Food Service Service Report

1300 JAYCHEM (1300 529 243)

Site details

Site name

Address

Contact name

Position

Additional Email

Phone

Jaychem representative

Name

Phone

Date

Service Type

Wash Quality Feedback

If nobody is available, leave this section empty

Staff member's name

Inspection result

Dish Machines

Type

Brand

Model No.

Location

RESULTS

Bowls

Plates

Flatware

Pots & Pans

Ovens & Grills

Floors

Drains

Back Dock

Pests

TITRATION

Detergent Titration

Rinse Additive Volume

Quat Sanitiser (ppm)

Fruit & Veg Sanitiser (ppm)

Starch residue test

Protein residue test

Residual detergent test

ATP Test

DISH MACHINE

Pre-wash Temp (°C)

Wash Tank Temp (°C)

Final Rinse Temp (°C)

Machine Drain

Machine Cleanliness

Wash Arms

Rinse Arms

Pump Pressure

Curtains

Add another dish machine

Procedures Actual cleaning process

Impact

Corrections / Recommendations

Prescrapping

Pre or Post Soaking

Racking

Ovens & Grills

Floors

Hard Surface Cleaning

Hard Surface Sanitising

Fruit & Veg Sanitising

Add field

Dispenser Inspection

Functional test

Correct labelling

Bottle labels

Wall charts

SDS

Add field

Product requirements

Order code

Pack size

PAR level

Stock take

Suggested order

Product

Order code

Pack size

PAR level

Stock take

Suggested order

Product

Order code

Pack size

PAR level

Stock take

Suggested order

Product

Order code

Pack size

PAR level

Stock take

Suggested order

Add Product

General Comments / Follow Up

Project work

Yes
No

Rating To be completed by the customer

Based on our service today, would you recommend JayChem to a friend or colleague?

Reviewed by

Signature
+

Full name

Contact number