Grocery Store Health and Safety Checklist Form

Grocery Store Health and Safety Checklist Form

Review each section, mark "Yes," "No," or "N/A," and add comments if necessary to ensure a safe, clean, and compliant store environment.

Date

    Inspected by:

    1. Food Safety

    Item

    Yes

    No

    N/A

    Comments

    Food storage areas are clean and organized

    Expiration dates are regularly checked

    Proper temperatures for refrigerated/freezer items

    Raw and cooked foods are properly separated

    2. Employee Hygiene

    Item

    Yes

    No

    N/A

    Comments

    Employees wash hands regularly and properly

    Gloves worn when handling food

    Hairnets/hats worn when handling unpackaged foods

    3. Cleaning & Sanitation

    Thank you for submission!

    We appreciate you taking the time to submit.

    Create free forms at Template.net

    Item

    Yes

    No

    N/A

    Comments

    Floors and surfaces are clean and dry

    Trash is regularly emptied and disposed of properly

    Cleaning supplies are properly stored and labeled

    Restrooms are clean and stocked with supplies

    4. Equipment Safety

    Item

    Yes

    No

    N/A

    Comments

    All equipment is clean and in good working condition

    Emergency exits and fire extinguishers are accessible

    Electrical cords and outlets are safe and undamaged

    5. Hazard Prevention

    Item

    Yes

    No

    N/A

    Comments

    Spills are cleaned up promptly

    Aisles and walkways are free from obstructions

    Wet floor signs used when necessary

    6. Employee Safety Training

    Item

    Yes

    No

    N/A

    Comments

    Employees are trained on emergency procedures

    Employees are trained on proper lifting techniques

    Employees have access to first aid kits

    Notes

    Name:

    Date:

    Form Templates @ Template.net