Title Page

  • Conducted on

  • Prepared by

  • Location

Housekeeping

  • Coffee stations housekeeping maintained?

  • Sandwich prep area housekeeping maintained?

  • Refrigerator storage area's housekeeping maintained?

  • Equipment and storage area housekeeping maintained?

  • Bakery item area housekeeping maintained?

  • Fruit and Veggies in good condition, safe and no signs of spoiling or tampering?

  • Soda dispensers and water machines are clean(remove spout to verify)

Temperatures and Storage area's

  • Refrigerator and freezer temperature logs kept up to date?

  • Refrigerator and freezer temperature holding between +4 and 0 Celsius?

  • Freezer temperature holding between -18 and -14 Celsius?

  • Are all cold storage areas neat and tidy with food products stored off the ground and not in contact with wall surfaces?

  • All Perishable items in storage are clearly labeled with name, date of purchase and use by date(no later then 72hours)?

  • No personal items are stored in the cooler/freezers?

  • Seals around fridges and freezers clean and in good condition?

Cleaning and Temperature logs

  • Cleaning logs up to date and accurate?

  • Temperature logs up to date and Accurate?

General Observations

  • General Observations

  • Kitchen Supervisor or Manager

  • HSE Review

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.