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Food allergy checklist

Food allergy checklist

Safeguard your customers with our detailed food allergy checklist. Identify risks, implement controls, and maintain high safety standards. Download your free PDF from Lumiform today!

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Food allergy checklist

Safeguard your customers with our detailed food allergy checklist. Identify risks, implement controls, and maintain high safety standards. Download your free PDF from Lumiform today!

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

A food allergy checklist helps you protect your customers from potentially life-threatening allergic reactions. This comprehensive tool guides your restaurant staff through proper allergen management protocols, from ingredient identification to preventing cross-contamination in your kitchen. According to the CDC, one in three people with food allergies report having a reaction in a restaurant, highlighting the critical need for proper procedures.

We created this template to help you implement a systematic approach to allergen safety, ensuring your team knows exactly how to handle special dietary requests and maintain clear communication between front-of-house and kitchen staff—ultimately creating a safer dining experience for all your customers.

Related categories

  • Health and safety management templates
  • Food manufacturing templates
  • Food safety templates
Preview of the template
Page 1
Food Allergies
Do you have any food allergies?
If yes, which foods are you allergic to?
When did you first experience an allergic reaction to these foods?
Have you been diagnosed by a doctor?
Do you carry an epinephrine auto-injector (EpiPen)?
Have you ever had to use your EpiPen?
Do certain foods cause more severe reactions than others?
If yes, which foods cause the most severe reactions?
Have you experienced any unexpected or unusual reactions to foods?
If yes, please describe the reaction:

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Frequently asked questions

What should a food allergy checklist include for restaurants?

A comprehensive food allergy checklist should include sections for ingredient identification, storage practices, preparation protocols to prevent cross-contamination, staff training verification, communication procedures between front and back of house, and emergency response plans. It should also cover menu labeling and documentation of allergen information for customers.

How often should restaurant staff review the food allergy template?

Restaurant staff should review the food allergy template during initial training, with refresher sessions at least quarterly. Daily pre-shift meetings should include allergen awareness reminders, and the complete checklist should be revisited whenever menu items change or new ingredients are introduced to maintain consistent allergen management practices.

How can I customize a food allergy checklist for my specific restaurant?

Customize your food allergy checklist by analyzing your menu for common allergens, mapping your kitchen workflow to identify cross-contamination risks, and adapting protocols to your specific equipment and layout. Also, include restaurant-specific communication procedures between servers and kitchen staff, and incorporate any local regulatory requirements.

Who should be responsible for maintaining the food allergy template?

The food safety manager or chef should oversee the food allergy template, but responsibility extends to all staff. Managers should ensure proper training, chefs should verify kitchen compliance, and servers should follow communication protocols. Also, creating a culture where everyone understands their role in allergen management ensures comprehensive protection.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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