FY13 QASA Self-Assessment

Store Manager:
Complete this assessment monthly. Refer to the QASA Self-Assessment - CO - NA - Instructions document for more information. Bolded entries are critical items.
Chemicals
Chemicals are not stored on or above food
preparation counters (Critical)
Chemicals are stored below or 12 inches away
from food/single use items/clean dishes
(Critical)
Chemicals are not stored on or above dish
washer (Critical)
Chemicals are not stored on/above clean
drain board or sanitize basin of dish sink
(Critical)
Chemicals are in labeled spray
bottle/container (Critical)
Chemicals are covered/sealed (excluding
sanitizer bucket)
No bleach/unapproved pesticide/drain
cleaner/ unapproved chemical present
No Scented hand lotion/unapproved hand
soap/hand sanitizer present
Esteem Sani-NC (US)/UltraSan (CAN)
not observed in store with high-temp
dishmachine

Sanitizer Buckets and Bar Towels

Sanitizer container is properly labeled
Proper test strips are available and free of
water damage
Quat- solution between 200 and 400ppm
Chlorine- solution between 100 and 200ppm
No towels left sitting on counters/shelves/on
or in sink
In container with sanitizer solution
Large red sanitizer bucket not stored on
counter or in sink
Clean towels/linens not stored with chemicals
or a contamination potential/stored at least
12 away from any contamination potential

Section

Check
If No

6.2

6.2
6.2
6.2
6.2
6.1

Documentation

6.1

6.2
3.1
3.1
3.1
3.2
3.2

Handwashing taking place at appropriate times

After wiping hands on apron
After handling trash
After coughing/sneezing into hands
After touching face/hair/skin
After eating/drinking
After breaks
After handling dirty dishes or equipment
After blowing nose
After cleaning tasks
Before starting shift
Before putting gloves on
After using restroom
Partners washing hands are using soap and
proper technique

6.2

6.1
Section

Section

Handwashing

Check
If No

Food service permit is current (note expiration

date) (Critical)
One partner in charge per store with valid
food safety certification
Allergen certification adequate per
jurisdiction (MA)
Allergen Poster present in BoH
Heimlich maneuver signage posted where
required (CA, CT, MI, MD, NJ, NY, TX)
Most recent Health inspection report posted or
on file
Most recent pest report is within 60 days/and
available for review
Temp log complete, no entries missing/when
required, corrective action noted

Check
If No

2.1
2.1
2.1
2.1
2.1
2.1
2.1
2.1
2.1
2.1
2.1
2.1
2.1
Section

Check
If No

7.1
7.2
7.2
7.3
7.3
7.3
7.3
7.4

6.2

Published September 2012

Section

Check
If No

Food Handling
Partner food/beverage is not stored on
shelving next to dry goods, clean smallwares,
or single use items shelving and at least 12
below and away
No Drinking/Eating (or evidence of) in food
storage/food prep area
Partner belongings are not stored while
partner is not scheduled to work
Partner belongings are not stored with dry
goods, clean smallwares and/or clean linens on
metro shelving and at least 12 below and
away
Partners are not touching
pastries/sandwiches/beverage ingredients
with bare hands

1.7

Hot water available in the store

8.4

No sewage back up in store

1.8
1.8
2.6

2.6

12.21

Pest Control

No evidence of mice/rats, flying insects,

cockroaches, ants

Partner Uniforms

Aprons/cloths are clean and do not have more

then one shift's accumulation of spills and
splashes
Long hair beyond shoulder length is tied
back/hair restraints are worn per jurisdictional
requirement
Partner hands are cleanable (reference partner
handbook, acrylic nails, hand wrap/cast and
jewelry)

Partner Health

Not working with severe chest

congestion/severe runny nose
Not working with acute diarrhea/
vomiting/jaundice
Not working with fever/chills
Not working with any exposed infected lesion
on hand/wrist/arm
Exposed bandages on hand/wrist are covered
by single use glove

