City of Canada Bay - Food Premises Assessment Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Inspection details

• Inspection type

  Select Level 1 Level 2 Occupation certificate Complaint Reinspection No fee

  • Level 1
  • Level 2
  • Occupation certificate
  • Complaint
  • Reinspection
  • No fee

• Select date

  Date

Food business details

• Trading name

• Proprietor name

• ABN

• Person interviewed

• Contact phone

• Email address

• Food Safety Supervisor

• Certificate Number

Inspection findings

• Date due

  Date

• Date due

  Date

• Date due

  Date

• Date due

  Date

• Date due

  Date

• Date due

  Date

• Date due

  Date

Inspection results

• General comments

• Inspection rating

  Satisfactory

  Unsatisfactory - Non-critical fail

  Unsatisfactory - Critical fail

• Star rating

  Yes

  No

  Not applicable

• Further action required

  Select Nil Warning letter Improvement Notice Prohibition Order Penalty Notice Other Pending

  • Nil
  • Warning letter
  • Improvement Notice
  • Prohibition Order
  • Penalty Notice
  • Other
  • Pending

• Reinspection required

  Yes

  No

Council details

• Name of officer

  Josh Bradshaw

  Megan Davenport

  Nerisha James

  Charlee Law

• Phone: (02) 9911 6555 Fax: (02) 9911 6550 Email: council@canadabay.nsw.gov.au