Title Page
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Conducted on
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Prepared by
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Location
Documentation
Food Safety Collection Forms
HR
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Is the Food Quality Complaint form available and completed by employees?
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Is the Pre-employment Questionnaire available and completed by employees?
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Is the Staff Agreement to report illness available and completed by all employees ?
HS
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Is the record of the visit by an official from a regulatory authority available?
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Is the report for Alleged Food Poisoning available?
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Is the report for complaint of Foreign Material in food available?
Miscellaneous Forms
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Is the record for First Aid Checklist available and up-to-date?
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Is the Insectocutor Maintenance Log Form available and up-to-date?
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Is the Pest Sighting Form available and up-to-date?
1.4 HACCP Forms to collect
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Is the Fridge Freezer temperature monitoring form available and up-to-date?
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Is the record form for Food Received available and up-to-date?
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Is the record form for Fruit and Vegetable Sanitization available and up-to-date?
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Is the record form for Cooking Monitoring available and up-to-date?
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Is the record form for Cooling/ Blast Chilling available and up-to-date?
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- No
- N/A
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Is the record form for reheating monitoring available and up-to-date?
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Is the log sheet of Used Frying Oil available and up-to-date?
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Is the record form for product traceability available and up-to-date?
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Is the record form for packing monitoring available and up-to-date?
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Is the record form for meals samples available and up-to-date?
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Is the Probe Test according to temperature standards
1.5 Cleaning forms
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Are TIS of cleaning and sanitizing products available?
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Are all cleaning procedures displayed in pertaining areas
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Are all 17 cleaning forms available and up-to-date?
1.6 Other Documentation
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Is the good hygiene practices notice displayed in the staff entrance area?
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Is the essentials for food delivery notice displayed in the receiving area?
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Is the Visitors Sign-in and Out record available and up-to-date?
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Are Food Supplier Questionnaires available and up-to-date?
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Are Food Contact Material Questionnaires available and up-to-date?
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Is the Approved Supplier list available and up-to-date?
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Is the Blacklisted Supplier list available and up-to-date?
Pre-requisites
Maintenance Documents
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Are preventative maintenance agreements available?
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Are calibration tests certification available?
Training
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Are any food safety related training records available?
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Are food handling licenses available for all food handlers?
Waste
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Are oil collection records available?
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Is the agreement with waste control contractor available?
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Is the latest report available for the fat and grease test result ?
Microbiology
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Is the Sampling Plan available and up-to-date?
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Are microbiology tests reports available and up-to-date?
Pest Control
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Is the agreement available, signed, and does it include frequencies of visits and types of treatments to be performed?
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Is Bait Plan (updated) available?
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Are MSDS of pesticides used available?
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Are Pest Control reports for visits/treatments available?