Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Details

  • Food Premises

  • Reference

  • Address

  • Manager/Proprietor

  • Nominated Food Safety Supervisor

  • Date/Time Inspection Started

  • Type of Inspection

  • Current Certificate Sighted?

Inspection Details

TEMPERATURE OF PHF

  • 1.1 - Storage - Hot

  • 1.2 - Storage - Cold

  • 1.3 - Display - Hot

  • 1.4 - Display - Cold

  • 1.5 - Time Control

  • 1.6 - Process - Defrosting

  • 1.7 - Process - Cooking

  • 1.8 - Process - Reheating

  • 1.9 - Process - Cooling

  • 1.10 - Probe Thermometer

  • Assisted By:

  • Training/Knowledge

  • Temperature Rating

CLEANING & SANITISING

  • 2.1 - Food prep- Walls

  • 2.2 - Food Prep - Floors

  • 2.3 - Food Prep - Ceiling

  • 2.4 - Food Prep - Fixtures/Fittings

  • 2.5 - Food Prep - Equipment

  • 2.6 - Food Prep - Utensils

  • 2.7 - Dry Storage

  • 2.8 - Refrigerated Storage Units

  • 2.9 - Waste Collection Areas

  • 2.10 - Sanitising Processes

  • 2.11 Exhaust filters/ canopy

  • 2.12- Insect screens

  • 2.13- Other<br>

  • Assisted By:

  • Training/Knowledge

  • Cleaning Rating

Personal Hygiene

  • 3.1 - Hand Wash Basin - supply

  • 3.2 - Hand Wash Basin - Access

  • 3.3 - Hand Wash Basin - Use

  • 3.4 - Glove Use

  • 3.5 - Staff - Clothing

  • 3.6 - Staff - Hair

  • 3.7 - Staff - Jewellery

  • 3.8 - Staff - Habits

  • 3.9 - Staff - App. use of HWB

  • 3.10 Other<br>

  • Assisted By:

  • Training/Knowledge

  • Personal Hygiene

Storage & Delivery

  • 4.1 - Delivery - Temperature Records

  • 4.2 - Delivery - Condition

  • 4.3 - Delivery - Supplier

  • 4.4 - PHF Storage - Covered

  • 4.5 - PHF Storage - Seperated

  • 4.6 - Dry Food Storage - Covered

  • 4.7 - Use of Food Grade Container

  • 4.8 - Non Food Storage

  • 4.9 Other

  • Assisted By:

  • Training/Knowledge

  • Storage & Delivery Rating

Maintenance/Fit Out

  • 5.1 - Fit Out - Approved/Appropriate

  • 5.2 - Premises Condition - Walls

  • 5.3 - Premises Condition - Floors

  • 5.4 Premises condition - Ceiling

  • 5.5 Premises Condition - Openings

  • 5.6 Fixtures/Fittings Condition

  • 5.7 Equip & Utensils Condition

  • 5.8 Cold Storage Seals

  • 5.9 Other

  • Assisted By:

  • Training/Knowledge

  • Maintenance/Fit Out Rating

Pest Control

  • 6.1 - Treatment Schedule

  • 6.2 - Treatment Method

  • 6.3 - Monitoring

  • 6.4 - Evidence of Pests

  • 6.5 Flies controlled/ prevented from entry to food prep area

  • Support Program:

  • Training/Knowledge

  • Pest Control Rating

Results

  • OVERALL RATING

  • Time Inspection Completed

  • General Comments

Sign Off

  • I agree that the above items have been fully explained to me and that the ratings given are an accurate reflection of the outcomes of today's inspection.

  • Name

  • Position

  • Signature

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