Bakery Food Safety Self-Assessment Template

1. General Information
Bakery Name
Address
Contact Person
Date of Assessment
2. Hygiene and Cleanliness
Item Yes No Remarks
All food contact surfaces are cleaned and sanitized regularly
Employees maintain proper personal hygiene
Restrooms are clean and stocked
3. Ingredient Storage
Item Yes No Remarks
Dry goods stored off the floor and in sealed containers
Refrigerated and frozen items stored at correct temperature
Storage areas free from pests and contamination
4. Production Process
Item Yes No Remarks
Raw and cooked foods are handled separately
Baked goods reach recommended internal temperature
Utensils and equipment are sanitized between uses
5. Allergen Control
Item Yes No Remarks
All allergens are clearly labeled
Storage/handling prevents cross-contamination
Staff trained on allergen management practices
6. Pest Control
Item Yes No Remarks
No evidence of pests in storage, kitchen, or display areas
Pest control measures in place and documented
7. Additional Comments