Date Started: ___________
Answer questions 1-15:
Y = Yes
N = No
Add the initials of family members in each column
head
CHILL
Did You ...
|
A
ME_____ |
B
_______ |
C
_______ |
D
_______ |
1. Use a cold pack for packed
lunches or picnic foods? |
|
|
|
|
2. Refrigerate leftovers right away? |
|
|
|
|
3. Defrost foods in:
the refrigerator
or
cold water
or
the microwave? |
|
|
|
|
Total |
Y=
N= |
Y=
N= |
Y=
N= |
Y=
N= |
FRIDGE EXAM
The refrigerator is set at ________ degrees.
Food storage containers found:
____ tall containers
____ shallow containers
|
CLEAN
Did You ...
|
A
ME_____ |
B
_______ |
C
_______ |
D
_______ |
4. Wash hands with warm water and soap for 20 seconds before
preparing food? |
|
|
|
|
5. Wash hands with warm water and soap for 20 seconds before
eating? |
|
|
|
|
6. Clean countertops before preparing food? |
|
|
|
|
7. Rinse fruits and vegetables with cold running water before
preparing them? |
|
|
|
|
8. Rinse fruits and vegetables with cold running water before
eating them? |
|
|
|
|
Total |
Y=
N= |
Y=
N= |
Y=
N= |
Y=
N= |
Family Handwashing
Scoreboard: |
Date: |
Name: |
When washed: |
____________________ |
____________________ |
____________________ |
____________________ |
____________________ |
____________________ |
____________________ |
____________________ |
____________________ |
SEPARATE
Did You ...
|
A
ME_____ |
B
_______ |
C
_______ |
D
_______ |
9. Clean the cutting boards used for raw meat, fish and
poultry before using for any other foods? |
|
|
|
|
10. Keep raw meat, fish and poultry wrapped properly in
the refrigerator so juices do not drip on other foods? |
|
|
|
|
11. Put cooked meat, fish or poultry on a different platter
than the one with the raw juices? |
|
|
|
|
Total |
Y=
N= |
Y=
N= |
Y=
N= |
Y=
N= |
Cutting Board Critique
Number of cutting boards:
Type (plastic, wood, etc.):
|
COOK
Did You ...
|
A
ME_____ |
B
_______ |
C
_______ |
D
_______ |
12. Rotate food in the microwave to avoid "cold spots?" |
|
|
|
|
13.. Bring sauces, soups and gravy to a boil when reheating?
|
|
|
|
|
14. Make sure eggs were cooked properly? |
|
|
|
|
15.. Not eat cookie dough or cake batter that was made with
raw eggs? |
|
|
|
|
Total |
Y=
N= |
Y=
N= |
Y=
N= |
Y=
N= |
Safe Temperature Summary |
Kind of Meat: ______ |
Date Cooked: ______ |
Food thermometer temp: ______ |
Kind of Poultry: ______ |
Date Cooked: ______ |
Food thermometer temp: ______ |
Kind of Fish: ______ |
Date Cooked: ______ |
Food thermometer temp: ______ |
Date Completed:
Student signature:
Parent/Guardian signature: