Childcare Center Food Handling Hygiene Form

Date: Staff Name: Room/Class:

Hand Washing Observations:

Before Food Prep	After Toilet Use	Before Serving Food	Other Times

Food Storage Temperatures (if applicable):

Refrigerator (°C)	Freezer (°C)

Surface Cleaning & Sanitization Completed? Yes No Comments:

Proper Food Handling Observed (eg. gloves, utensils): Yes No Comments:

Any Concerns or Incidents?

Staff Signature: