| Item | Pass | Fail | N/A | Comments |
|---|---|---|---|---|
| First Aid Kit Available | ||||
| Fire Extinguisher Inspected | ||||
| Employee Hand Washing Facilities |
| Item | Pass | Fail | N/A | Comments |
|---|---|---|---|---|
| Proper Food Temperatures Maintained | ||||
| Food Protected from Contamination | ||||
| Proper Storage of Utensils |
| Item | Pass | Fail | N/A | Comments |
|---|---|---|---|---|
| Equipment Clean & Operational | ||||
| Lighting Sufficient & Safe | ||||
| Trash/Refuse Properly Contained |