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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 with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as 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 with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Enhance your restaurant’s food safety program with this hygiene assessment template. You’ll be able to evaluate crucial areas including cross-contamination prevention, temperature monitoring, facility sanitation, and staff hygiene practices.

Quality Assurance and Food Safety Magazine reports that only 49% of businesses have a food safety culture plan. This template helps you implement consistent safety protocols and identify improvement opportunities. Whether you’re conducting daily pre-service checks or monthly comprehensive reviews, this assessment tool supports you in maintaining compliance and protecting your customers.

Related categories

Preview of the template
Entity
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?

Frequently asked questions

How can I use this restaurant food and hygiene assessment template most effectively?

For maximum effectiveness, schedule regular assessments. Assign responsibility to different staff members to promote accountability, and always follow up on identified issues with clear corrective actions. Document completed assessments to track improvements and show your food safety measures during official inspections.

What should I do if I find multiple non-compliant items during my assessment?

Prioritize issues based on their potential health impact—address critical violations like temperature abuse or cross-contamination immediately. For each non-compliance, determine the root cause rather than just fixing symptoms. Create a corrective action plan with clear responsibilities and deadlines, then schedule follow-up assessments to verify the issues have been resolved.

How can I customize this restaurant assessment template for my specific operation?

Review each section and modify questions to reflect your specific equipment, menu items, and procedures. Add operation-specific questions about signature dishes or specialized equipment. Consider your restaurant’s history—add items addressing previously identified issues or health code violations. While customizing, maintain all regulatory requirements for your jurisdiction.

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.