3.2

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

Food Safety and Partner Habits

10

2.4
2.4
2.4

2.5
2.5
2.5
2.5
2.5

FY13 QASA Self-Assessment

Exterior of the Store

Section

Drive Thru Lane

Drive thru menu boards/speakers are clean
Drive thru lane does not have trash/cigarettes
on ground
Drive thru window area clean
Drive thru window is closed when no cars are
in queue
Drive thru trash can is not overflowing
Drive thru equipment in good repair

Exterior door is not left open without air

curtain operating
Sidewalk/patio have no recent spills/no
excessive trash on the ground
Trash can(s) are not over flowing
Tables/chairs are clean and in good repair
Umbrellas clean and in good repair
Building awnings/soffit in good condition/not
weathered
Exterior walls in good repair
Awnings not excessively dirty

Caf: Entrance and Customer Seating

Area

Section

Check
If No

General Cleanliness and Condition

11.12
11.12
11.12
11.12
11.12
12.9

Entrance and patio of the Store

Doors/Windows below 12 feet clean

Check
If No

11.12
11.12
11.12
11.12
11.12
11.12
12.9
12.10
12.9

Condiment Bar
General Cleanliness and Condition
Condiment bar is free of excessive spills

Walk off mat clean

11.8

Walk off mats in good repair

12.3

Door threshold is clean

11.8

Doors are in good repair and rodent proof

No Smoking signage posted at all customer
entrances (leading outdoors) (NA - CA, FL, CO)
Caf ledges clean and windows below 12 feet
are clean
Windows above 12 feet clean
Caf Ceiling/Ducting/Lighting/Vents below 12
feet clean and lights are not out or missing
No dust build up/splatter on
ceiling/vents/lighting in FOH above 12 feet
Caf chairs/tables/lamps clean and in good
repair
Caf floor fixtures (baskets/newspaper
stands/black apron rack) are clean
Caf retail shelving clean
Retail shelving not damaged

12.10
7.3
11.9
12.8
11.9
12.8
11.11
11.11
11.11
12.6

Food
Retail packaged coffee within code date
Ambient pre-packaged RTE food within code
date (Madelines date coded)

1.2
1.2

No build up under napkin holders/in trash

cabinet/under trash ring/under
sugar/sweetener pack container
No encrusted buildup in sugar/sweetener pack
container
Condiment/stir stick containers clean
Condiment bar service plane is not excessively
worn and is free of scuffs and gouges
Cabinet facings/hinges in good repair
Condiment bar is free of paint peeling
Cabinet with trash can is clean
Shelving not damaged

Condiment bar shaker tops are not dented or

otherwise damaged
All condiment bar shaker(s) labeled
Condiment bar shakers/carafes labels are not
peeling/worn/not readable
Condiment bar shakers/Carafes are not visibly
dirty
Condiment bar carafes are not
chipped/scratched/dented or otherwise
damaged
Condiment bar carafes do not have adhesive
buildup
Condiment bar bulk sugar container labeled

Condiment bar packages within code date and

open packages dated
vanilla/chocolate/cinnamon/nutmeg
Food items stored protected (indicate product
improperly stored)
Food contact items properly stored
All Carafes are <41F (Canada 40F/4C)
(Critical)

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

Published September 2012

Check
If No

11.10
11.10
11.10
11.10
12.7
12.7
12.7
11.10
12.7

Smallwares

Food

NOTES/ACTION TO TAKE

Section

1.1
1.4
1.1
1.1
1.1
1.1
1.4

1.2
1.5
1.6
5.4

FY13 QASA Self-Assessment

Restrooms

Section

Fixtures and Condition

Restroom fixtures clean (Hand sink /
faucets/toilet/mirror/air
fresheners/handrails/baby changing table)
Restroom faucets/drainpipes are not
dripping/secure/free of damage
Approved soap/paper towel dispensers
properly stocked and working (Critical)
Soap is not stored in caramel bottle/syrup
bottle at hand sink (Critical)
Handwashing signs are present at hand sinks
(Critical)
Hand sink(s) have warm water (Critical)
Restroom fixtures are in good repair and free
of graffiti (Handsink / faucets / toilet / mirror/
baby changing table/doors)
Paper towel/soap/toilet paper
dispensers/sconce shade/garbage cans are in
good repair and free of graffiti
Toilet tissue is loaded into the dispenser
No odor present

