Food Contact Surface Cleaning Log Form
Log the cleaning and sanitizing activities of food-contact surfaces. Complete all required fields for each cleaning event.
Date of Cleaning
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Time of Cleaning
*
Hour Minutes
AM
PM
AM/PM Option
Location / Area Cleaned
*
Type of Surface
*
Please Select
Prep Table
Cutting Board
Sink
Utensil
Countertop
Other
Cleaning Method Used
*
Please Select
Manual Wash
Dishwasher
Wipe Down
Spray and Wipe
Other
Cleaning Agent / Sanitizer Used
*
Condition After Cleaning
*
Clean
Needs Re-cleaning
Person Responsible
*
First Name
Last Name
Supervisor Verification
First Name
Last Name
Additional Notes
Submit Log
Should be Empty: