Food Safety Checklist: No. Inspection Item Present Needs Correction Date Corrected

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Review Date: ______________

Food Safety Checklist Reviewed By: ______________

Needs Date
No. Inspection Item Present
Correction Corrected
Do employees follow food handling guidelines when serving guests?
These include:
• wear plastic gloves
1 • have long hair tied back
• a hat or hairnet covers hair
• a shirt covers armpits
Are hand washing facilities available in the kitchen area for staff,
2 including soap, paper towels and running water?
Is there a hand washing policy in place, and are employees trained
3 in proper hand washing procedures?
Are hand washing signs posted to remind employees and guests to
4 wash their hands?
Are hand washing facilities available for guests, including soap,
5 paper towels and running water?
Are there thermometers in all refrigerators and freezers, and are the
6 temperatures monitored and recorded daily?
Are all refrigerators and freezers checked/cleaned daily, and is a log
7 is kept documenting these activities?

Are there refrigerator/freezer temperature monitoring and cleaning


8 policies in place, and are employees are trained on these policies?

Are thermometers available to check the temperature of food before


9 serving?

10 Are only pasteurized products available for guest consumption?

Resources that can be used to address these checklist items are available at www.safeagritourism.org/Resources.
These resources include signs, policies, forms, logs, and other items.

National Children's Center for Rural Agricultural Health Safety www.marshfieldclinic.org/nccrahs


Funding provided by the National Institute for Occupational Safety and Health (NIOSH award no. 5U540H009568-04)

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