Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Performed by

  • Location

Sanitizing food contact surfaces (Utensils)

  • 1. Wash surface with detergent solution

  • 2. Rinse surface with clean water<br>

  • 3. Sanitize surface using a sanitizing solution mixed at a concentration specified on the manufacturer’s label.

  • 4. Place wet items in a manner to allow airdrying.

Sanitizing food contact surfaces (Cooking Equipment)

  • 1. Wash surface with detergent solution

  • 2. Rinse surface with clean water<br>

  • 3. Sanitize surface using a sanitizing solution mixed at a concentration specified on the manufacturer’s label.

  • 4. Place wet items in a manner to allow airdrying.

When using 3-compartment sink:

  • 1. In the first compartment, wash with a clean detergent solution at or above 110 degrees F.

  • 2. In the second compartment, rinse with clean water.

  • 3. In the third compartment, sanitize with a sanitizing solution mixed at a concentration specified on the manufacturer’s label for 30 seconds.

When using the dish machine:

  • 1. Refer to the information on the data plate for determining wash, rinse, and sanitization rinse temperatures; sanitizing solution concentrations; and water pressure if applicable.

  • 2. Follow manufacturer’s instructions for use.

  • 3. Ensure that food contact surfaces reach a surface temperature of 160 degrees F or above.

  • Signature of worker/cleaner

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.