Kitchen Safety Weekly Compliance Report
Complete this form to document weekly kitchen safety checks and ensure compliance with safety protocols.
Kitchen/Area Name
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Person Completing the Report
*
First Name
Last Name
Position/Role
*
General Kitchen Cleanliness
*
Rows
Compliant
Non-Compliant
N/A
Floors clean and dry
1
2
3
Work surfaces sanitized
4
5
6
Waste bins emptied and clean
7
8
9
Food Storage & Handling
*
Rows
Compliant
Non-Compliant
N/A
Perishable foods stored at correct temperature
10
11
12
Dry goods stored off the floor
13
14
15
All food properly labeled and dated
16
17
18
Equipment & Utensil Safety
*
Rows
Compliant
Non-Compliant
N/A
Equipment clean and in good condition
19
20
21
Knives and sharp tools stored safely
22
23
24
Electrical cords and plugs undamaged
25
26
27
Fire Safety & Emergency Procedures
*
Rows
Compliant
Non-Compliant
N/A
Fire extinguishers accessible and inspected
28
29
30
Emergency exits clear and marked
31
32
33
First aid kit stocked and available
34
35
36
Were any hazards or incidents observed during inspection?
*
No
Yes (please describe below)
If yes, please describe the hazard or incident observed
Corrective actions taken (if any)
Additional comments or recommendations
Submit Compliance Report
Should be Empty: