Food Safety Self-Assessment Checklist
Evaluate your food safety practices with this comprehensive checklist. Ensure compliance and maintain high standards in your establishment.
Establishment Name
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor's Full Name
*
First Name
Last Name
Contact Email
example@example.com
General Cleanliness and Sanitation
*
Rows
Compliant
Needs Improvement
Not Applicable
Floors, walls, and surfaces are clean
1
2
3
Handwashing stations are stocked and accessible
4
5
6
Restrooms are clean and sanitary
7
8
9
Food Storage Practices
*
Rows
Compliant
Needs Improvement
Not Applicable
Raw and cooked foods are stored separately
10
11
12
Food is labeled and dated
13
14
15
Proper storage temperatures are maintained
16
17
18
Temperature Control
*
Rows
Compliant
Needs Improvement
Not Applicable
Cold storage units are at or below 5°C (41°F)
19
20
21
Hot holding units are at or above 60°C (140°F)
22
23
24
Temperatures are checked and recorded regularly
25
26
27
Personal Hygiene of Staff
*
Rows
Compliant
Needs Improvement
Not Applicable
Staff wear clean uniforms and hair restraints
28
29
30
Handwashing is performed at appropriate times
31
32
33
No signs of illness among staff
34
35
36
Pest Control Measures
*
Rows
Compliant
Needs Improvement
Not Applicable
No evidence of pests (insects, rodents)
37
38
39
Pest control measures are in place
40
41
42
Doors and windows are properly sealed
43
44
45
Equipment Maintenance
*
Rows
Compliant
Needs Improvement
Not Applicable
Equipment is clean and in good repair
46
47
48
Refrigerators and freezers are functioning properly
49
50
51
Utensils are sanitized between uses
52
53
54
Documentation and Record Keeping
*
Rows
Compliant
Needs Improvement
Not Applicable
Cleaning schedules are up to date
55
56
57
Temperature logs are maintained
58
59
60
Staff training records are available
61
62
63
Additional Comments or Observations
Submit Checklist
Should be Empty: