Information
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Trading As / Town
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Date / Time of Inspection
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Officer
- Stuart Adkins
- Nadine Buckland
- Victoria Spanovic
- Michelle Rudkin
- Denise Ingram-Hall
- Alison Whitmore
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Premises Address
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Premises Telephone Number
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Mobile Number
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Email Address
Premises
Premises Details
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Opening / Operating Times
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Responsible for Structure
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Head Office
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Ownership
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Food Hazards / Significant Risks
- Vacuum Packing
- MAP
- Open Raw
- Open Ready to Eat
Staff / Customers Details
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Proprietor
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First Language
- English
- Chinese
- Bengali
- Polish
- Punjabi
- Urdu
- Arabic
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Interviewed
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Manager
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Interviewed
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Company Food Safety Manager
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Interviewed
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Accreditation
- British Retail Consortium
- EFSIS
- ISO9000
- Salsa
- Other
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Other
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Number of Staff
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Vulnerable Groups
Premises History
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Outstanding issues
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Previous schedule
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File checked
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Current registration / approval
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Approval Number
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Civica checked
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Previous risk rating
- A
- B
- C
- D
- E
- Unrated
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Extent of trade
- Local
- Regional
- National
- International
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Pest history of premises
- Rats/Mice
- Cockroaches
- Flies
- Ants
- Stored product insects
- Birds / Vertebrates
Product's
Products produced on site
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Number of cows
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Products
Product
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Products
- Past Whole milk
- Past semi-skimmed
- Past skimmed milk
- Raw untreated
- Cream
- Cheese
- Yoghurt
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Volume per day
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Volume
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Shelf life of product
Methods of production / processing
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Methods
- Batch pasteurisation
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Is there any metal detection
Cloths
Cleaning cloths
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Reusable cloths
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Cleaning
- Cold water
- Cold water and bleach / detergent
- Hot water
- Hot water and bleach / detergent
- Washing machine >82
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Disposable cloths
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Details
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Colour coded cloths
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Details
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Are staff trained on washing cloths
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Are clean cloths stored correctly
Training
Staff training
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HACCP Team Members
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Training
Staff Member
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Name
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Training
- Lvl 1 Award Food Safety
- Level 2 Award Food Safety
- Lvl 2 Award in HACCP
- Lvl 3 Award Food Safety
- Lvl 3 Award in HACCP
- Lvl 4 Award Food Safety
- In house training
- SFBB Training
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Certificates
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HACCP Training
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Digital copies
Pre - requisite policies
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Information sources used for HACCP
- MLC
- SFBB
- Consultant
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Glass policy
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Foreign body policy
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Maintenance policy
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Cleaning schedule
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Staff Hygiene policy
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Sickness policy are staff aware
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Use 48 hours clear
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Hand washing
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Hand washing observed
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Hand washing technique acceptable
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Are staff trained / instructed on hand washing
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Customer complaints
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Does the business have a formal complaint system
Pest Control
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Is the premises free from pests
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Pest(s) present on site
- Rats/Mice
- Cockroaches
- Flies
- Ants
- Stored product insects
- Birds / Vertebrates
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Response by FBO
- Nothing
- Contacted contractor
- DIY
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Is there a pest control contract
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Pests listed
- Rats/Mice
- Cockroaches
- Flies
- Ants
- Stored product insects
- Birds / Vertebrates
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Date of last visit
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Company
- Rentokill
- Nottingham Pest
- Ecolabs
- Pest Force
- Target
- Pest Away
- Four Seasons
- Mitie
- Cannon
- Conquer
- Other
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Other provide details
Ingredients and Suppliers
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Reputable Suppliers
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Suppliers audited
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Add media
Customers
Customers
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Vulnerable groups
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Schools
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Retail outlets
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Caterers
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Does the business sell food direct to final consumer
HACCP Assessment - Hazards / CCPs
Identified hazards
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Microbiological and biological
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Chemical
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Physical
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Are hazards based on scientific reasoning
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Have hazards been analysed for likelihood of occurrence
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Potential severity
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Have control measures been identified
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Will control measures control the hazards
Identified critical control points
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How were CCPs identified
- Consultant / MLC
- Decision tree
- Checking process diagram
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Have the correct CCPs been identified
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Have all been identified
HACCP Assessment - Critical limits / Monitoring
Critical limits at CCPs
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Have critical limits been set at each CCP
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Are critical limits measurable
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Refrigeration temperatures
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Cooking temperatures
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Cooling time and temperatures
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Use by date application
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Are staff aware of critical limits set
Monitoring procedures at CCP
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Who is responsible for monitoring
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Are staff provided with instruction on monitoring
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How is monitoring carried out
- Probe thermometer
- Digital display
- Record sheets
- Independent thermometer
- Visual checks
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Is the monitoring frequent to detect loss
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And to take corrective action
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Records
- Cold temperatures
- Cooked temperatures
- Internal Audit
- Hot holding
- Chilling times / temperatures
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Results recorded only when limit exceeded
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Are all monitoring forms completed
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Are records signed off by senior staff
HACCP Assessment - Corrective actions / Verification
Corrective actions
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Who is responsible for taking action
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Are staff aware of corrective actions
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What must be done with unacceptable product
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Are records kept
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Are there any recorded corrective actions
Verification
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What procedure is there to confirm the HACCP works
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Written procedure
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Documents / Charts / Flow Diagrams
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Records checked
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Test results
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Who is responsible for verification
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How often is the HACCP verified
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Are there any records of the checks
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Have critical limits been validated
HACCP Assessment - Documents / Review
Documents and Records
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Are the HACCP procedures adequately documented
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Kept up to date
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Are records adequate
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Retained for the correct period
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Are staff instructions adequate
Review
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Is the HACCP system reviewed
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Is the review documented
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How are changes to processes monitored
General HACCP Assessment
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Hazards identified
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CCPS identified
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Critical limits established
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Monitoring procedures in place
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Corrective actions established
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Verification procedures in place
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Documents and records kept
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Adequate staff training
General Food Law
Imported Food
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Does the business import food
Traceability
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Supplier lists
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Is this information available to FSA or CBC
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Any food placed on market is adequately labelled
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Supplying to other business
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Is there a system to identify these businesses
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Withdrawal/Recall and notification
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Is there a procedure to withdraw hazardous food from the market
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Is CBC listed as primary contact for health risk issues
Structural Requirements
Layout / Design / Construction
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Room
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Location
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Is structure free from disrepair
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Open food room
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Floor
- Altro
- Linoleum
- Quarry tile
- Stone tile
- Laminate
- Other
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Details
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Wall
- Painted plaster
- Ceramic tiles
- Plastic cladding
- Stainless steel cladding
- Other
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Details
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Ceiling
- Painted plaster
- Suspended ceiling
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Windows
- UPVC
- Painted wood
- Painted metal
- N/A
- Bare wood
- Metal
- Varnish finish
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Fly screen(s) present
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Doors
- UPVC
- Painted wood
- Painted metal
- N/A
- Bare wood
- Metal
- Varnish finish
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Fly screen(s) present
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Is there an adequate number of WHB suitably located
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Available at WHB soap, hot / cold water/ hygienic hand drying
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Equipment surface
- Melamine
- Stainless steel
- Bare wood
- Other
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Details
Fridges / Freezers
Fridges and Freezers
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Fridges
Fridge
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Location / Condition
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Picture
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Is the unit running at the right temperature
Freezer
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Location / Condition
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Picture
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Is the unit running at the right temperature
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Temperature monitoring equipment
- Probe
- Display
- Gauge
- IR
- None
- Food Substitute