Food Safety Audit Review Checklist Form
Food Safety Audit Review Checklist Form
Auditor Name
*
First Name
Last Name
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Facility Name and Location
*
Audit Type
*
Please Select
Routine inspection
Follow-up review
Pre-operational review
Other
Food Safety Checklist: Select all items reviewed and satisfactory
Handwashing facilities are accessible, stocked, and maintained
Staff follow hand hygiene and personal hygiene practices
Food is protected from contamination during storage and preparation
Raw and ready-to-eat foods are separated appropriately
Food temperatures and temperature records are maintained
Cleaning and sanitizing procedures and records are maintained
Equipment and food-contact surfaces are clean and in good condition
Food is labeled, dated, and rotated appropriately
Pest prevention and waste management practices are in place
Water, plumbing, and facility conditions are satisfactory
Food safety procedures and required records are available
Overall Audit Status
*
Satisfactory
Satisfactory with corrective actions
Further review required
Findings and Observations
Corrective Actions Required
Follow-Up Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Audit Review
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