| Item No. | Description | Points Deducted |
| 02 | Medical logs maintained | 0 |
| 06 | Halogen analyzer chart recorder maintained, operated, records; Sampling, records | 0 |
| 08 | PW filling hoses, caps, connections, procedures; Sample records, valves; PW system constructed, maintained | 0 |
| 10 | RWF maintenance, safety equipment | 0 |
| 16 | Potentially hazardous food temperatures storage, preparation display, service, transportation | 0 |
| 17 | Temperature practices storage, preparation display, service, transportation; Thawing | 0 |
| 18 | Cross-contamination storage, preparation, transportation | 0 |
| 19 | Food protected storage, preparation, display, service, transportation; Original containers, labeling; Food handling minimized; In-use food dispensing, preparation utensils stored | 0 |
| 20 | PHF temperature maintenance facilities; Food-contact surfaces designed, constructed, installed, maintained; TMDs provided, located, calibrated | 0 |
| 21 | Nonfood-contact surfaces designed, constructed, maintained, installed, located | 0 |
| 22 | Dishwashing / equipment washing facilities designed, constructed, maintained, installed, located, operated, TMDs, test kits | 0 |
| 24 | Sanitizing rinse temperature, concentration, time | 0 |
| 26 | Food-contact surfaces equipment / utensils clean; Safe | 0 |
| 27 | Equipment / utensils nonfood-contact surfaces clean | 0 |
| 30 | Hand cleanser, sanitary towels, waste receptacles, handwash signs; maintenance | 0 |
| 33 | Decks / bulkheads / deckheads construction, repair, clean | 1 |
| 34 | Plumbing fixtures / supply lines / drain lines / drains installed, repair | 0 |
| 36 | Lighting provided, shielded | 0 |
| 39 | IPM program effective; Approved pesticide application | 3 |
| 44 | Person in charge; Knowledge | 2 |