Free Food Safety Inspection Form

Please fill out this form completely to assess the safety and cleanliness of food handling practices in the workplace.
Name
Date of Inspection
Facility Address
Inspection Purpose
Routine Audit
Incident Follow-Up
Compliance
Are food items stored at the correct temperature?
Are food storage areas clean, dry, and free from contamination?
Are employees following proper handwashing procedures?
Are gloves and utensils used when handling ready-to-eat foods?
Are kitchen surfaces (e.g., counters, cutting boards) clean and sanitized?
Are cooking equipment, utensils, and appliances clean and in good condition?
Is food contact equipment sanitized properly?
Are employees wearing proper uniforms and hair restraints?
Are employees adhering to safety and hygiene guidelines?
Immediate Actions Required
Overall Food Safety Compliance
Supporting Documents
Attach any relevant PDF, image, etc.
Recommendations or Actions Required:
Provide any recommendations or actions required based on the inspection findings.
[Your Name] Inspector [Date Signed] | Requestor |
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