Food Service Supervision Log Form
Use this form to record food service supervision checks, observations, temperatures, sanitation status, corrective actions, and follow-up items.
Supervision Details
Supervisor Full Name
*
First Name
Middle Name
Last Name
Role / Title
*
Date of Supervision
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Supervision
*
Hour Minutes
AM
PM
AM/PM Option
Location / Branch / Unit
*
Area and Observation Log
Food Service Area or Station Reviewed
*
Please Select
Kitchen
Prep Area
Cold Storage
Hot Holding
Serving Line
Dishwashing Area
Dining Area
Other
Type of Supervision or Check Performed
*
Routine Inspection
Spot Check
Pre-Opening Check
Mid-Service Check
Closing Check
Other
Observed Condition or Status
*
Satisfactory
Needs Attention
Critical Issue
Detailed Observation Notes
Food Safety and Sanitation Checks
Hot Holding Temperature (°F)
Cold Holding Temperature (°F)
Refrigeration Temperature (°F)
Sanitation and Hygiene Status
*
Cleanliness satisfactory
Handwashing compliance satisfactory
Utensils/equipment sanitized
No pest signs observed
Storage organized
Other issue noted
Noncompliance Identified
Corrective Actions and Follow-Up
Corrective action taken immediately
*
Person responsible for follow-up
*
Follow-up required?
*
Yes
No
Due date for follow-up
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Final supervisor remarks or closure notes
Submit Log
Should be Empty: