The Bread House NRM1071112 Dry Storage Log

• Project Assignment Number

• Client / Site

• Registration Number

• Date

  Date

• Prepared by

AMBIENT STORAGE

Ambient Storage

• Temperature is within regulated levels?

  Safe

  At Risk

  N/A

• Enter Temperature

• All food is labelled and dated

  Yes

  No

  N/A

• FIFO Maintained

  Yes

  No

  N/A

• Product and Supplies are maintained at 6 inches off floor

  Yes

  No

  N/A

• Adequate Air Circulation

  Safe

  At Risk

  N/A

• Product is stored at least 18 inches from sprinkler heads

  Yes

  No

  N/A

• Storage area is well lit

  Yes

  No

  N/A

• Protective light shields cover all light sources

  Yes

  No

  N/A

• Bulk foods are labeled with common name if not in original container

  Yes

  No

  N/A

• Evidence of leaks and moisture

  Safe

  At Risk

  N/A

• Floors are clear of debris, boxes and hazards

  Yes

  No

  N/A

• All surfaces are clean

  Safe

  At Risk

  N/A

• Doors are closed for pest control

  Yes

  No

  N/A

• Chemicals are stored away from products.

  Yes

  No

  N/A

• Date & Time

  Date

• Name & Signature

  Sign

• Person in Charge

  Sign

• Supervisor

  Sign