Delthorn Wholesale Butcheries

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• During a Store visit, all store FSMS documentation was checked and audited. The results to the integrity of store documentation is detailed in this report

File 1: Clip Board

• 1.1. Temperature Control Log

  Yes

  No

  N/A

• 1.2. Receiving Checklist

  Yes

  No

  N/A

• 1.3. Pest Sighting Register

  Yes

  No

  N/A

• 1.4. Staff Checklist. <br>

  Yes

  No

  N/A

• 1.5. Cleaning Schedules (Red)(Yellow)

  Yes

  No

  N/A

• 1.6. Daily Butchery Manager's Checklist

  Yes

  No

  N/A

File 2: Monthly Records

• 2.1. Chemical List

  Yes

  No

  N/A

• 2.2. Maintenance Concerns

  Yes

  No

  N/A

• 2.3. Cleaning Program

  Yes

  No

  N/A

• 2.4. Glass Register

  Yes

  No

  N/A

• 2.5. List of Key Contacts.

  Yes

  No

  N/A

• 2.6. List of Key Suppliers.

  Yes

  No

  N/A

File 3: Risk Prevention

• 3.1. Daily Checks and Corrective Action Sheets.

  Yes

  No

  N/A

• 3.2. Corrective Action Sheets<br>

  Yes

  No

  N/A

• 3.3. Customer Complaints Records.

  Yes

  No

  N/A

• 3.4. Customer Complaints Corrective Action Documents.

  Yes

  No

  N/A

File 4: Manufacturing Sheets

• 4.1. Boerewors

  Yes

  No

  N/A

• 4.2. Mince

  Yes

  No

  N/A

• 4.3. Sausages

  Yes

  No

  N/A

• 4.4. Wors

  Yes

  No

  N/A

• 4.5. Burgers

  Yes

  No

  N/A

• 4.6. Marinated or Spiced Value Added.

  Yes

  No

  N/A

• 4.7. Frozen Imported Products

  Yes

  No

  N/A

• 4.8. Vacuum Packing Production Log

  Yes

  No

  N/A

File 5: Regulatory

• 5.1. Certificate of Acceptability

  Yes

  No

  N/A

• 5.2. Annual Medical Staff Examinations

  Yes

  No

  N/A

• 5.3. PPE(Garment) swap over slips

  Yes

  No

  N/A

• 5.4. Scale Calibration Certificates

  Yes

  No

  N/A

• 5.5. Thermometer Calibrations and Certificates

  Yes

  No

  N/A

• 5.6. Makro Pest Control Registration Certificate

  Yes

  No

  N/A

• 5.7. Pest Control Treatment Reports.

  Yes

  No

  N/A

• 5.8. Kemklean/ Industro Kleen Service/ dispenser Report

  Yes

  No

  N/A

• 5.9. Training Records

  Yes

  No

  N/A

• 5.10. First Aid Kit Inventory.

  Yes

  No

  N/A

File 6: Human Resources

• It is not applicable to assess file 6 as it does not form part of the FSMS system of documentation applicable to the site.

File 7: Audits

• Audit Action plans done on all three audit channels (FCS, Diversey or Internal) and considerable improvement trend noted.

  Yes

  No

  N/A

File 8: Hot Deli

• 8.1. Daily Checklist

  Yes

  No

  N/A

• 8.2. Damage Control Log

  Yes

  No

  N/A

• 8.3. Delivery Record

  Yes

  No

  N/A

• 8.4. Glass Register

  Yes

  No

  N/A

• 8.5. Complaints and Returns

  Yes

  No

  N/A

• 8.6. Temperature Control Log

  Yes

  No

  N/A

• Auditor Signature:

  Sign

• Butchery Manager Signature.

  Sign