Dining Area Inspection Checklist Form
Complete this checklist to ensure the dining area meets cleanliness, comfort, and safety standards.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Cleanliness
*
Excellent
Good
Fair
Poor
Tables and Chairs Condition
*
All in good repair
Minor issues
Needs attention
Floor Cleanliness and Condition
*
Clean and dry
Some debris/spills
Requires cleaning
Lighting Quality
*
Bright and even
Some areas dim
Needs improvement
Restocking Status (napkins, condiments, etc.)
*
Fully stocked
Partially stocked
Needs restocking
Restroom Proximity Cleanliness
*
Clean
Some debris
Needs attention
Safety Hazards Present
*
None
Minor (not urgent)
Yes (requires action)
Additional Comments or Observations
Signature of Inspector
*
Submit Inspection
Submit Inspection
Should be Empty: