Title Page
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Conducted on
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Prepared by
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Location
Management & Documentation
Managing Visitors & Contractors
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Visitors and contractors told to sign in using the Monitoring Module
Compliance Centre
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Authorised persons know their Compliance Centre login details
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Authorised persons know how to operate the Compliance Centre
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Audit Module was being used by the site
Helpline
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Management aware of Helpline
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Food poisoning incidents reported to Helpline
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Foreign body incidents reported to Helpline
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Official officer visits reported to Helpline
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Accidents reported to Helpline
Monitoring Module Record (H&S)
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Weekly checks complete
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Monthly checks complete
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Monthly internal audit complete
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Monthly H&S Compliance Review complete
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Quarterly training review complete
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Six monthly checks complete
Monitoring Module Records (Food Safety)
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Delivery temperature Monitoring Module records complete
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Morning checks (pre-12pm) Monitoring Module records complete
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Afternoon checks (12pm-4pm) Monitoring Module records complete
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Evening checks (4-12PM) Monitoring Module records complete
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Late night checks (12pm-4am) Monitoring Module records (if applicable) complete
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Weekly food safety review complete
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Monthly food safety compliance review complete<br>
Chemical Control
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Staff able to locate completed COSHH risk assessment for approved chemicals
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Control measures listed in risk assessments followed
Risk Assessments - Statutory
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'Young Workers' risk assessment (where applicable) in place and sufficient
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'New and Expectant Mothers' risk assessment/policy in place and sufficient
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Control measures listed in risk assessments followed
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Risk assessments reviewed regularly
Risk Assessments - Work Practices
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Control measures listed in the Lone Working risk assessment followed
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Control measures listed in the Banking and Transit of Cash risk assessment followed
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Control measures listed in the Violence to Colleagues risk assessment followed
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Control measures listed in the Agency Workers & Temporary Colleagues risk assessment followed
Risk Assessments - Management
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Risk assessments reviewed regularly
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RA's adopted at site level
Asbestos Control
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'Managing Asbestos' Register in place and sufficient
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Action points completed
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Responsible person was confident if asbestos present on site
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Identified asbestos suitably managed
Registry Module Items
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Registry Module was being used by the site
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Gas safety certification in date/action points in progress
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PAT testing record in date/action points in progress
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Electrical installation inspection in date/action points in progress
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Kitchen duct cleaning in date/action points in progress<br>
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Air con units/cooling towers clean/filters changed
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Duty of Care Waste Carriers Licence
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Boiler service report in date/action points in progress
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Legionella Risk Assessment in place and sufficient
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Employers Liability Compulsory Insurance Certificate in date
Fire Safety Management System Documentation
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Fire risk assessment in place and sufficient
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Fire risk assessment actions completed/signed off
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Testing of annual fire system in place and sufficient
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Testing of emergency lighting (External Contractor - annually) in place and sufficient
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Testing of fire fighting equipment in place and sufficient
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Fire suppression (Ansul) system check (where applicable) in place and sufficient
Food Safety Management System Documentation
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Documented Food Safety Management System available on site
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Current Recipe Manual available
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Medical health questionnaire in place and sufficient
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Return to work medical health questionnaire in place and sufficient
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The Shield Safety Group FSMS was adopted at site level
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Responsibilities signed by relevant employees detailed in FSMS
Health & Safety Management System Documentation
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The Health and Safety Policy Statement is on display
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Roles and responsibilities signed by relevant employees
Pest Control Documentation
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Pest control records in place and sufficient
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Pest control company advice followed
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Pest control bait plan in place and sufficient
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Insecticide/rodenticide COSHH data in place and sufficient
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EFK bulbs changed annually
Signs & Posters
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HSE Health and Safety poster present
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HSE Health and Safety poster complete
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Copy of Employers Liability Compulsory Insurance Certificate to view
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Premises license on display (if applicable)
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Fire marshals named on signage
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Appointed persons/first aiders indicated on signage
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No smoking signage visible
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Signage obstructed
First Aid Kit
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Control measures listed in the Providing First Aid risk assessment followed
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First aid kit(s) available
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First aid kit fully stocked
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First aid kit contains creams, tablets or sprays
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First aid kit contains blue plasters for food handlers
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Items in first aid kit are in date
Training Records - Health & Safety
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Health and safety awareness training records in place and sufficient
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Level 2 health and safety training records in place and sufficient
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Appointed Person training records (Manager) in place and sufficient
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Manual handling training records in place and sufficient
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COSHH training records in place and sufficient
Training Records - Food Safety
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Food hygiene awareness training records in place and sufficient
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Level 2 food safety training records in place and sufficient
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Allergen awareness training records in place and sufficient
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Adequate levels of food safety training noted on site
Training Records - Fire Safety
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Fire awareness training records in place and sufficient
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Fire marshal training records (Manager) in place and sufficient
Staff Interview & Observations
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Staff aware of fire safety arrangements
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Staff aware of accident reporting procedure
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Staff carry out positive manual handling practices
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Staff with strong understanding of food safety
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Staff with strong understanding of allergy information/procedures
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No evidence of staff smoking in non permitted/unauthorised areas
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Are there any major concerns in food safety noted
Structure & Environment
Walls
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Walls are in good condition
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Glass in good condition and not smashed or cracked
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Wall paint in good condition
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Wall covering/material suitable for food rooms
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Hand rail to steps present
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Hand rail to steps not faulty
Floors
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Control measures listed in Slips, Trips and Falls risk assessments followed
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Floor in good condition
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Floor level changes clearly marked
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Floor level change is appropriate and does not require any structural work
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Worn steps are repaired or replaced
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Edging to steps clearly marked or painted
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Non-slip surface required on floor/steps in place and sufficient
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Floor not considered slippery when wet
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Spillages to floors/steps dealt with appropriately
Housekeeping & Environment
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Cables are neat and tidy
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Good general housekeeping evident
Ceilings
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Ceiling in good condition
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Ceiling tiles all present
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Ceiling vents and covers all present
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Ceiling paint in good condition
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Padding/signage present for low ceilings
Environmental Conditions
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Adequate levels of lighting
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Diffuser covers on strip lighting (in food areas) all present
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Bulbs working (posing a risk to health and safety)
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Adequate drainage
Structural Pest Control
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No evidence of rodent infestation
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No evidence of insect/fruit fly infestation
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Pest proofing adequate
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Electric Fly Killer (EFK) present
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Bristle strip to external door in place and sufficient
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No potential sources of harbourage for pests
Fire Safety Structure
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Fire escape route(s) clear and not obstructed
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Fire door(s) clear and open/close freely
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No internal fire door(s) propped/wedged open
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Signage to alarm call points/equipment present
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Fire signage not obstructed
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Adequate amount of fire evacuation notices
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Content of fire evacuation notice adequate
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Adequate storage of combustible materials
Maintenance Areas
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Plant room door locked
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Boiler Room door locked
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Access to electrical areas restricted
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Access to loft/roof is restricted
Staff Facilities
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Storage area for staff belongings
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Staff belongings stored away from working areas
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Lockers available and in good condition
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Stock stored in staff room
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Designated staff smoking area/area untidy
Staff Toilets
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Staff toilets in good condition
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Staff toilets are clean
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Soap available in staff toilets
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Soap in dispenser in staff toilets
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Paper towels/air dryer available in staff toilets
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Paper towels in dispenser in staff toilets
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Toilet paper in toilets
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'Wash your hands' signs in staff toilets
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No damaged/broken mirror in toilets
External Refuse Disposal
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Control measures listed in Emptying Bins risk assessments followed
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Bin area clean
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Bin lids closed
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Bin lids present and in good condition
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Sufficient bin collections
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Floor area even and in good condition
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Adequate lighting (evenings)
External Refuse Disposal - Compactor
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The waste compactor was adequately managed
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Key not left in waste compactor
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Emergency stop button/interlocking mechanism working
Electrical Safety
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Control measures listed in Electrical Equipment risk assessments followed
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Emergency shut off/isolation switches clearly signed/ labelled
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Emergency shut off valve adequate and not obstructed
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No damaged electrical equipment
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No damaged electrical wiring
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Plug sockets/adaptors not overloaded
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Correct plug adaptors in use
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Electric fuse box access restricted
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Electric cupboard/plant rooms locked
Gas Safety
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Control measures listed in Gas Safety risk assessments followed
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Emergency gas shut off clearly signed/labelled
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Emergency gas shut off valve adequate and not obstructed
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Gas Cylinders (Propane etc.) correctly stored
Customer Care - Internal Areas
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Straps on high chairs in good condition (if Chopstix/ Yangtze owned)
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Babies bottles (not Policy to do so)
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Customer area tidy (if Chopstix/ Yangtze owned)
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Furniture not damaged or worn (if Chopstix/ Yangtze owned)
Customer Care - External Areas
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External area not damaged/worn
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External area clean
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External canopy or signage clean
Work Practices
Temperature Probe
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Working temperature probe
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Probe test completed correctly
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Probe cleaned between uses
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Probe wipes available
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Probe wipes were not dry
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Probe not damaged
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Probe stored correctly
Delivery
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Only approved suppliers used
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Chilled/frozen deliveries put away within 30 mins
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Delivery procedures suitable
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Good structural condition of loading area
Personal Hygiene
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Food handlers hands in good condition
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Food handlers do not wear jewellery/watches
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Hats worn
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Uniform is clean
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Suitable footwear
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Food handlers not ill/show signs of food poisoning
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Long hair tied up
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Food handlers shaven
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Staff use gloves if appropriate
Wash Hand Basins
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Wash hand basin
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Wash hand basin obstructed
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Adequate number of wash hand basins
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Wash hand basin ideally situated
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Wash hand basin is clean
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Staff not using whb for food/utensils
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Hot water to wash hand basin
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Hot water tap not damaged/broken
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Cold water to wash hand basin
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Cold water tap not damaged/broken
Hand Washing
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Hand soap to whb
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Paper towels to whb
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Staff washing hands when required
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Staff washing hands correctly
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Staff not washing hands in food wash sink
Physical Contamination
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No pins on notice board in kitchen/storage
