City of Busselton Mobile Food or Low Risk Inspection Report

• Site conducted

  Select

• Name

• Vehicle registration

• Registration certificate available

  Yes

  No

• Date

  Date

• Risk rating

  Low

  Medium

  High

  Exempt

• Prepared by

• Premises Address
  Address

• INSTRUCTIONS
  
  1. Please answer "Compliant", "Non-Compliant" or "N/A" on the questions below.
  2. Add Photos and Notes by clicking on the Paperclip icon
  3. To add a Corrective Action click on the Paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link
  

Transportation and storage

• Protection from contamination

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Temperature control of PHF

  Compliant

  Non-Compliant

  Not Observed

  N/A

Display and temperature control

• Thermometer available

  Compliant

  Non-Compliant

  N/A

• Display - Protection from contamination

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Display - Temperature control of PHF incl. frozen

  Compliant

  Non-Compliant

  Not Observed

  N/A

Packaging and labelling

• Appropriate materials and labels

  Compliant

  Non-Compliant

  Not Observed

  N/A

Handwashing and cleaning facilities

• Sufficient water

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Hand sanitiser

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Waste water disposal

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Adequate handwashing facilities

  Compliant

  Non-Compliant

  Not Observed

  N/A

Stall setup

• Sufficient tables/benches

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Suitable Surfaces

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Stall adequately secured

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Ground/floor surface suitable

  Compliant

  Non-Compliant

  Not Observed

  N/A

• Stall structure enclosed if required

  Compliant

  Non-Compliant

  Not Observed

  N/A

Completion

• General Comments

• Assessed by: (Officer's Name and Signature)

  Sign

• Manager/Staff: (Staff Name and Signature)

  Sign