Dough Room Monitoring Form
Document and verify all critical conditions and procedures in the dough preparation area.
Date and Time of Monitoring
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Name of Person Conducting the Check
*
First Name
Last Name
Room Temperature (°C)
*
Room Humidity (%)
*
Equipment Status
*
Mixers operational
Scales calibrated
Timers functioning
Other (please specify)
Sanitation and Cleanliness Check
*
Satisfactory
Needs Attention
Ingredient Verification
*
Ingredients labeled and within expiry date
No signs of contamination
Proper storage observed
Other (please specify)
Pest Control Observation
*
No pests observed
Pest activity observed (details required below)
Corrective Actions Taken (if any)
Additional Comments or Observations
Signature (for verification)
*
Submit Monitoring Report
Submit Monitoring Report
Should be Empty: