FY13QASASelfAssessmentInstructions

Purpose
TheQASAselfassessmentcanbeusedtohelpstoresmaintainasafe,healthyandcleanenvironmentforourcustomersand
partners.

Frequency
TheQASAselfassessmentshouldbecompletedmonthlybythestoremanager,orasneeded.

FormLayout

UsingtheScoringSheet

Theselfassessmentisbrokenupintothreekeysections:

Page1Generalandfoodsafety

Pages27Anareabyareareviewofthestore.Itemsinthissectionare
generallyspecifictothatareaofthestore.

Pages810Tableformattohelpcheckareasthatareconsistentthroughout
thestore,suchasfloors,counters,andceilings.

CompletingaSelfAssessment
1.

Thermocouple
Alcoholswabsifwarmingor
Chilledmealsstore
Flashlight
Auditform

Pen
Sanitizerteststrips

Samplecup

2. UsetheExcelversionandenter
0inareasthatweremissed;
finalscoreswillautocalculate.
Youcanthensavetheformto
yourSharePointsite.

2.

Followtheformbasedonthegeographyofthestorestartingattheexterior
andworkthroughtheformtothebackofthehouse.

3.

Placeacheckmarkifthestatementisnottrueorfalse.
o

Therearetwooptionsforusing
thescoringsheet:
1. Printitoutandtallyyourscore
byhand.

Gathertoolsneededtocompletetheassessment.

Usingthescoringsheetis
optional.Itcanprovidean
estimatedscoreforanactual
audit,butisnotrequiredforyou
totakeactiontoresolveissues.

Forexample,ifthedrivethrumenuboardsaredirty:

Allstatementsmustbetrueorfalse.Ifyouhavetothinkabout
whetherastatementisfalse,markitasfalse.
4.

(Optional)Aftercompletingthefullauditformtransferanycheckmarks
toaprintedscoringsheet,oranelectronicscoringsheet(Excel).

UsingaPrintedScoringSheet
1.

Printascoringsheet.

2.

CheckoffitemsonthescoringsheetthatweremarkedNo/Falseon
theselfassessmentform.

3.

Tallythescoreforeachsection.Refertofullpageexampleonnextpage.

2012StarbucksCorporation.Allrightsreserved.InternalUseOnly.

UsinganElectronicScoring
Sheet(Excel)
1. OpentheformfromtheStorePortal
usingthestorelaptop.
2. SaveaversiontoyourSharePoint
site.RefertotheStore
CommunicationsToolsandPublic
AffairschapteroftheStore
OperationsManualfordetails
regardingusingSharePoint.
3. Replacescoreswitha0(zero)in
rowsthatweremarkedNo/False
ontheselfassessment.
4. Yourscorewillbeautocalculatedat
thebottomofthescoringsheet.

PublishedAugust2012

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2012StarbucksCorporation.Allrightsreserved.InternalUseOnly.

PublishedAugust2012

Page2of2