Title Page
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Business Name
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Manager/proprietor
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Premises address
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Business number
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Reference number
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Conducted on
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Officer
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Type
Recieving
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1. Protection from Contamination (5(1) of 3.2.2)
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2. Identification/Traceability of food (5(2) of 3.2.2)
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3. Temperature control of PHF (5(3) and (4) of 3.2.2
Storage
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4. Protection from contamination (6(1)(a) of 3.2.2)
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5. Appropriate environmental conditions (6(1)(b) of 3.2.2)
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6. Temperature control of PHF inc frozen (6(2) of 3.2.2)
Processing
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7. Safe and suitable food (7(1)(a) of 3.2.2
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8. Protection from contamination (7(1)(b)(i) of 3.2.2
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9. Adequate cooking/processing (7(1)(b)(ii) of 3.2.2
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10. PHF out of temp. Control for min.time (7(2) of 3.2.2)
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11. Cooling of PHF (7(3) of 3.2.2)
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12. Reheating of PHF (7(4) of 3.2.2)
Display
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13. Protection from contamination (8(1),(2),(3) & (4) of 3.2.2)
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14. Temperature control of PHF incl. frozen (8(5 of 3.2.2)
Packaging
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Appropriate materials and process (9 of 3.2.2)
Transportation and Distribution
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16. Protection from contamination (10(a) of 3.2.2)
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17. Temperature control of PHF (10(b) & (c) of 3.2.2)
Recalls/Food Disposal
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Food for disposal not sold/recall process (11,12 of 3.2.2)
Health, Hygiene & Knowledge
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19. Health of food handlers - responsibilities (14 of 3.2.2)
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20. Hygiene of food handlers - responsibilities (13, 15 of 3.2.2)
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21. Food business - responsibilities (16,18 of 3.2.2)
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22. Adequate handwashing facilities (17 of 3.2.2 and 14 of 3.2.3)
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23. Food handling - skills & knowledge (3 of 3.2.2)
Premises and Hygiene
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24. Cleanliness of premises, fitting, equipment (19 of 3.2.2)
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25. Cleaning/ sanitising of food contact surfaces (20 of 3.2.2)
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26. Suitability and maintenance of premises, fittings and equipment (21 of 3.2.2 and 3,10,11 & 12 of 3.2.3)
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27. Temperature measuring device (22 of 3.2.2)
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28. Use of “single use” items (23 of 3.2.2)
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29. Control of animals and pests (24 of 3.2.2)
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30. Water supply adequate and potable (4 of 3.2.3)
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31. Disposal of sewage and wastewater (5 of 3.2.3)
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32. Storage of refuse and recyclable matter
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33. Adequate ventilation and lighting (7 & 8 of 3.2.3)
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34. Storage of personal effects/chemicals (15 of 3.2.3)
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35 Adequate toilet facilities (16 of 3.2.3)
Further Action & Assessment Completion
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Further Action
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Reinspection date
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Officer Signature
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Officer Contact Number
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Proprietor/Staff Signature