Ice Machine Cleaning Log Form
Log each ice machine cleaning session clearly and efficiently. Please complete all sections to record your cleaning activity.
Ice Machine Location or ID
*
Date of Cleaning
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Person Cleaning
*
First Name
Last Name
Cleaning Method Used
*
Please Select
Manual Cleaning
Automated Cycle
Sanitization Only
Other
Checklist: Steps Completed
*
Power off machine
Remove ice and debris
Clean bin interior
Sanitize surfaces
Restart machine
Were there any issues found?
*
No issues
Minor issues (noted below)
Major issues (machine out of order)
Additional Notes
Signature
*
Submit Log
Submit Log
Should be Empty: