Food Safety Inspection Form

Food Safety Inspection Form
Please fill out the form to report the food safety inspection details.
Inspector Name
First NameLast Name
Date of Inspection
MonthDayYear
Date
Location of Inspection
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Temperature of Refrigerated Foods (°C)
Temperature of Hot Foods (°C)
Cleanliness of Kitchen
ExcellentGoodFairPoor
Food Storage Practices
ProperImproper
Comments and Observations
Inspector Signature
Clear
Should be Empty: