Information

  • Client / Site

  • Registration Number

  • Prepared by

  • Select date

Sanitation

  • Why:
    Remove bacteria or viruses that may cause foodborne illness from food contact surfaces.

    Clean and sanitize utensils and equipment:
     After each use.
     Every 4 hours if used to prepare Potentially Hazardous Foods (PHF) on a
    continuous basis.
     Clean and sanitize utensils and equipment between preparing raw and
    Ready-to-Eat foods.

DAILY CLEANING

    Cleaning Log
  • Equipment or Area being Cleaned

  • Food contact surface cleaning

  • Floor and walls cleaned

  • Sanitary Condition of Facility (Comment)

  • Date & Time

  • Name & Signature

EQUIPMENT and BUILDING MAINTENANCE

    Facility Checklist
  • No evidence of flaking paint

  • Building meets local building codes

  • Floors, walls and ceiling meets local safety codes

  • Food contact surfaces meet safety standards

  • Water Quality meets Safety Standards

  • Regular Maintenance on building

  • Inoperative equipment has been repaired, replaced or removed

  • Regular Maintenance on critical equipment

  • Date & Time

  • Name & Signature

CHEMICALS

    Chemical Checklist
  • Chemicals are properly stored

  • Cleaning compounds and sanitizers meet standards

  • Concentrations meet standards

  • Chemicals are properly labeled

POWER EQUIPMENT

    Power Equipment Maintenance
  • Only approved equipment is used

  • Power Equipment is clean and maintained

  • Power equipment shows no signs of fluid leaks

  • Equipment Maintenance Comments

  • Date & Time

  • Name & Signature

UTENSILS and EQUIPMENT

    Utensils & Equipment
  • Equipment is covered when clean and not in use

  • Utensils for food handling are clean

  • Drawers are clean

  • Racks are clean

  • Pallets are maintained and clean

  • Date & Time

  • Name & Signature

GARBAGE STORAGE and DISPOSAL

    Garbage Disposal Checlist
  • Garbage containers are emptied as necessary

  • Refuse and garbage containers are clean and covered when not in use

  • Dumpster lids are closed

  • Boxes and containers are removed as necessary

  • Dumpster is located not near access to facility

  • Dumpster area is clean

  • Date & Time

  • Name & Signature

Signatures

  • Person in Charge

  • Supervisor

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.