Mobile Food Vendor Hygiene Self-Inspection Form

Vendor Details

Vendor Name Vehicle/Cart ID Location Date of Inspection Time of Inspection

General Hygiene

Item	Yes	No	N/A	Remarks
Handwashing facilities available & functional
Staff practice correct handwashing techniques
Staff wear clean/uniform clothing
Food handlers cover hair
Food preparation surfaces are clean

Food Storage & Handling

Item	Yes	No	N/A	Remarks
Raw and cooked foods are properly separated
Foods kept at safe temperature
Food protected from contamination
Utensils/equipment are clean and sanitized
Waste disposed properly

Remarks / Actions Taken