Restaurant Kitchen Hygiene Quality Control Inspection Form

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Restaurant Name Inspector Name Date Time Location

Area / Item	Criteria	Status	Remarks
Food Storage	Cleanliness, labeling, separation	Pass Fail N/A
Refrigerator & Freezer	Temperature, cleanliness, organization	Pass Fail N/A
Cooking Area	Cleanliness, no food debris, equipment condition	Pass Fail N/A
Utensils & Equipment	Cleanliness, no residue, stored properly	Pass Fail N/A
Handwashing Facilities	Accessible, stocked with soap, towels	Pass Fail N/A
Waste Disposal	Bins covered, emptied regularly, area clean	Pass Fail N/A
Pest Control	No visible pests, traps present	Pass Fail N/A
Staff Hygiene	Uniform, hair control, hand hygiene	Pass Fail N/A
Floors & Walls	Clean, no accumulation, no damage	Pass Fail N/A
Other		Pass Fail N/A

Date