11.7
12.20
2.3
6.2
2.3
8.4
12.2
11.7
11.7
11.7

General Cleanliness

Restroom ceiling/lighting/walls in good repair

with no graffiti present
No Smoking signage posted in restrooms
where required (NYC & NM)
Food/food contact equipment not stored in
restroom

12.1
7.3
1.6

Check
If No

Section

Pastry Case

Check
If No

General Food Safety

Ambient pre-packaged RTE food within code

date at the POS
All products within the pastry case have
signage
Allergen Signage present in pastry case
Warming display signage present 'For Display
Only' (where applicable)
Non-PHF RTD within code date
Sandwiches/Salads/Fruit Cups/Yogurt/Yogurt
Parfaits within expiration date (Critical)
Product is not stored over front vents in the
RTD&E case
Stored multi-day pastries dated and within
code date
Food items stored protected (indicate product
improperly stored)
Butter/Cream Cheese are not stored at room
temperature in the upper portion of the
pastry case (Critical)
Potentially hazardous samples are actively
sampled and not left at room temperature
(Critical)
No product above 41F (Canada 40F/4C) in
RTD/E case (Critical)

Equipment/Smallwares

Pastry tongs are free of multiple dried on

product build up
In-use tongs stored in a clean designated
container
External rear grill area (vent/condenser coils)
clean/free of dust
Pastry cart clean/free of dust
Thermocouple present in the
store/working/in good repair/calibrated
(Sandwich stores only) (Critical)

General Cleanliness

Top portion of the pastry case clean and free of

crumbs
Self-Serve RTD&E case clean

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

Hand Sinks (Check FOH and BOH)

Section

Hand sinks are accessible and used properly

1.2
1.4
1.4
1.4
1.2
1.3
5.5
1.2
1.5
4.4
4.4
5.1

1.1

Handwashing is not taking place in FOH dump

sink (and dedicated hand sink present)
(Critical)
Dumping or rinsing is not taking place in
dedicated hand sink (Critical)
Access to hand sink is not blocked by trash
cans/product (Critical)
Smallwares/Product/food/drinks are not
stored in or on designated hand sink (Critical)
Hand sink/faucet is clean
Faucets/drainpipes are not
dripping/secure/free of damage

Check
If No

2.2
2.2
2.2
2.2
11.19
12.20

All hand sinks properly stocked soap/paper towel dispenser

functioning properly
Approved soap/paper towel dispensers
properly stocked and working (Critical)
Soap is not stored in caramel bottle/syrup
bottle at hand sink (Critical)
No Scented hand lotion/unapproved hand
soap/hand sanitizer present
Handwashing signs are present at hand sinks
(Critical)
Hot water available in store at hand sink
(Critical)

2.3
6.2
6.1
2.3
8.4

NOTES/ACTION TO TAKE

1.6
11.18
11.18
4.2

11.18
11.18

Published September 2012

FY13 QASA Self-Assessment

Warming Station

Section

Smallwares
For-here cups and plates are not
chipped/cracked

1.1

For-here serveware stored clean

1.1

Cutlery free of rust and not bent

Warming tongs/knives are free of multiple
dried on product build up
In-use tongs stored on a clean cutting board or
other clean surface

1.1

Utensil holder not rusting/in poor repair

Cutting boards are free of visible dried build up
in grooves
Food contact items are from an approved
source
Silverware/unwrapped plasticware stored
handles up
Silverware/ unwrapped plasticware not Stored
with handles in multiple directions if laid flat
Silverware/ plasticware stored in clean
container

1.1

Check
If No

1.1

Food contact items not stored under dripping

condensate or sewage lines
Food contact items are from an approved
source
Stored smallwares are clean

1.1
1.1
1.6

Clean smallwares stored covered/inverted/on a

clean surface
Clean smallwares stored separated from non food related items
Unpackaged cups/lids are stored inverted and
in plexi cubes
Plexi cubes not cracked/broken

1.6
1.6
1.1

In use plexi cubes are clean

1.6

Oven

In use plexi cubes are clean

Warming oven interior/hinges/back of oven

clean/under tray
Warming oven exterior/vents clean

Single use cups/lids are free of splash/splatter

and stored away from splash range of sinks
Exposed lids store sip side up

Oven tray is not cracked/chipped

Brewing Station/Backline

11.17
11.17
1.1
Section

Sink/drain pan sealed to counter top

Coffee warmers maintained clean

Coffee grinder maintained clean
Clover machine maintained clean

1.1
1.1
1.6
1.6
1.1
1.6
1.6
1.6
1.6
1.1

1.6
1.6

11.19

Airpots not chipped/excessively dented

1.1

Clover whisk and scraper clean

1.1

12.11

11.15
11.15
11.15
11.15

Coffee

Ground coffee and whole bean coffee stored

protected
Tea and whole bean coffee (including 5 pound
bullets) is dated and within code date

Drive Thru Register Area

Section

Check
If No

General Cleanliness and Condition

Drive thru window area clean handoff
plane/window ledges/register area
Drive thru window is not left except during
window interactions
Faucet fixtures secure/free of damage/not
dripping (including drainpipes)
Cream dispenser clean
Drive-thru display and equipment clean

Food
Food items stored protected (indicate product
improperly stored)
Non-PHF RTD dated and within code date
Ambient pre-packaged RTE food within code
date
Cream dispenser labeled with contents on
exterior of unit
Thermometer located in the front of Cream
Dispenser (where applicable)
Thermometer does not have any breaks or
gaps in the red "gauge" line
Cream dispenser is not above 41F (Canada
40F/4C) (Critical)
Cream dispenser contents dated and within
code date (Critical)

11.21
11.12
12.20
11.15
11.15

1.5
1.2
1.2
1.4
5.3
5.3
5.2
1.3

1.6

12.20

Equipment

Coffee Brewer maintained clean

1.1

1.6

Sample cups stored protected

Check
If No

Check
If No

1.1

Pour Over Brewing smallwares are clean and

free of damage
Pour over brewing coffee scoop stored in clean
designated container.
Pour over Brew graduated pitcher stored
inverted

Fixtures and Condition

Faucet fixtures secure/free of damage/not
dripping (including drainpipes)
Sink/faucet is clean

Section

Smallwares
Spoodle/coffee scale scoop clean and free of
chips/dents
Spoodle stored in a clean designated storage
container
Tea tongs are stored in a clean designated
storage container
8 qt. cubes/lids are free of adhesive build
up/stains/scratches/chips
Coffee filters stored covered and protected

1.1

Plexi cubes not cracked/chipped

Brewing Station/Backline (contd)

1.1

NOTES/ACTION TO TAKE

1.1
1.6

1.5
1.2

Food

Food items stored protected (indicate product

improperly stored)
Food items not stored under dripping
condensate or sewage lines (specify location)

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

1.5
1.5

Published September 2012

FY13 QASA Self-Assessment

Espresso Bar

Section

Equipment

Bar ice bins/caddies is absent of mold/slime

build up (Critical)
Bar ice bins/caddies covered and protected
(Critical)
Blender Pitcher Rinser (BPR) clean/no major
leaks
Espresso Machine Clean
Top of espresso machine clean/no dust
Espresso machine steam wand and area above
steam wand is free of dried on/encrusted
build-up
Dish area clean (if in FoH)

Food

Milk/soy within code date (Critical)

Steaming pitchers are labeled with product
type and correct pitcher used when steaming
beverage
Bar vanilla/chocolate/cinnamon/
sugar/cinnamon dolce/pumpkin spice powder
shaker(s) labeled
Bar caramel/mocha squeeze bottles labeled
Food items stored protected at the bar
(indicate product improperly stored)
Food Items not stored under dripping
condensate or sewage lines at the bar
Samples left uncovered on counter at the
bar/handoff plane
PHF are not left on counter above 41F
(Canada 40F/4C) (milk/soy/Frappuccino/
whipped cream ) (Critical)
PHF samples are not left on the counter at
room temperature (Critical)

Check
If No

Section

Espresso Bar

Check
If No

Food (continued)
1.9
1.9
11.15
11.15
11.15
1.1
11.19

1.3
1.4
1.4
1.4
1.5

Beverage syrups within code date and dated list flavor

Sauces (specify product) within code date and
dated
Powders/mocha with in code date and dated
Whole bean coffee within code date (including
5 lb bullets)
Milk and Soy is not below 150F/65.5C
(Critical)
Milk is never re-steamed/no new milk added
to steamed milk (Critical)

Smallwares

Food contact items not stored under dripping

condensate or sewage lines at the bar
Bar area stored smallwares put away clean
Bar area clean smallwares stored
covered/inverted/on a clean surface
Bar area clean smallwares stored separated
from non-food related items
Bar area smallwares have no peeling
stickers/tape/adhesive residue

Section

Check
If No

Smallwares (continued)
1.2
1.2
1.2
1.2
4.3
4.3

Sanitizer and Wiping Cloths

No wiping cloths left sitting on

counters/shelves/on or in sink
Wiping cloths are stored in container with
sanitizer solution

Espresso Bar

3.2
3.2

1.6
1.6
1.6
1.6
1.1

1.5
1.5

Single use cups/lids are free of splash/splatter

and stored away from splash range of sinks
Exposed lids store sip side up
Sample cups stored protected
Splash sticks stored siren-side up
Ice scoops at bar are stored in clean
designated storage container between use
(Critical)
Ice scoops at bar are free of chips/handle is
not broken (Critical)
Ice scoops are clean and free of splatter and
adhesive build up (Critical)
Steaming pitchers/spoons are free of
permanent milk build-up
Steaming pitchers/thermometers are rinsed
after each use
Dipper well does not contain any
utensils/thermometers
Utensils/thermometers are not stored in
container with stagnant water
Smallwares/sanitizer 2 hour timer is in place
and running
Smallwares are washed, rinsed and sanitized
every 2 hours.
All thermometers within calibration and are
being used when required
Unpackaged cups/lids are stored inverted and
in plexi cubes
Plexi cubes not cracked/broken
In use plexi cubes are clean

4.4

1.6
1.6
1.6
1.6
1.9
1.9
1.9
1.1
1.1
1.1
1.1
1.1
1.1
4.1
1.6
1.1
1.6

4.4

NOTES/ACTION TO TAKE

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

Published September 2012

FY13 QASA Self-Assessment

laceholder
for text,
title
Cold Beverage
Station

Section

General Cleanliness and Condition

Sure Shot FMD is not above 41 F (Canada

40F/4C) (Critical)
Blender(s)/housing clean
Blender shroud free of cracks or pieces missing
Blender Pitcher Rinser (BPR) clean including
underside/no major leaks

5.2
11.16
1.1
11.16

Smallwares

Ice scoops at CBS are stored in clean

designated container (Critical)
Ice scoops at CBS are free of chips and handle
is not broken (Critical)
Ice scoop is clean and free of splatter and
adhesive build up (Critical)
Unpackaged cups/lids are stored inverted and
in plexi cubes
Plexi cubes not cracked/broken
In use plexi cubes are clean
Single use cups/lids are free of splash/splatter
and stored away from splash range of sinks
Exposed lids store sip side up
Sample cups stored protected
CBS pitchers/8 qt. cubes/lids are free of
adhesive build up/stains/scratches or chips
Blender Pitchers/shakers/lids are free of
stains/scratched/chips
In use banana tongs do not have multiple use
build up and stored in a clean designated
container
CBS for-here serveware cups/plates are not
chipped/cracked and stored clean
In use blender pitchers and shaker lids stored
properly/blender pitchers and shakers not
stored stacked on top of another/pitcher or
shaker lids not stored on the bottom of the
overturned pitcher or shaker

1.9
1.9
1.9
1.6
1.1
1.6
1.6
1.6
1.6
1.1
1.1
1.1

Check
If No

Section

Cold Beverage Station

Equipment

CBS ice bins/caddies/FoH ice machine is

absent of mold/slime build up (Critical)
CBS ice bins/caddies covered and protected
(Critical)
Sure Shot Frappuccino Milk Dispenser (FMD)
and cream dispensers labeled with contents on
exterior of unit
Sure Shot Frappuccino Milk Dispenser (FMD) is
clean
Thermometer located in Sure Shot Frappuccino Milk Dispenser (FMD)
Thermometer does not have any breaks or
gaps in the red "gauge" line

Food

Dairy/Soy in reach in within date code

(Critical)

Check
If No

1.9
1.9
1.4
11.16

CBS beverage syrups within code date and

dated
CBS sauces/concentrates (specify product)
1.6
within code date and dated
CBS powders/mocha with in code date and
dated
Peeled bananas dated and within code date
CBS dry inclusions(DIDs)/protein
powder/shakers labeled with contents
Caramel/mocha squeeze bottles labeled

5.3

Lid closed on back room wheeled trash can

1.2
1.2
1.2
1.2
1.2

1.4
1.5

1.1

1.1

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

No Dust build up/splatter on

ceiling/vents/lighting in BOH over 12 feet
Doors are in good repair and rodent-proof
No bags of trash stored on floor in back room

1.4

Food items stored protected (indicate product

improperly stored)

Items are not stored on floor preventing

cleaning
Dry storage shelving clean

5.3

1.2

Section

General Cleanliness and Condition

Water filtration system clean/no dust

1.3

Tea and coffee pitcher(s) dated

Opened dry inclusion bags/pouches dated

BOH Dry Storage

Check
If No

11.1
11.5
11.2
12.8
12.10
9.1
9.1

Smallwares

Cambros or single use Coffee Travelers stored

at least 6" (15 cm) off floor and not on
merchandise risers/milk crates
Cups, lids, napkins, pastry bags stored at least
6" (15 cm) off floor and not on merchandise
risers/milk crates
Clean smallwares stored clean and inverted on
a clean surface or covered, not mingled with
non-food contact items
Food scoops (non-ice) stored in a clean,
designated container or in the food with
handle extended

1.6
1.6
1.6
1.6

Food

Stored thawed multi-day pastries dated and

within code date
Packaged coffee/VIA/syrups/other within code
date
RTD beverage/whole bean coffee/packaged
food/pastry for donation stored at least 6" (15
cm) off floor
Food not stored on top of turned over milk
crates/brown merchandise risers /FOH retail
shelving

1.2
1.2
1.5
1.5

NOTES/ACTION TO TAKE

Published September 2012

FY13 QASA Self-Assessment

BOH Dry Storage (continued)

Section

Partner Habits
Partner food/beverage is not stored on
shelving next to dry goods, clean smallwares,
or single use items and at least 12 below and
away
No Drinking/Eating (or evidence of) in food
storage/food prep area

Check
If No

No strong odors from drain

Wet floor signs/brooms/dust
pans/vacuums/mop bucket clean and mop not
stored in dirty water
Trash can(s) not over flowing

BOH Refrigeration Equipment

1.8

11.4

No evidence of paint peeling/rust on outside of

ice machine
Interior of ice machine in good repair/free of
damage and chips/gasket in good condition

