HACCPLAN

Dishwasher sanitization log

Verify per shift (open + close) and after any service event. High-temp or chemical — fill the column that matches your machine.

HACCPLAN-TL-DSH-01
v1.0
haccplan.com

Facility name

Machine type / model

Period

Threshold / authority

High-temp final rinse ≥180°F manifold (≥160°F utensil surface) · Chemical sanitizer per label · FDA Food Code §4-501.112 (hot-water) · §4-501.114 (chemical) · §4-703.11 (sanitization) · Chlorine 50–100 ppm · Quaternary ammonium 200–400 ppm · Iodine 12.5–25 ppm. Verify with test strip every shift and after refill.

Date	Time	Wash (°F)	Final rinse (°F)≥180°F	Sanitizer (ppm)	Test strip used	OK?	Corrective action	Initials

Weekly supervisor verification

I have reviewed this log for the period above and confirm that any out-of-range readings have a documented corrective action.

Supervisor signature

Week ending

Date signed