Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Area
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Lighting adequate and operational
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Add media
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Corrective Actions Required
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Due Date
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Person Responsible
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Room Temperature is comfortable
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Corrective Actions Required
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Due Date
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Person Responsible
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Bug Zappers Cleaned and Maintained
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Area is free from odours
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Corrective Actions Required
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Due Date
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Person Responsible
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Noise level is acceptable/adequately controlled
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Corrective Actions Required
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Due Date
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Person Responsible
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Ventilation is adequate
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Corrective Actions Required
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Due Date
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Person Responsible
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Electrical equipment tested, tagged and safe and in Date
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Electrical switches/sockets in good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Furniture safe and undamaged
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
Emergency
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Access and egress paths clear and Deliniated
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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First aid kit accessible and up to date
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Fire fighting equipment easily accessible and in Date
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
Kitchen
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Drains (floor and sink) clear and free flowing
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Refrigeration
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Salad Bar in clean, good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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All Food Covered
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Corrective Actions Required
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Due Date
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Person Responsible
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Photographs
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All Food Day and Date Stamped
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Photographs
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Correct Temperature
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Photographs
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Milk Fridge in clean, good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Correct Temperature
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Photographs
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Microwave clean and maintained
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Sandwich Maker clean and maintained
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Toaster clean and maintained
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Pie Warmer including bottom tray clean and maintained
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Oven/stove safe and clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Oven Trays and Tops Scrubbed
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Deep Fryer Clean and Scrubbed
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Grill Clean. / Grill Tray Scrubbed
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Rear Wall of Kitchen Cleaned
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Dishwasher Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Juice Machine Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Plug Checked and Safe
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Internal Jets Removed and Cleaned
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Exterior Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Juice Machine Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Bowls Removed and Cleaned
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Coffee Dispenser and Urn Cleaned and Refilled
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Iced Water Bucket Scrubbed
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Hot Bain Maree Empty and Cleaned
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Temperature Checked
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Add media
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Corrective Actions Required
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Due Date
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Person Responsible
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Photograph
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Outside Cool room Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Correct Temperature
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Corrective Actions Required
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Due Date
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Person Responsible
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Photograph
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Floor Clean and Free from Food Scraps
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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All Open Food Dated
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Shelves Stacked in Orderly Manner
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Outside Freezer Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Correct Temperature
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Corrective Actions Required
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Due Date
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Person Responsible
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Photograph
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Floor Clean and Free from Food Scraps
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Shelves Stacked in Orderly Manner
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Outside Store room Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Air Conditioner Temperature Correct
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Corrective Actions Required
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Due Date
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Person Responsible
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Photograph
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Air Conditioner Filters removed and cleaned
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Floors Swept
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Shelves Stacked in Orderly Manner
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Add media
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Corrective Actions Required
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Due Date
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Person Responsible
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Area free from pests or evidence thereof
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
External
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Seating available and safe
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Tables safe and clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Waste and cigarette butt bins available and emptied
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Decking safe and in good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Overhead structures safe and secure
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
ROOMS
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Tick if rooms have been cleaned in the past 24hrs
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Is room clean and tidy?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Is the room free from odours?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Has the air conditioner filter been cleaned?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Is the bed and mattress in good condition?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Is the cupboard in good condition?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Has the fridge been cleaned?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
BBQ area
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Cooking area clean and free from waste/rubbish
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Area around BBQ free of grease
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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BBQ safe and in good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Gas supply secured To Barbecue
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Ice Machine Cleaned and Maintained
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
Laundry
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Electrical equipment tested and tagged and current
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Lighting operating as designed
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Corrective Actions Required
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Due Date
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Person Responsible
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Floor/area free from water and being wet
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Dryer filter clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
Male Amenities
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Shower(s) Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Handbasins and taps Clean and in good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Shower heads and taps Clean and in good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Walls /Roof Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Floor/area free from water and being wet
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Area Free of Mould
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Toilets Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Toilet Paper available in all toilets?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
Female Amenities
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Shower(s) Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Handbasins and taps Clean and in good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Shower heads and taps Clean and in good condition
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Walls /Roof Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Floor/area free from water and being wet
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Area Free of Mould
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Toilets Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Toilet Paper available in all toilets?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
OFFICE AREA
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Crib Room Floors Cleaned?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Sink Area Clean?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Microwave Clean?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Fridge Clean?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Area Free of Mould
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Area Free of Odours?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Toilets Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Offices clean and swept?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Decking clean and swept?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
WEIGHBRIDGE AREA
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Crib Room Floors Cleaned?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Sink Area Clean?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Microwave Clean?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Fridge Clean?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Area Free of Mould
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Area Free of Odours?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Toilets Clean
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Offices clean and swept?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
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Decking clean and swept?
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Photograph
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Corrective Actions Required
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Due Date
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Person Responsible
Sign Off
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Kitchen Staff
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Kitchen Staff
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Auditor's signature
