Title Page

  • Store:

  • Conducted by:

  • Date:

Monthly Observation Report

Repeat Items: check history

Paperwork: incoming products, all logs

Cross-Contamination: mixed glove use, improper labeling or handling of chemicals

Sanitizer Strengths: concentration checked, logs.

Code dating: check

Labeling: produced date, use by date

Equipment Cleaning: high shelves, top of equipment, under equipment. Check logs.

Department Cleaning: under crates and skids, cooling equipment, door handles. Check logs.

Temperatures: logs, thermometer calibration.

Repairs Required:

Chemical/Supplies required:

Health & Safety:

Question of the Month

  • Is an employee able to answer the question of the month?

General Comments or Recomendations

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