Information
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Audit title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Risk Assessment
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Required Personal Protective Equipment (PPE) for this activity is available and will be used
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NOTE: Do not undertake activity if the required PPE equipment is not available for use - Discuss with your supervisor.
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Risk assessment for this type of activity has been read and understood
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Are there any specific risks identified with the property?
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If yes, list the risk/s and what action will be taken to eliminate/control the risk
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NOTE: If the risk cannot be eliminated/controlled and/or is unsafe, DO NOT undertake the activity - Discuss with your supervisor.
If during the activity risks are identified and it is unsafe to continue, abandon the activity - Discuss with your supervisor.
Inspection details
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Inspection type
- Level 1
- Level 2
- Occupation certificate
- Complaint
- Reinspection
- No fee
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Select date
Food business details
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Trading name
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Proprietor name
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ABN
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Person interviewed
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Contact phone
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Email address
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Food Safety Supervisor
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Certificate Number
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Food Authority Website
http://www.foodauthority.nsw.gov.au/
Inspection findings
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Add media
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Date due
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Add media
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Date due
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Add media
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Date due
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Add media
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Date due
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Add media
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Date due
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Add media
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Date due
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Add media
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Date due
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Add media
Inspection results
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General comments
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Inspection rating
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Further action required
- Nil
- Warning letter
- Improvement Notice
- Prohibition Order
- Penalty Notice
- Other
- Pending
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Reinspection required
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Documents to be submitted to Council
- Food Safety Supervisor certificate
- Business Registration form
- Pest Inspection certificate
Council details
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Name of officer
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Phone: (02) 9911 6555 Fax: (02) 9911 6550 Email: council@canadabay.nsw.gov.au
