Free Food Poisoning Investigation Checklist Template
Food Poisoning Investigation Checklist
Dear Restaurant Management,
In response to a reported case of a customer falling ill after consuming a steak at your establishment, a Food Poisoning Investigation has been initiated. The objective is to identify potential causes, assess hygiene practices, and ensure the safety of your patrons. Please find below a checklist for the investigation:
1. Incident Details:
|
Incident Date and Time |
Location of Incident |
Customer's Name and Contact Information |
Nature of Complaint |
|---|---|---|---|
|
October 10, 2050 |
[Your Company Address] |
222-555-7777 |
2. Affected Menu Item:
|
Menu Item |
Date and Time Ordered |
Description of the Dish |
|---|---|---|
|
Steak |
3. Customer Symptoms:
|
Symptoms |
Onset Time |
Duration of Illness |
|---|---|---|
|
4. Interview with Customer: |
|
5. Review of Food Handling and Preparation:
|
Area of Concern |
Compliance Status |
Observations |
|---|---|---|
|
Storage of Raw Ingredients |
||
|
Cross-Contamination |
||
|
Cooking Temperatures |
||
|
Use of Thermometers |
||
|
Hygiene Practices |
|
6. Supplier and Food Source Verification: |
|
7. Inspection of Kitchen and Equipment:
|
Area of Concern |
Compliance Status |
Observations |
|---|---|---|
|
Sanitation Practices |
||
|
Maintenance of Equipment |
||
|
Overall Hygiene |
|
8. Food Sample Analysis: |
|---|
|
Your prompt cooperation in this investigation is crucial to identifying and mitigating any potential risks. Please provide the required information at your earliest convenience, and additional on-site inspections may be scheduled.
Thank you for your commitment to ensuring the safety and well-being of your customers.