BOH ice bucket is not used for something

other than ice (Critical)
Ice machine exterior dirty

11.4
9.1
Section

1.3
1.3
5.1
1.2

Ice Machine

BOH ice machine has no mold/slime build up

(Critical)
BOH ice machine lid is closed (Critical)

BOH Ice bucket is free of chips/cracks (Critical)

11.4

1.9
1.9
12.17
12.17

Check
If No

Dishwashing Area (continued)

Section

Check
If No

Dishmachine

BOH ice scoop is stored in designated storage

container between use (Critical)
BOH ice scoop is not chipped or handle broken
and is clean and free of adhesive build-up
(Critical)
BOH ice scoop storage container/bucket
interior clean (Critical)
BOH ice bucket labeled "Ice Only" (Critical)

1.8

Food

Dairy in BoH cooler is within code date

(Critical)
Sandwiches/salads/yogurts are dated and
within code date (Critical)
No product above 41F (Canada 40F/4C) In
BoH refrigerator (Critical)
Non PHF RTD within code date

Check
If No

Ice Machine (continued)

Mop Sink Area

Mop sink area clean

Section

BOH Refrigeration Equipment

(continued)

Dishmachine and dishmachine door is clean

1.9

At least of Supra is present in the auto feed

container of detergent/pump for Supra
available in stores without red auto-feed tube
Rinse cycle did reach 180F on panel read-out
for high temp machine (HTM) (Critical)
Sani-NC (US)/UltraSan (CAN) is present in auto
feed container for low temp machines
(Critical)
Chlorine sanitizer concentration is 50-200ppm
for low temp dishmachine only (Critical)
Clear auto-feed tube is not in Supra (clear is
for chlorine sanitizer low temp machines only)
(Critical)
Rinse-Aid auto-feed (blue) tube coiled and
tucked behind machine (Critical)

1.9
1.9
1.9
1.9
1.9
11.3

Partner Habits
Partner food/beverage stored in a
labeled/lidded container on the bottom shelf
/ledge of refrigerator/freezer

Dishwashing Area

1.8
Section

Check
If No

11.5
8.2
8.3
8.3
8.3
8.3
8.3

NOTES/ACTION TO TAKE

General Cleanliness and Condition

Flex drain hose not placed in sewer pipe

(Critical)
No sewage back up present in facility (Critical)
Dish sink/sprayer clean
No soft sponges/magic eraser-like pads in food
prep area/dish area
Approved scouring pad/brushes are free of
damage
Clean drain board free of anything other than
clean dishes
WASH/RINSE/SANITIZE labels present/in
correct order/free of damage
Dish compartment sink has hot water (120 F
in CA) (Critical)
Faucets/drainpipes are not
dripping/secure/free of damage
Shelving above dish sink clean
No towels left sitting on counters/shelves/on
or in sink

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

12.19
12.21
11.5
3.3
3.3
8.1
8.1
8.4
12.20
11.5
3.2

Published September 2012

FY13 QASA Self-Assessment

BEHIND THE BAR

NOTES

Add a Checkmark If No

Standard
Floors are free of excessive crumbs/trash/debris
(including under refrigerators and cabinetry)
Floors are free of dark encrusted build-up (including
under refrigerators and cabinetry)
Floors/cove molding/concrete in good repair
Trash cans not overflowing
Drains clean/no strong odors present
Cabinet doors/drawers/hinges/facings/handles in
good repair
Cabinets are free of water damage/rot and no bare
wood exposed
Cabinets and drawers clean
Countertops (including under equipment) clean
Shelving not damaged in cabinetry

Section

Pastry
Case

Warming
Station

Brew/
Backline

DT Area

CBS

Espresso

BOH Dry
Storage

Dishwashing

Area

11.13
11.13
12.14
9.1
11.13
12.6
12.13
11.19
11.21
12.14

Countertops have no peeling stickers/adhesive

residue on counter
Countertops sealed to wall/splash guard
juncture/horizontal gaps
Countertops not excessively worn/damaged/pitted
and facings in good repair
Sink/faucet is clean
Sink/ice bin/drain pan sealed to counter top
Faucets/drainpipes are not dripping/secure/free of
damage
Signage clean
Walls clean including behind oven (free of grease &
splatter)
Walls free of bare wood/exposed dry wall/covering
are secure and intact/chipped paint/holes

11.21
12.12
12.12
11.19
12.11
12.20
11.14
11.14
12.4

Ceiling/Lighting/Vents below 12 feet maintained

clean and no lights are out/missing

11.14

Ceiling is free of water damage and chipped

paint/paint repair color matches

12.5

Ceiling tiles are free of water damage and chipped

paint/paint repair color matches
No ceiling tiles missing/dislodged

12.5
12.5

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

Published September 2012

FY13 QASA Self-Assessment

CAF AND CUSTOMER AREAS

NOTES/ACTION TO TAKE

Add a Checkmark If No

Standard

Section

Floors are free of excessive crumbs/trash/debris

(including under refrigerators and cabinetry)

11.13

Floors are free of dark encrusted build-up (including

under refrigerators and cabinetry)

11.13

Condiment
Bar

Pastry
Case
Area

Exterior
of Store

Restroom

Other

Floors/cove molding/concrete in good repair

12.14
Trash cans not overflowing
9.1
Drains clean/no strong odors present
11.13
Cabinet doors/drawers/hinges/facings/handles in good
repair

12.6

Cabinets are free of water damage/rot and no bare

wood exposed

12.13

Cabinets and drawers clean

11.19
Countertops (including under equipment) clean
11.21
Countertops have no peeling stickers/adhesive residue
on counter

11.21

Countertops sealed to wall/splash guard

juncture/horizontal gaps

11.21

Countertops not excessively worn/damaged/pitted and

facings in good repair

11.21

Sink/faucet is clean
11.19
Sink/ice bin/drain pan sealed to counter top
12.11
Faucets/drainpipes are not dripping/secure/free of
damage

12.20

Signage clean
11.14
Walls clean including behind oven (free of grease &
splatter)

11.14

Walls free of bare wood/exposed dry wall/covering are

secure and intact/chipped paint/holes

12.4

Ceiling/Lighting/Vents below 12 feet maintained clean

and no lights are out/missing

11.14

Ceiling is free of water damage and chipped paint/paint

repair color matches

12.5

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

Published September 2012

FY13 QASA Self-Assessment

REFRIGERATORS, F and CHILLED CASES
Add a Checkmark If No
Standard
Thermometer located in front of case or
refrigerator
Thermometer does not have any breaks
or gaps in the red "gauge" line
All broken thermometers removed from
the equipment
Refrigerator/food case is not above 41F
(Canada 40F/4C) (Critical)
Product temperature is at or below 41F
(Canada 40F/4C) (Critical)
Refrigerator is clean (shelves/fan guards/
interior/exterior/floor)
Freezer air temperature below 0F
(-18C) (Critical)
Thermometer located in front of BoH
freezer (where applicable)
BoH freezer thermometers ds not have
any breaks or gaps in the red "gauge" line
BoH freezer is clean (shelves/fan
guards/gaskets/interior/exterior/floor)
Light working in BoH refrigerator freezer
FOH Refrigerator gaskets clean and not
damaged (ordered/replaced by store)
BOH refrigerator/freezer gasket present
and free of damage (replaced by
Facilities)
Refrigerator/freezer floor is free of rust
Refrigerator/freezer shelves/door free of
damage
Items are not stored on top of BOH
cooler blocking vents

Section

NOTES
Chilled
Food
Case

Warming
Station

Brew/
Backline

DT Area

CBS

Espresso

BOH

Other

5.3
5.3
5.3
5.2
5.1
11.3,
11.15,
11.17
5.2
5.3
5.3
11.3
11.3
11.15,
11.17
12.18
12.18
12.18
5.5

2012 Starbucks Corporation. All Rights Reserved. For Internal Use Only.

Published September 2012

10