• Stall number/food business name

  • Proprietor/company

  • Conducted on

  • Phone number

  • Email

  • Trading Location
  • Postal address

Preparation of food

  • Food pre prepared for food stall

  • If yes, location of kitchen where food is prepared

  • Address of food premises where food is prepared

Food Safety Supervisor

  • Food Safety Supervisor

  • Certificate Number

  • Add media


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

Design and construction

  • The stall is fitted with a roof and three sides

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

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

Protection of food

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

  • Food is stored in food grade containers

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

  • Procedures for staff when handling food and money etc

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

  • Separate storage facilities provided for chemicals and personal belongings

Washing facilities

  • Hand wash basin is provided and located within the stall

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

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

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

  • Food safe sanitiser available and correctly used

Temperature control

  • Digital probe thermometer 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


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

  • 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 labeling complies with Food Standards Code

Inspection findings

  • Further Action

I have read this report and understand the contents

  • Authorised Officer signature

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

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.