Sanitation Standards Inspection Report Form
Submit key details and findings from your sanitation standards inspection. Please complete all sections accurately.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Location
*
Type of Facility/Area Inspected
*
Please Select
Kitchen
Restroom
Dining Area
Storage
Other
Sanitation Criteria Checklist
*
Surfaces Clean & Sanitized
Waste Properly Disposed
Restrooms Maintained
Handwashing Supplies Available
No Pest Evidence
Other
Overall Sanitation Rating
*
1
2
3
4
5
Major Issues Noted
None
Cleaning Deficiencies
Improper Waste Handling
Pest Activity
Other
Corrective Actions Required
Additional Comments or Observations
Inspector Signature
*
Submit Inspection Report
Submit Inspection Report
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