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Restaurant food and hygiene assessment template

Restaurant food and hygiene assessment template

Stay on top of inspections and health code requirements with a template covering kitchen hygiene, food handling, storage, and equipment checks.

Use this template
or download pdf
Restaurant food and hygiene assessment template

Stay on top of inspections and health code requirements with a template covering kitchen hygiene, food handling, storage, and equipment checks.

Use this template
or download pdf

About the Restaurant food and hygiene assessment template

Stay inspection-ready and standardize hygiene checks with this restaurant food and hygiene assessment template.  It allows you to keep records consistent while spotting red flags early, before they cost you a fine or become a risk for customers. Use this template to run organized walkthroughs of your kitchen, storage, and food handling routines.

Key elements of the restaurant food and hygiene assessment template

Here’s what the template covers:

  1. Food safety practices: Use this section to monitor critical handling routines, like handwashing, temperature checks, and avoiding cross-contamination. These are your frontline defense against foodborne illness.
  2. Facility cleanliness: Track the state of your walls, floors, restrooms, and waste areas. Clean environments set the tone for hygiene expectations and help keep pests out.
  3. Equipment and maintenance: This is where you log whether dishwashers, fridges, and prep tools are working properly. Faulty equipment puts safety and service at risk.
  4. Storage and organization: Document how ingredients and supplies are stored. They must be clean, labeled, separated, and at the right temperature. This supports both food safety and kitchen efficiency.
  5. Documentation and training: This part tracks up-to-date licenses, employee training, and record-keeping practices. It ensures your team knows what’s expected and that you’ve got the records to prove it.

Customizing your restaurant food and hygiene assessment template

Whether you manage a multi-location chain or a small independent bistro, you can quickly customize the template for focused and relevant inspections.

One option is to tailor checkpoints to match your kitchen layout and workflow. If your storage is off-site or you run a central prep kitchen, include those specific areas in your checks. This avoids blind spots during reviews.

Add role-specific fields so that each team member knows exactly what they’re responsible for. For example, shift leads might handle daily hygiene walkthroughs, while kitchen managers review equipment status weekly.

You can also use smart fields or logic-based questions to hide irrelevant items. For instance, if you don’t handle raw meat, remove or skip related checks. This keeps your template fast and easy to complete without sacrificing depth.

Streamline your inspections with ease

Run faster, more consistent inspections across all your locations by using this template. Assign roles, add custom checkpoints, and attach photos or notes directly to each entry so every team member knows exactly what to look for and what action to take. It supports you in maintaining high food safety standards without overcomplicating your process. 

Related categories

  • Health and safety management templates
  • Food manufacturing templates
  • Hospitality templates
  • Food safety templates
  • Risk assessment templates
Preview of the template
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Page 1
Food Safety Practices
Are food preparation surfaces cleaned and sanitized regularly?
Are raw and cooked foods stored separately to prevent cross-contamination?
Are food temperatures monitored and recorded at critical points?
Are food handlers wearing clean uniforms and hair restraints?
Are food handlers practicing proper handwashing techniques?
Are chemicals and cleaning supplies properly labeled and stored?
Facility Cleanliness
Are floors, walls, and ceilings clean and well-maintained?
Are food storage areas and refrigerators clean and organized?
Are waste receptacles emptied regularly and kept covered?
Are pest control measures in place and effective?
Are restrooms clean, well-stocked, and properly ventilated?
Equipment and Maintenance
Are all food preparation equipment and utensils in good condition?
Are refrigeration units maintaining the proper temperature?
Are dishwashing machines properly functioning and sanitizing dishes?
Are lighting and ventilation systems adequate and in working order?
Are any maintenance issues identified and addressed promptly?
Documentation and Training
Are all required food safety permits and licenses up-to-date?
Do employees receive regular food safety and hygiene training?
Are food safety and sanitation procedures documented and followed?
Are food safety records, such as temperature logs, maintained properly?
Are the restaurant's food safety policies and procedures comprehensive?

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Food waste management: A comprehensive guideFire safety: How to minimize risks and stay compliantHospitality management: Key skills and careers
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Template collections

See comprehensive collections of best practice templates related to this topic.

6 free food hygiene inspection checklists for improved safety10 restaurant cleaning checklists27 free restaurant checklists
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Use cases

Check out how the Lumiform software can be utilized for related use cases.

Food hygiene softwareRestaurant inspection appFood safety softwareHospitality management software
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Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

How to evaluate compliance measuresModernize your restaurant technology with digitalization5 ways to achieve continuous improvement in your hospitality businessUsing technology to improve hospitality management

Frequently asked questions

What’s the difference between food hygiene and food safety in restaurants?

Food hygiene focuses on personal cleanliness and proper handling practices like handwashing, wearing clean uniforms, or using gloves. Food safety covers the broader system, including correct storage temperatures, cross-contamination prevention, and equipment maintenance. Both need regular oversight, but hygiene is people-driven, while safety relies more on systems and infrastructure.

Who should conduct food and hygiene assessments in a restaurant?

Supervisors or kitchen managers typically handle routine assessments, but it’s recommended to rotate staff participation. This trains team members to recognize risks early and builds a shared accountability culture. In larger operations, consider assigning different zones (prep, storage, service) to specific roles for more focused tracking.

What’s the best way to document recurring hygiene issues?

If the same problem keeps popping up—like missed temperature logs or unclean equipment—track when, where, and who’s involved. Use photos and notes to give context. Over time, this creates a pattern you can address with targeted training, updated processes, or role reassignment. Consistency in reporting helps you catch root causes.


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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