| Store Name | |
|---|---|
| Inspector Name | |
| Date | |
| Address |
| Item | Compliant | Notes |
|---|---|---|
| Proper food storage (temperature, separation of raw/cooked foods) | ||
| Food properly labeled and dated | ||
| Sanitation of food contact surfaces | ||
| Employee hygiene and handwashing | ||
| Temperature control of refrigerators/freezers | ||
| No evidence of pest contamination | ||
| Proper handling and disposal of waste | ||
| Restrooms clean and stocked | ||
| Cleaning supplies stored separately from food | ||
| Floors, walls, and ceilings clean and maintained | ||
| Other observations |
| Name | |
|---|---|
| Date |