Title Page
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Conducted on
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Proprietor
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Application Number
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ABN Number
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Trading Name
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Location
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Officers
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Food Safety Supervisors Name
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Food Safety Supervisors Certificate Number
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Interviewee
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Interviewees Position
A. Demonstration of Food Safety Knowledge
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1. Is there a Food Safety Supervisor in place
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2a. The relevant person can demonstrate that correct use of the thermometer to measure temperature of PHU food being stored or displayed
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2b. What temperature must cold potentially hazardous food be kept at
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2c. Does the interviewee know cold PHF required temperature?
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3a. Does the food business sanitise food contact surfaces of equipment?
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3b. If yes, what method is used?
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4. There are adequate written instructions for staff to follow when diluting and applying sanitiser? These may be found on level, MSDS, other information sheet or in house instructions
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5. The relevant person can demonstrate correct dilution of chemical sanitiser (and confirmation of the dilution?
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6. The business can demonstrate correct application and use of sanitiser?
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7. Can the interviewee explain cross contamination?
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8. Can the interviewee explain the difference between cleaning and sanitising?
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The business process food using the following equipment
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Meat Slicer
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Cling Wrap Dispenser
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Vacuum Sealer
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Knife and Cutting Board
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10. The relevant person can demonstrate effective sanitising of the specific equipment above
B. Processing and Activities
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11. Is meat or cheese sliced or cut onsite?
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12. Is meat or cheese opened from packaging and sliced in advance?
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13. How long is sliced meat or cut cheese kept between slicing (removing from packaging) and time of sale?
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14. How is traceability of opening/slicing of meat or cheese on display maintained?
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15. How is 'First In/ First Out' (FIFO) of meat and cheese managed?
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16. Have a staff member demonstrate hand washing. Was this done correctly?
C. Review of Cleaning and Sanitising Conditions
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17. Is the premises visibly clean:
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Display Cases- sliding Windows, front window, rear benches, internal area
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Floors, drains, walls, splashbacks
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Exhaust canopies, air-conditioning vents, ceiling
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Sinks, drying and storage racks
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Preparation benches
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Waste bins (and are liners in place)
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Is there adequate cleaning equipment, is cleaning equipment clean, does it pose no contamination risk
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Are chemicals used in accordance with manufacturers instructions: correct product labelled in spray bottles, diluted prior to use, no holes cut in containers, no unlabelled spray bottles
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Are hand washing facilities accessible and used solely for hand washing? Are they clean and supplied with soap, warm water and drying facilities?
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Is the delicatessen preparation equipment clean? Slicer, knives, trays and bowls, cutting boards, cling wrap machines, scales, vacuum pack machines, other utensils?
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Are temperature probes working, clean, undamaged and easily located?
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Is the coolroom clean with no heavy buildup, including walls, floors, ceiling, fan unit, doors, racking?
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Are light covers in place and undamaged? Are insect units clean, in working order and not above food preparation areas?
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D. Food Safety Culture
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1. How highly do you think food safety is ranked in the business? ( compared to profit, brand recognition, export opportunities)
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1a. Briefly describe who leads food safety in the business? (eg what positions/levels)
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1b. How do these leaders show that food safety is important? (eg meetings, regular rounds with staff, formal inspections etc)
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2a. Do all employees understand what is expected of them in food safety performance? Please explain
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2b. Are they held responsible for food safety? Please explain.
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3a. What kind of food safety training is available fir staff? (eg induction training, on the job learning, mentoring, courses)
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3b. How do you know if this is enough for people to do what they know?
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4. What food safety information is recorded and how is it recorded?
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5. What is done with this information?
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6. How are food safety problems and complaints addressed? Please give an example of how things were changed after a problem came up?
Food Safety Questionaire - Questions for Staff
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1. How highly do you think food safety is ranked in the business? ( compared to profit, brand recognition, export opportunities)
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2. Briefly describe who encourages food safety in the business and how (eg managers/supervisors/co-workers, through meetings/presentations/informal chats/formal inspections etc)
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3. Do your co-workers understand what is expected of them to make sure safe food is produced? Please explain.
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4. Do you know who is responsible for food safety in your workplace? (eg managers/supervisors/everyone etc) Please explain.
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5. Do you think you can get all of the food safety training you need to do your job well? Why/why not?
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6a. What food safety information is recorded in the workplace and how is it recorded?
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6b. What is done with this information?
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7. Has anything changed after a food safety complaint or problem has come up? Is so, please give an example.
E. Food Business Score
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Operational performance
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Skills and knowledge
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Cleanliness of premises and equipment
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Sanitisation of equipment
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Temperature control
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Construction and pest management
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Score
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Process Control
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Cleaning/Sanitising
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Meat and cheese supplier identifiable/traceable
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Meat and cheese stored under temperature control
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Delivery temperatures, condition of delivery and used by dates checked
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Cut meats and cheeses displayed under temperature control
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FIFO system in place
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Receiving of product
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Control of time product is held after opening/portioning
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Microbiological Results
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Boot Swabs: floor near cabinet, coolroom
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Slicers
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Bench around slicer
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Display cabinet door (including rails and handles)
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Cling wrap dispenser
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Utensils (tongs, spoons)
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Cutting boards
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Scales
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Coolroom (composite shelves, door, cooling unit)
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Wash up sink
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Food sliced in house (up to three samples)
Operational Performance
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The combined score will be used to determine a category
F. Factsheets
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Identify the fact sheets that have been supplied to the proprietor of the food business (and irrelevant note if a translated version was supplied in which language):
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Food Safety Supervisor
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Cleaning and Sanitising
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Sanitising of Equipment
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Temperature Control
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Health and Hygiene of Food Handlers
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Handwashing
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Pest Control
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Other