Health & Sanitation Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

Health & Sanitation Checklist

• Manager(s) on duty

• Date

  Date

• Time

  Date

Health & Sanitation Checklist

• Check employees' temperatures

  Yes

  No

  N/A

• Any employee with temperature over 100.4 F must be sent home

• Send sick employees home *

• Enter employees sent home and any other actions taken. Ex: Joe - Sent home, notified internal team

• Check for proper employee PPE

• Do all employees have required protective equipment? Ex. Gloves, Face Mask, etc

  Yes

  No

  N/A

• Check cleaning supply stock

  Yes

  No

  N/A

• Ensure high contact points are sanitized

  Yes

  No

  N/A

• Clean and disinfect high contact points. Ex: Door knobs, hand rails, guest counters, etc

  Yes

  No

  N/A

• Ensure physical spacing guidelines are followed

  Yes

  No

  N/A

• Ensure appropriate spacing is regulated for tables, chairs, waiting lines, etc

  Yes

  No

  N/A

• Ensure table condiments are removed/sanitized

  Yes

  No

  N/A

• Ensure paper goods are removed from guest access

  Yes

  No

  N/A