• Food business name

  • Proprietor/company

  • ABN

  • Vehicle registration number where applicable

  • Postal address

  • Phone number

  • Email

  • Date and time of audit

  • Conducted at


  • Food business notified to the NSW Food Authority, if so what is business notification number

  • Food business registered with their local Council. If so provide details

  • All food handlers have adequate skills and knowledge to handle food safely

  • Food Safety Supervisor appointed to business, where applicable.

  • Copy of FSS available where required

  • Notes

  • Photographs if necessary

Source of food

  • Is all food prepared on site at event

  • If prepared off site where was food prepared

  • If other please provide details

  • Address/es where food prepared (if off site)


  • Food transport vehicle licenced by NSW Food Authority

  • Food transport vehicle is in a clean and hygienic condition?

  • Potentially hazardous foods (PHF) are transported under temperature control

  • No animals have access to food storage areas of vehicle ?

  • Photographs where necessary

Design and construction of stall/van/trailer

  • Food stall or van is fitted with a roof and is enclosed on three sides

  • Floor has been provided and is able to be effectively cleaned

  • Walls have been provided and are able to be effectively cleaned

  • A physical barrier i.e. sneeze guard is installed in front of all cooking, storage and preparation areas

  • Adequate storage space for all items

  • Potable water supplied to site

  • Suitable waste water storage facility provided

  • In date first aid kit provided

  • Electrical and gas services where provided are properly installed

  • If required is an in date fire extinguisher and/or fire blanket provided

  • Notes

  • Photographs where necessary

Protection of food

  • Food is stored a minimum of 150mm off the floor

  • Food is stored in food grade containers

  • Sufficient utensils available to avoid cross contamination

  • Disposable eating utensils, drinking straws etc are stored in dispensers and protected from contamination

  • Appropriately sized disposal gloves available

  • There are defined procedures for staff when handling food and money etc to ensure cross contamination avoided?

  • Food is protected from cross contamination during storage, preparation and display

  • Food tasting areas are fully supervised?

  • Food grade packaging provided

  • Separate storage facilities provided for chemicals and personal belongings

  • Food handlers wearing clean outer clothing

  • No evidence of smoking on site

  • Notes

  • Photographs where necessary

Washing facilities

  • Hand wash facilities are provided and located within the stall

  • Hand wash basin is supplied with warm running water, liquid soap and disposable paper towels

  • Additional hand sanitiser provided

  • Utensil/equipment washing facilities are provided and located within the stall

  • Utensil/equipment washing facilities are provided with warm water, detergent and commercial sanitizer

  • Notes

  • Photographs where necessary

Cleaning and Sanitising

  • Premises, equipment and food contact surfaces are in a clean and sanitary condition

  • Food grade sanitiser provided

Temperature control

  • Accurate digital probe thermometer or similar provided to stall ?

  • PHF are processed correctly i.e. Thawed, no contamination risk

  • Hot food stored at or above 60 degrees Celsius

  • Cold food stored at or below 5 degrees Celsius


  • Equipment in a good state of repair and working order

  • Suitable garbage and recycling receptacles are provided and arrangements made for frequent removal of garbage and recyclable materials

  • Food labelling complies with Food Standards Code

Inspection findings

  • Further Action

Information required to be provided to Council

  • If other please provide

Sign off

  • Owner/Employee name & signature

  • Authorised Officer

  • Authorised Officer signature

  • NB: This Assessment Report contains findings from date/time of inspection only

  • Contact details for Bega Valley Shire Council are
    Office address Zingel Place Bega,
    Postal address PO Box 492 Bega NSW 2550 ,
    Telephone 02 64992222 ,
    Facsimile 02 64992200 ,

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.