Title Page

  • Conducted on

  • Proprietor

  • Application Number

  • ABN Number

  • Trading Name

  • Location
  • Officers

  • Food Safety Supervisors Name

  • Food Safety Supervisors Certificate Number

  • Interviewee

  • Interviewees Position

A. Demonstration of Food Safety Knowledge

  • 1. Is there a Food Safety Supervisor in place

  • 2a. The relevant person can demonstrate that correct use of the thermometer to measure temperature of PHU food being stored or displayed

  • 2b. What temperature must cold potentially hazardous food be kept at

  • 2c. Does the interviewee know cold PHF required temperature?

  • 3a. Does the food business sanitise food contact surfaces of equipment?

  • 3b. If yes, what method is used?

  • 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

  • 5. The relevant person can demonstrate correct dilution of chemical sanitiser (and confirmation of the dilution?

  • 6. The business can demonstrate correct application and use of sanitiser?

  • 7. Can the interviewee explain cross contamination?

  • 8. Can the interviewee explain the difference between cleaning and sanitising?

  • The business process food using the following equipment

  • Meat Slicer

  • Cling Wrap Dispenser

  • Vacuum Sealer

  • Knife and Cutting Board

  • 10. The relevant person can demonstrate effective sanitising of the specific equipment above

B. Processing and Activities

  • 11. Is meat or cheese sliced or cut onsite?

  • 12. Is meat or cheese opened from packaging and sliced in advance?

  • 13. How long is sliced meat or cut cheese kept between slicing (removing from packaging) and time of sale?

  • 14. How is traceability of opening/slicing of meat or cheese on display maintained?

  • 15. How is 'First In/ First Out' (FIFO) of meat and cheese managed?

  • 16. Have a staff member demonstrate hand washing. Was this done correctly?

C. Review of Cleaning and Sanitising Conditions

  • 17. Is the premises visibly clean:

  • Display Cases- sliding Windows, front window, rear benches, internal area

  • Floors, drains, walls, splashbacks

  • Exhaust canopies, air-conditioning vents, ceiling

  • Sinks, drying and storage racks

  • Preparation benches

  • Waste bins (and are liners in place)

  • Is there adequate cleaning equipment, is cleaning equipment clean, does it pose no contamination risk

  • 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

  • Are hand washing facilities accessible and used solely for hand washing? Are they clean and supplied with soap, warm water and drying facilities?

  • Is the delicatessen preparation equipment clean? Slicer, knives, trays and bowls, cutting boards, cling wrap machines, scales, vacuum pack machines, other utensils?

  • Are temperature probes working, clean, undamaged and easily located?

  • Is the coolroom clean with no heavy buildup, including walls, floors, ceiling, fan unit, doors, racking?

  • Are light covers in place and undamaged? Are insect units clean, in working order and not above food preparation areas?

D. Food Safety Culture

  • 1. How highly do you think food safety is ranked in the business? ( compared to profit, brand recognition, export opportunities)

  • 1a. Briefly describe who leads food safety in the business? (eg what positions/levels)

  • 1b. How do these leaders show that food safety is important? (eg meetings, regular rounds with staff, formal inspections etc)

  • 2a. Do all employees understand what is expected of them in food safety performance? Please explain

  • 2b. Are they held responsible for food safety? Please explain.

  • 3a. What kind of food safety training is available fir staff? (eg induction training, on the job learning, mentoring, courses)

  • 3b. How do you know if this is enough for people to do what they know?

  • 4. What food safety information is recorded and how is it recorded?

  • 5. What is done with this information?

  • 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

  • 1. How highly do you think food safety is ranked in the business? ( compared to profit, brand recognition, export opportunities)

  • 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)

  • 3. Do your co-workers understand what is expected of them to make sure safe food is produced? Please explain.

  • 4. Do you know who is responsible for food safety in your workplace? (eg managers/supervisors/everyone etc) Please explain.

  • 5. Do you think you can get all of the food safety training you need to do your job well? Why/why not?

  • 6a. What food safety information is recorded in the workplace and how is it recorded?

  • 6b. What is done with this information?

  • 7. Has anything changed after a food safety complaint or problem has come up? Is so, please give an example.

E. Food Business Score

  • Operational performance

  • Skills and knowledge

  • Cleanliness of premises and equipment

  • Sanitisation of equipment

  • Temperature control

  • Construction and pest management

  • Score

  • Process Control

  • Cleaning/Sanitising

  • Meat and cheese supplier identifiable/traceable

  • Meat and cheese stored under temperature control

  • Delivery temperatures, condition of delivery and used by dates checked

  • Cut meats and cheeses displayed under temperature control

  • FIFO system in place

  • Receiving of product

  • Control of time product is held after opening/portioning

  • Microbiological Results

  • Boot Swabs: floor near cabinet, coolroom

  • Slicers

  • Bench around slicer

  • Display cabinet door (including rails and handles)

  • Cling wrap dispenser

  • Utensils (tongs, spoons)

  • Cutting boards

  • Scales

  • Coolroom (composite shelves, door, cooling unit)

  • Wash up sink

  • Food sliced in house (up to three samples)

Operational Performance

  • The combined score will be used to determine a category

F. Factsheets

  • 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):

  • Food Safety Supervisor

  • Cleaning and Sanitising

  • Sanitising of Equipment

  • Temperature Control

  • Health and Hygiene of Food Handlers

  • Handwashing

  • Pest Control

  • Other

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.