Health Code Cheat Sheet · Missouri state baseline
Missouri Food Code Restaurant Equipment Requirements
The Missouri Food Code is the statewide floor every Missouri restaurant has to meet. What the statewide Missouri Food Code (based on the 2009 FDA Food Code) requires of every Missouri restaurant, and how it fits with St. Louis area city and county codes.
- State agency
- Missouri Department of Health and Senior Services (DHSS), Bureau of Environmental Health Services
- Food code
- Missouri Food Code, 19 CSR 20-1.025. Manual published June 3, 2013, effective September 30, 2013
- Based on
- Mainly the 2009 FDA Food Code, with Missouri changes on wastewater and drinking water
- Who you deal with
- Your local public health agency (county or city health department) handles applications and pre-opening inspections, not the state
The equipment baseline is the same as the federal Food Code checklist: hand sinks, a three-compartment sink or dish machine, a mop sink, refrigeration that holds 41°F, thermometers, and commercial, cleanable equipment. Here’s what’s specific to Missouri.
Missouri Food Code vs. local codes
| Area | Code that applies |
|---|---|
| City of St. Louis | 2017 FDA Food Code (city ordinance) |
| St. Louis County | St. Louis County Food Code (Chapter 807) |
| St. Charles County | St. Charles County Food Code (2016, revised 2023) |
| Jefferson County | Jefferson County Food Code (revised 2021) |
| Franklin County | Missouri Food Code, adopted by reference in the county’s food regulations |
| Anywhere without a local code | Missouri Food Code |
When a local code is stricter, the local code wins. When a local code is silent, the Missouri Food Code still sets the floor.
What the Missouri Food Code means for your kitchen
- Hand sink water: at least 100°F through a mixing faucet (the 2009 Food Code standard). Size your water heater for it§5-202.12
- Equipment must be commercial-grade, durable and easy to clean. Equipment certified to NSF/ANSI (or ETL Sanitation) standards is accepted as meeting the rulesChapter 4
- Refrigeration must hold cold food at 41°F or below, and hot holding must keep food at 135°F or above§3-501.16
- Missouri’s own rules for wastewater and drinking water apply. If you’re on a private well or septic system, expect extra approvals (Missouri DNR / DHSS)
People: Missouri’s statewide rule is lighter
- The person in charge must demonstrate knowledge of food safety. They can do it by having no priority violations at inspection, by being a Certified Food Protection Manager, or by correctly answering the inspector’s questions§2-102.11
- The state code does not make a Certified Food Protection Manager mandatory everywhere, but many local codes do (St. Charles County, for example)
- There’s no statewide food handler card requirement. Some local health departments require training or Hepatitis A vaccination (St. Louis City, St. Louis County, Warren County)
Pick your Missouri city or county
Sources
- Missouri Food Code (DHSS, PDF)
- 19 CSR 20-1.025: Missouri Food Code
- DHSS Retail Food FAQs
- DHSS: What version of the food code does Missouri use?

Questions about Missouri Food Code?
Call your local health department before you buy equipment. Getting your list approved first costs nothing and can save you from buying something that won’t pass.
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Last reviewed September 2026. This guide is general information to help you plan and ask better questions. It is not legal advice. Codes change and inspectors have final say, so confirm with your health department, building department, fire marshal, and sewer district before you buy or install equipment.