Beverage Cooler Compliance Survey Form
Please complete this survey to assess the condition and operation of the beverage cooler. Ensure all questions are answered accurately for compliance purposes.
Cooler operational status
*
Fully operational
Partially operational
Not operational
Current temperature reading (°C)
*
Cleanliness of interior surfaces
*
1
2
3
4
5
Are all products within expiry date?
*
Yes
No
Cooler door condition
*
Good (seals tight, no damage)
Minor issues (seal slightly loose, minor damage)
Major issues (does not seal, significant damage)
Lighting inside cooler
*
All lights working
Some lights out
No lights working
Stocking and product arrangement
*
1
2
3
4
5
Cooler exterior cleanliness
*
1
2
3
4
5
Cooler compliance checklist
*
Rows
Compliant
Non-compliant
Not applicable
Safety signage visible
1
2
3
Temperature log maintained
4
5
6
No blockages to vents
7
8
9
Additional comments or observations
Submit Survey
Should be Empty: