JCED Food Safety - Food Safety Self Inspection Forms

These forms are in two different formats, Adobe Acrobat and Microsoft Excel. The Excel files can be modified to meet your establishment's particular needs. The Food Safety Self Inspection Checklist can be used to evaluate food safety problems in an establishment. It can also be used as an educational tool with employees as each area is checked.

Download in:	Microsoft Excel
	Adobe Acrobat

The Food Safety Self Inspection Reference gives the Kansas Food Code reference number and whether the item is a critical violation. Health Inspectors typically focus on Critical Violations as they are more likely to cause foodborne illness.

Download in:	Microsoft Excel
	Adobe Acrobat

If you need further clarification on anything related to the Food Safety Forms, please email us or call 913-715-6900 to talk to an inspector.

Self-Inspection Forms and Logs from the Kansas Department of Health and Environment Daily Self-Inspection Log and Checklist (86K) Consolidated Temperature Log for Food and Equipment (13K) Product Cooling Temperature Log (33K) Refrigeration Temperature Log (12K) Reheating Temperature Log (11K) Thermometer Calibration Log (13K) The following handouts are from other sources: Standardized Shelving Chart for Refrigeration Units (343K) Kitchen -- Daily Master Cleaning Schedule (MS Word) (70K)