Food Service Health Inspection Checklist
Comprehensive health and safety inspection form for food service establishments. This checklist ensures compliance with food safety regulations and identifies areas requiring corrective action.
Establishment Name
*
Establishment Address
*
Inspection Date
*
/
/
Inspector Name
*
Inspector Credentials/License Number
*
Food Storage and Temperature Control
*
A
Compliant - All items properly stored and at correct temperatures
B
Minor Issues - Some items need attention
C
Non-Compliant - Critical temperature or storage violations
Food Preparation and Handling Practices
*
A
Compliant - Proper procedures followed
B
Minor Issues - Some improvements needed
C
Non-Compliant - Unsafe practices observed
Employee Hygiene and Training
*
A
Compliant - Staff properly trained and following hygiene protocols
B
Minor Issues - Additional training recommended
C
Non-Compliant - Significant hygiene violations
Handwashing Facilities
*
A
Compliant - Adequate facilities with soap and towels
B
Minor Issues - Supplies need replenishment
C
Non-Compliant - Inadequate or non-functional facilities
Kitchen Equipment Cleanliness
*
A
Compliant - All equipment clean and well-maintained
B
Minor Issues - Some cleaning needed
C
Non-Compliant - Unsanitary equipment conditions
Dishwashing Procedures
*
A
Compliant - Proper washing and sanitizing procedures
B
Minor Issues - Temperature or chemical concentration adjustments needed
C
Non-Compliant - Inadequate sanitization
Pest Control Measures
*
A
Compliant - No evidence of pests, proper controls in place
B
Minor Issues - Preventive measures need improvement
C
Non-Compliant - Active pest infestation observed
Waste Disposal and Management
*
A
Compliant - Proper waste containers and disposal procedures
B
Minor Issues - Container maintenance needed
C
Non-Compliant - Inadequate waste management
Floor and Surface Sanitation
*
A
Compliant - Clean and well-maintained surfaces
B
Minor Issues - Some areas need attention
C
Non-Compliant - Unsanitary conditions
Restroom Cleanliness and Supplies
*
A
Compliant - Clean restrooms with adequate supplies
B
Minor Issues - Supplies or cleaning needed
C
Non-Compliant - Unsanitary restroom conditions
Water Supply and Plumbing Systems
*
A
Compliant - Adequate hot/cold water, no plumbing issues
B
Minor Issues - Minor repairs needed
C
Non-Compliant - Significant plumbing problems
Ventilation Systems
*
A
Compliant - Proper ventilation and exhaust systems functioning
B
Minor Issues - Maintenance or cleaning needed
C
Non-Compliant - Inadequate or non-functional ventilation
Food Safety Violations Found
Detail any violations of food safety regulations
Critical Violations Requiring Immediate Attention
Identify violations that must be corrected immediately
Corrective Actions Required
*
Provide detailed corrective action plan
Reinspection Date (if required)
/
/
Leave blank if reinspection not needed
Overall Compliance Rating
*
A
Excellent (95-100%) - Fully compliant
B
Good (85-94%) - Minor issues only
C
Satisfactory (75-84%) - Some improvements needed
D
Needs Improvement (65-74%) - Multiple violations
E
Unsatisfactory (Below 65%) - Critical violations
Health Inspector Signature
*
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