Sample Inspection
Name
*
First Name
Last Name
This field is required.
ServeSafe® Procedures
Sanitation Bucket Checked for proper sanitation levels
*
Checked
This field is required.
Take a Photo of Sanitation Test Strip
*
Submit Photo
Please take or choose a photo.
Table Top Sandwich Prep Refrigerator
Sour Cream
*
Checked
This field is required.
Sour Cream Temp
*
This field is required.
Notes
*
What is being done to correct the temp being in the danger zone!
This field is required.
Chicken Tenders
*
Checked
This field is required.
Chicken Tender Temp
*
This field is required.
Notes
*
What is being done to correct the temp being in the danger zone!
This field is required.
Labels are in date & on ALL products
*
Yes
No
This field is required.
Refrigeration
Standup Two Door Refrigerator
*
Checked
This field is required.
2-Door Refer Temp
*
This field is required.
Notes
*
Corrective action TAKEN
This field is required.
Small Sandwich Prep Table
*
Checked
This field is required.
Prep Table Temp
*
This field is required.
Notes
*
Corrective action TAKEN
This field is required.
Standup Freezer
*
Checked
This field is required.
Freezer Temp
*
This field is required.
Notes
*
Corrective action TAKEN
This field is required.
Labels are in date & on ALL products
*
Yes
No
This field is required.
Bottle Box Behind Bar
Bottle
*
Checked
This field is required.
Bottle Box Temp
*
This field is required.
Notes
*
What is being done to correct the temp being in the danger zone!
This field is required.
Labels are in date & on ALL products
*
Yes
No
This field is required.
Date & Time
Recorded automatically at the moment you submit
SIGNATURE
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