-out plugs on all exterior drain lines □ □ □
Outdoor storage area is free of litter □ □ □
Grease Handling and Spill Disposal
Maintenance records that show when grease traps/interceptors were last cleaned are on-site for review □ □ □
Proper grease trap installed and maintained □ □ □
Maintenance records that show when rendered grease was picked up are on-site for review □ □ □
Grease bins and/or outdoor containment area labeled □ □ □
Grease disposal containers & surrounding areas are clean and free of overflow, liquid waste,and spills (ground, wall) □ □ □
Spill prevention mechanisms or spill containment in place around grease disposal area □ □ □
Spill absorbent kit available on-site (i.e. kitty litter, sand, etc.) □ □ □
Grease disposal containers are kept closed with lids □ □ □
Education and Training
There is information posted for employees informing them about the following areas: □ □ □
Spill prevention & control, prohibiting discharge of wastewater outside, keeping dumpster areas clean
Additional environmental educational materials posted in a visible area on-site for employees to read □ □ □
Management conducts regular training of employees regarding above criteria (i.e BMPs) □ □ □
Clean Bay Options (must choose 2)
Restaurant implements a local and/or certified Organic food purchasing policy □ □ □
Biodiesel vendor, specify: □ □ □
Bike racks on property for patron or employee use □ □ □
Purchase paper products made of recycled content, specify: □ □ □
Purchase plastic products made of recycled content, specify: □ □ □
Participates in a sustainable seafood program, specify certification: □ □ □
Food scraps are:
unused food is donated □ , to whom: reused for other dishes □
composted □ , specify what: hauler:
Staff regularly trained on waste management (i.e. recycling, composting, waste reduction) □ □ □
Implements a take back program or bring your own policy, specify: □ □ □
Offer disposable products only upon request □ □ □
Does not use poison bait boxes □ □ □
Structural BMPs in place, specify: (i.e. bioswales) □ □ □
Other, specify: □ □ □

Inspector Name

Signature

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