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Staff not wearing clothing with pockets (if presents a risk)
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Electric Fly Killer (EFK) positioned appropriately
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No glass stored in food preparation area
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Empty containers stored correctly
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Chopping boards not worn or damaged
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No damaged equipment/kitchen work surface
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Food covered
Cleaning - Floors
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No evidence of grime/dirt to floor
Cleaning - Walls
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No evidence of grime/dirt to walls
Cleaning - Ceiling
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No evidence of grime/dirt to ceiling
Cleaning - Surfaces
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No evidence of grime/dirt to surfaces
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Hand contact surface cleaned/sanitised
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Food contact surface cleaned/sanitised
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Food contact items washed correctly
Cleaning - Equipment
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Hot water for cleaning activities
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No evidence of grime/dirt to equipment
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Access to areas restricted due to fixed equipment
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Multi stage cleaning process in use
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Staff aware of sanitiser contact time
Ventilation
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Control measures listed in Changing Grease Filters risk assessments followed
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Adequate ventilation
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Extraction grease filters clean
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Ventilation canopy clean
Cleaning Materials
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Control measures listed in Using Cleaning/Cleaning Materials risk assessments followed
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No insufficient or damaged cleaning cloths
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Sanitiser spray in use with correct concentration
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No dirty cloths being used
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Adequate cleaning schedule
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Cleaning schedule followed
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Cleaning records complete
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Cleaning equipment stored correctly
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Colour coded cleaning equipment used
Chemical Control
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No risk of food contamination by chemicals
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PPE in place and sufficient
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PPE in good condition or clean
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Chemicals stored appropriately
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Chemical stored in marked containers
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Only approved chemicals in use
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Chemicals stored in lockable cupboard
Cooking, Reheating & Hot Holding
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Food cooked/reheated above 75°C (or equivalent time/temp combination)
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Food hot held above 63°C
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Food being cooked/reheated prior to hot holding
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No evidence of food being reheated more than once
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Food discarded after 2 hours of hot holding (if dropped below 63°C)
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Hot held food adequately protected
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Hot held food being replenished appropriately
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High-risk food not held for longer than 4 hours out of refrigeration
Defrosting
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Defrosting foods adequately covered
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Correct defrosting method used
Date Labelling
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No unfit food noted
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Product within use by date
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Product within best before date
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Product within in-house date label
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Date label on all products
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Open products labelled
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Product shelf life not exceeding stipulated durability on company Shelf Life Chart
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Evidence of good stock rotation (FIFO)
Dry Good Storage
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Product stored off the floor
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No open bags and lids on products
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Dry goods area stocked appropriately
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Open sauces stored seperately from dry storage area
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Racking suitable
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Racking in good condition
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Sufficient storage space
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Items stored below shoulder height
Refrigerated Storage
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Refrigerator/display unit operating at or below 5°C
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Refrigerator/display unit operating at or below 8°C
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Refrigerator/display unit not overloaded
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Refrigeration unit clean
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Door seals clean and in good condition
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Product stored off the floor
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Product stored covered
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Product appropriately stacked
Refrigerated Storage Equipment
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Control measures listed in Walk-in Chiller and Freezer risk assessments followed
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No damaged/missing fridge(s) handles
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No damaged/missing fridge(s) seals
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No evidence of rust to refrigerator
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No damaged or rusting shelving
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Condenser clean and not blocked
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No items stored on top of cold room/refrigerator
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Coldroom opening/closing mechanism in good condition
Frozen Storage
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Freezer operating at or below -18°C
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Frozen product colder than -12°C
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Freezer unit not overloaded
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Door seals clean and in good condition
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Freezer unit clean
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Product stored off the floor
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Product stored covered
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Product appropriately stacked
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Freezer defrosted regularly and no build up of ice
Frozen Storage Equipment
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Control measures listed in Walk-in Chiller and Freezer risk assessments followed
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No damaged or missing freezer(s) handles
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No damaged or missing freezer(s) seals
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No evidence of rust to freezer
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No damaged or rusting shelving
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Condenser clean and not blocked
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No items stored on top of freezer
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Freezer opening/closing mechanism in good condition
Food Transportation
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Transported foods protected from risk of contamination
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Adequate procedures for transporting hot food
Manual Handling
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Control measures listed in the Manual Handling risk assessments followed
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Manual handling or lifting aids in good repair
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Delivery cages/trolleys not overloaded
Working at Height
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Control measures listed in Ladders/Work at Height risk assessments followed
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Ladders damaged/in good condition
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Kickalongs in good condition
Knives & Sharp Equipment
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Correct storage of knives/sharp equipment
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Knives used/sharpened/cleaned safely
Burns & Scalds
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Oil changing procedures sufficient
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Good management of hot pans/moving of pans or trays/positioning of pan handles
Ice
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Ice machine clean/well maintained
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No ice/pooling water around machine
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Ice scoop not stored in machine/storage area
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No glass stored around machine
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No items stored in ice
Allergens
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Allergens separate in food storage area
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Allergen poster on display to staff
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Allergen info signposted to customers
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Staff with strong understanding of allergy information/procedures