Food Distribution Site Audit Form
Use this form to audit a food distribution site’s operations, food safety practices, storage conditions, cleanliness, compliance, and follow-up actions.
Site Identification
Audit date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Audit time
*
Hour Minutes
AM
PM
AM/PM Option
Site name
*
Site address/location
*
Auditor name
*
Organization/department
Audit type or visit reason
*
Routine audit
Follow-up audit
Complaint investigation
New site review
Other
Operational Readiness
Site operating status during audit
*
Open
Partially open
Closed
Not observed
Hours of operation observed
Staffing adequacy
*
Very inadequate
1
2
3
4
Very adequate
5
1 is Very inadequate, 5 is Very adequate
Staff preparedness and training visibility
*
Very poor
1
2
3
4
Very strong
5
1 is Very poor, 5 is Very strong
Food Safety and Handling
Temperature control observed
*
Compliant
Partially compliant
Non-compliant
Not observed
Gloves and hand hygiene practices
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Separation of ready-to-eat and raw items
*
Compliant
Partially compliant
Non-compliant
Not observed
Allergen and labeling controls
*
Compliant
Partially compliant
Non-compliant
Not observed
Notes and specific observations
Storage and Inventory
Dry Storage Condition
*
Excellent
Good
Fair
Poor
Not Assessed
Refrigerated Storage Condition
*
Excellent
Good
Fair
Poor
Not Assessed
Frozen Storage Condition
*
Excellent
Good
Fair
Poor
Not Assessed
Stock Rotation / FIFO Practice
*
Consistently followed
Mostly followed
Sometimes followed
Not followed
Not Assessed
Inventory Sufficiency
*
Please Select
Adequate
Low
Critical Shortage
Not Assessed
Key Items / Areas Inspected
Sanitation and Facility Conditions
General cleanliness rating
*
1
2
3
4
5
Handwashing station availability
*
Available and stocked
Available but needs supplies
Not available
Not observed
Restroom and waste disposal condition
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Pest evidence observed
*
None
Minor signs
Significant signs
Not observed
Equipment condition
*
1
2
3
4
5
Corrective notes
Compliance, Findings, and Follow-up
Overall Compliance Rating
*
1
2
3
4
5
Findings / Nonconformities
*
Priority of Issues
*
Low
Medium
High
Critical
Corrective Action Required
*
Responsible Person / Team
Target Completion Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reinspection Needed
*
Yes
No
Auditor Final Comments
Submit Audit
Should be Empty: