Convenience Store Food Storage Sanitation Form
Date:
Store Location:
Inspected By:
Item
Condition
Remarks
Refrigerator/Freezer Cleanliness
Clean
Needs Attention
Proper Food Labeling
Proper
Improper
Storage Temperature (Coolers/Freezers)
Food Expiry Check
All Valid
Expired Items Found
Shelves Cleanliness
Clean
Needs Cleaning
Food Separation (Raw from Ready-to-Eat)
Properly Separated
Needs Separation
Additional Notes:
Signature: