Alpine Shire Food Safety Assessment - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL INFORMATION

• Date and Time audit began

  Date

• Name of business

• Address of premises

• Phone number

• Name of proprietor or staff in attendance

• ASC reference number

• Officer undertaking the assessment

  Paul Bond

  Peter Anderson

ASSESSMENT TYPE

• Reason for the assessment

  Scheduled assessment

  Follow up assessment

  Assessment following complaint

  Other

RECEIVING

• Protection from contamination (5(1) of 3.2.2)

  Yes

  No

  N/A

• Identification/traceability of food (5(2) of 3.2.2)

  Yes

  No

  N/A

• Temperature control of PHF (5(3) and (4) of 3.2.2

  Yes

  No

  N/A

STORAGE

• Protection from contamination (6(1)(a) of 3.2.2)

  Yes

  No

  N/A

• Appropriate environmental conditions (6(1)(b) of 3.2.2

  Yes

  No

  N/A

• Temperature control of PHF (5(3) and (4) of 3.2.2)

  Yes

  No

  N/A

PROCESSING

• Safe and suitable food (7(1)(a) of 3.2.2)

  Yes

  No

  N/A

• Protection from contamination (7(1)(b)(i) of 3.2.2)

  Yes

  No

  N/A

• Adequate cooking/processing (7(1)(b)(ii) of 3.2.2)

  Yes

  No

  N/A

• PHF out of temp. control for min. time (7(2) of 3.2.2)

  Yes

  No

  N/A

• Cooling of PHF (7(3) of 3.2.2)

  Yes

  No

  N/A

• Reheating of PHF (7(4) of 3.2.2)

  Yes

  No

  N/A

DISPLAY

• Protection from contamination (8(1), (2), (3) & (4) of 3.2.2)

  Yes

  No

  N/A

• Temperature control of PHF incl. frozen (8(5) of 3.2.2)

  Yes

  No

  N/A

PACKAGING

• Appropriate materials and process (9 of 3.2.2)

  Yes

  No

  N/A

TRANSPORTATION AND DISTRIBUTION

• Protection from contamination (10(a) of 3.2.2)

  Yes

  No

  N/A

• Temperature control PHF (10(b) & (c) of 3.2.2)

  Yes

  No

  N/A

RECALLS/FOOD DISPOSAL

• Food for disposal not sold/recall process (11, 12 of 3.2.2)

  Yes

  No

  N/A

HEALTH, HYGIENE & KNOWLEDGE

• Health of food handlers - responsibilities (14 of 3.2.2)

  Yes

  No

  N/A

• Hygiene of food handlers - responsibilities (13, 15 of 3.2.2)

  Yes

  No

  N/A

• Food business - responsibilities (16, 18 of 3.2.2)

  Yes

  No

  N/A

• Adequate hand washing facilities (17 of 3.2.2)

  Yes

  No

  N/A

• Food handling - skills & knowledge (3 of 3.2.2)

  Yes

  No

  N/A

PREMISES AND HYGIENE

• Cleanliness of premises, fittings, equipment (19 of 3.2.2)

  Yes

  No

  N/A

• Cleaning/sanitising of food contact surfaces (20 of. 3.2.2)

  Yes

  No

  N/A

• Suitability and maintenance of premises, fittings and equipment (21 of 3.2.2 and 3, 10, 11 & 12 of 3.2.2)

  Yes

  No

  N/A

• Temperature measuring device (22 of 3.2.2)

  Yes

  No

  N/A

• Use of "single use" items (23 of 3.2.2)

  Yes

  No

  N/A

• Control of animals and pests (24 of 3.2.2)

  Yes

  No

  N/A

• Water supply adequate and potable (4 of 3.2.3)

  Yes

  No

  N/A

• Disposal of sewage and waste water (5 of 3.2.3)

  Yes

  No

  N/A

• Storage of refuse & recyclable matter (6 of 3.2.3)

  Yes

  No

  N/A

• Adequate ventilation and lighting (7 & 8 of 3.2.3)

  Yes

  No

  N/A

• Storage of personal effects/chemicals (15 of 3.2.3)

  Yes

  No

  N/A

• Adequate toilet facilities (16 of 3.2.3)

  Yes

  No

  N/A

COMMENTS/ACTIONS TO BE TAKEN

• Input additional comments and actions here

FURTHER ACTIONS

• Further Action?

  Nil

  Reinspection

  Letter

  Order/Notice

  Expiation Notice

REINSPECTION DATE

• Select date

  Date

SIGNATURES

• Signature of Proprietor/Staff

  Sign

• Signature of Officer

  Sign