Food Safety Inspection Checklist

Food Safety Inspection Checklist — Form Fields

This business template includes 13 fields. Inspect food service establishments for health code compliance with temperature logs, sanitation checks, and violations. Free to customize and use on ZenBuild.

• Inspector Name (text, required)
• Inspection Date (text, required)
• Establishment Name (text, required)
• Address (text, required)
• Food Storage & Temperature (checkboxes, required) — options: Refrigerator at 40°F or below, Freezer at 0°F or below, Hot food held at 140°F or above, Food properly labeled and dated, No expired products found, Raw and cooked food properly separated — Check all that meet standards
• Employee Hygiene (checkboxes, required) — options: Handwashing stations stocked and accessible, Employees wearing gloves when handling food, Hair restraints worn, No sick employees handling food — Check all that meet standards
• Sanitation & Cleanliness (checkboxes, required) — options: Food prep surfaces clean and sanitized, Dishwashing equipment functioning properly, Restrooms clean and stocked, No pest evidence (droppings, nesting), Trash containers covered and emptied regularly — Check all that meet standards
• Overall Compliance Rating (rating, required) — 1 = Critical violations, 5 = Full compliance
• Violations Found (long text, optional)
• Corrective Actions Required (long text, optional)
• Inspection Result (multiple choice, required) — options: Pass, Conditional Pass — corrections needed, Fail — re-inspection required
• Inspection Photos (file upload, optional)
• Inspector Signature (signature, required)