Run Warehouse Club Sample Station Setup and Temperature Log — Free

Inspection Details

Inspection date and time recorded critical (required)

Warehouse club location / club number critical (required)

Sample station identifier critical (required)

Inspector name and role critical (required)

Shift or service period

Sampler Certification and PPE

Sampler certification or training is current critical (required)

Yes No N/A

Sampler is wearing required PPE critical (required)

Yes No N/A

Handwashing supplies available and accessible critical (required)

Yes No N/A

No signs of illness or contamination risk observed critical (required)

Yes No N/A

Food handler or sampler authorization badge displayed if required

Yes No N/A

Station Setup and Sanitation

Food-contact surfaces cleaned and sanitized before setup critical (required)

Yes No N/A

Utensils, tongs, and serving tools are clean and dedicated to the station critical (required)

Yes No N/A

Single-use sample items and packaging are stored off the floor and protected from contamination critical (required)

Yes No N/A

Waste container present, lined, and not overflowing

Yes No N/A

Station is free of pests, spills, and visible debris critical (required)

Yes No N/A

Sampling area does not block exits, aisles, or emergency equipment critical (required)

Yes No N/A

Cold Holding Verification

Cold holding temperature critical (required)

Cold holding unit or ice bath is maintaining product at or below 41°F critical (required)

Yes No N/A

Temperature taken with calibrated probe or approved thermometer critical (required)

Yes No N/A

Time product was removed from refrigeration recorded

Time-as-control limit for cold-held product documented

Hot Holding Verification

Hot holding temperature critical (required)

Hot holding equipment or warming device is functioning properly critical (required)

Yes No N/A

Hot-held product is covered or protected from contamination critical (required)

Yes No N/A

Time product was placed into hot holding recorded

Time as Control and End-of-Shift Closeout

Time-as-control start and discard time documented when used critical (required)

Expired or out-of-temperature samples discarded critical (required)

Yes No N/A

Station cleaned, sanitized, and reset for next use critical (required)

Yes No N/A

Inspector signature critical (required)

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Run: Warehouse Club Sample Station Setup and Temperature Log

Inspection Details

Sampler Certification and PPE

Station Setup and Sanitation

Cold Holding Verification

Hot Holding Verification

Time as Control and End-of-Shift Closeout

Get your results