Title Page

  • Name of Establishment

  • Conducted on

  • Conducted by

Temperature Log

  • INSTRUCTIONS: This log will be maintained for all refrigerators and freezers (both walk-ins and reach-in units) in the facility. A designated food service employee will record the time, air temperature and their name. The food service supervisor will visually monitor the assigned employee in taking the required temperatures.

  • Reach-in Refrigerator Walk-in Refrigerator Snack Freezer Walk-in Freezer


  • Overall Assessment

  • Name & Signature of Assigned Employee

  • Name & Signature of Food Service Supervisor

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