2019 February Reach-In Refrigerator Assessment Location of Unit: _____________________ Cross Temp. Contamination Corrective Actions Date Initials F° (Y or N) Yes No 2/1 □ □ Yes No 2/2 □ □ Yes No 2/3 □ □ Yes No 2/4 □ □ Yes No 2/5 □ □ Yes No 2/6 □ □ Yes No 2/7 □ □ Yes No 2/8 □ □ Yes No 2/9 □ □ Yes No 2/10 □ □ Yes No 2/11 □ □ Yes No 2/12 □ □ Yes No 2/13 □ □ Yes No 2/14 □ □ Yes No 2/15 □ □ Yes No 2/16 □ □ Yes No 2/17 □ □ Yes No 2/18 □ □ Yes No 2/19 □ □ Yes No 2/20 □ □ Yes No 2/21 □ □ Yes No 2/22 □ □ Yes No 2/23 □ □ Yes No 2/24 □ □ Yes No 2/25 □ □ Yes No 2/26 □ □ Yes No 2/27 □ □ Yes No 2/28 □ □ Yes No 2/29 □ □ 2019 March
February 2019 Reach-In Refrigerator Assessment Location of Unit: _____________________ Date Initials Temp. F° Cross Contamination (Y or N) Corrective Actions 2/1 □ Yes □ No 2/2 □ Yes □ No 2/3 □ Yes □ No 2/4 □ Yes □ No 2/5 □ Yes □ No 2/6 □ Yes □ No 2/7 □ Yes □ No 2/8 □ Yes □ No 2/9 □ Yes □ No 2/10 □ Yes □ No 2/11 □ Yes □ No 2/12 □ Yes □ No 2/13 □ Yes □ No 2/14 □ Yes □ No 2/15 □ Yes □ No 2/16 □ Yes □ No 2/17 □ Yes □ No 2/18 □ Yes □ No 2/19 □ Yes □ No 2/20 □ Yes □ No 2/21 □ Yes □ No 2/22 □ Yes □ No 2/23 □ Yes □ No 2/24 □ Yes □ No 2/25 □ Yes □ No 2/26 □ Yes □ No 2/27 □ Yes □ No 2/28 □ Yes □ No 2/29 □ Yes □ No March 2019