Run Grocery Break Room Sanitation Audit — Free

Break Room General Cleanliness

Tables, counters, and seating surfaces are clean and free of food residue

Yes No N/A

Floors are free of spills, crumbs, and debris

Yes No N/A

Sinks, microwaves, and shared appliances are clean and sanitary

Yes No N/A

Handwashing supplies are available at nearby sink if provided for employee use

Yes No N/A

Food preparation or eating surfaces are not used for storage of non-food items

Yes No N/A

Waste bins are lined, not overflowing, and lids close properly

Yes No N/A

Refrigerator Cleanliness and Food Storage

Refrigerator interior is clean, odor-free, and free of spills or mold critical (required)

Yes No N/A

No expired, spoiled, or abandoned food is present critical (required)

Yes No N/A

Employee food is labeled with name and date where required by site policy

Yes No N/A

Raw or potentially hazardous foods are stored to prevent cross-contamination critical (required)

Yes No N/A

Refrigerator temperature is within acceptable range critical (required)

Pest Evidence and Exclusion

No visible evidence of pests, droppings, nesting, or gnaw marks critical (required)

Yes No N/A

Doors, windows, and wall penetrations are sealed or protected against pest entry

Yes No N/A

Food is stored in closed containers and not left exposed on counters

Yes No N/A

Sticky traps or pest monitoring devices, if present, are intact and not obstructed

Yes No N/A

Housekeeping, Waste, and Corrective Actions

Cleaning supplies are stored separately from food and food-contact items

Yes No N/A

Break room sanitation log or cleaning schedule is posted and current

Yes No N/A

Any sanitation deficiency or pest-related non-conformance is documented with corrective action critical (required)

Yes No N/A

Inspector notes additional observations or follow-up needs

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Run: Grocery Break Room Sanitation Audit

Break Room General Cleanliness

Refrigerator Cleanliness and Food Storage

Pest Evidence and Exclusion

Housekeeping, Waste, and Corrective Actions

Get your results