CLEANING AND SANITATION CHECKLIST

Area

Date

Cleaning Type

Facility

	YES	NO
Floor
Plastic Curtain
Glass Window
Sanitation matt/foot bath
Hand washing lavatory
Washing Area
Door Matt/Plastic Matting
Windows/Louvers/Screen
Plastic crates and pallet
Table and chair
Drainage
Racks and Shelves
Trash Bin/Garbage bin
Range hood
Walls/Ceiling
Hallway
Grease Trap

Liquid Chlorine QTY:

Liquid Chlorine PPM:

Liquid Soap Qty:

Hot Water Qty:

Hot Water Temp:

Hot Water Std Temp: 75-100˚C - QAC QTY

Hot Water Std Temp: 75-100˚C - QAC PPM

Hot Water Std Temp: 75-100˚C - TAP WATER QTY

Equipment/Utensils

Cleaning Tools

	YES	NO
Mops
Rags
Plastic Broom
Plastic Brush
Scraper
Broomstick
Dust pan