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ROOM #:

BUILDING:
LABORATORY MANAGER:
PURPOSE OF LABORATORY:
AREA:
DIRECTION: Read and analyze each item carefully, and encircle the
corresponding score.
(2= Very Bad, 4=Bad, 6=Average, 8=Good, 10=Very
Good)

5’S EVALUATION FORM

ITEMS FOCUS SCORES

CABINETS Are they clean and labeled for the


easy retrieval of things needed? 10 8 6 4 2

ELECTRIC Is it tidy, safe and conveniently laid 10 8 6 4 2


WIRING out for operations?

LPG’s/ GAS Are they clean, well-maintained 10 8 6 4 2


STOVE/ STOVE and in proper place?

ROTARY OVEN Are they clean and well- 10 8 6 4 2


maintained?

KITCHEN Are they clean and organized? 10 8 6 4 2


UTENSILS

VENTILATION Are they adequate for efficient 10 8 6 4 2


operation?

WINDOWS Are they dust-free and well- 10 8 6 4 2


maintained?

LIGHTING Are they adequate for efficient 10 8 6 4 2


operation?

WALLS/FLOORS Are they dust-free and well- 10 8 6 4 2


CEILING maintained?

EMPTY CAN AND Are they properly dispose? 10 8 6 4 2


BOTTLES

MOP Are clean and in the right place? 10 8 6 4 2

HEAVY DUTY Are they clean and well- 10 8 6 4 2


MIXER maintained?
ROOM #: LS FOOD LABORATORY
BUILDING: LS BUILDING
LABORATORY MANAGER: PROF. ELSIE CANLAS
PURPOSE OF LABORATORY: FOOD PROCESSING / COOKERY / BAKING
AREA: WORKING AREA
DIRECTION: Read and analyze each item carefully, and encircle the
corresponding score.
(2= Very Bad, 4=Bad, 6=Average, 8=Good, 10=Very
Good)

5’S EVALUATION FORM

ITEMS FOCUS SCORES

CABINETS Are they clean and labeled for the


easy retrieval of things needed? 10 8 6 4 2

ELECTRIC Is it tidy, safe and conveniently laid 10 8 6 4 2


WIRING out for operations?

LPG’s/ GAS Are they clean, well-maintained 10 8 6 4 2


STOVE/ STOVE and in proper place?

ROTARY OVEN Are they clean and well- 10 8 6 4 2


maintained?

KITCHEN Are they clean and organized? 10 8 6 4 2


UTENSILS

VENTILATION Are they adequate for efficient 10 8 6 4 2


operation?

WINDOWS Are they dust-free and well- 10 8 6 4 2


maintained?

LIGHTING Are they adequate for efficient 10 8 6 4 2


operation?

WALLS/FLOORS Are they dust-free and well- 10 8 6 4 2


CEILING maintained?

EMPTY CAN AND Are they properly dispose? 10 8 6 4 2


BOTTLES

MOP Are clean and in the right place? 10 8 6 4 2


HEAVY DUTY Are they clean and well- 10 8 6 4 2
MIXER maintained?