Room No :
Customers name :
C/in :
Address :
C/out :
Date of complaint :
Time of complaint :
Complaint details :
Any injury (Y/N) :

Type of complaint

  • Organoleptic Quality
  • Flavour
  • Odour
  • Colour
  • Texture
  • Temperature
  • Safety
  • Quality
  • Microbiological
  • Chemical

Type of foreign material

Foreign material found by

Foreign material found in

Other (give details):

Details of food

  • Name / Type of food
  • Made on site (Y/N)
  • Product bought in (Y/N)
  • Best before date and production No
  • Manufacturer of food
  • Supplier of food

Action taken by Hotel

Report completed by :

Signature :

Date :

Form No: FCF ISIS_Gıda_Guvenligi_Formlari_2019