Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Licence Displayed
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Number of days from date of inspection
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Licensee Details Current
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Number of days from date of inspection
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Nominated Food Safety Supervisor Current?
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Food Safety Supervisor Details
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Food Handlers Provided Training?
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Number of days from date of inspection
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Probe Thermometer (On-site/Operational)
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Number of days from date of inspection
1.0 Delivery
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1.1 Records Maintained
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Number of days from date of inspection
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1.2 Temperature of Potentially Hazardous Food Verified?
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Number of days from date of inspection
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1.3 Condition of Goods Verified
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Number of days from date of inspection
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1.4 Reputable Suppliers Utilised
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Number of days from date of inspection
2.0 Storage Methods
2.1.1 Dry Goods
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2.1.2 Protected from Contamination
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Number of days from date of inspection
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2.1.3 Food-grade Containers Utilised
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Number of days from date of inspection
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2.1.4 Labelling
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Number of days from date of inspection
2.2.1 Refrigerated Goods
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2.2.2 Maintained under Temperature Control
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Number of days from date of inspection
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2.2.3 Records Maintained
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Number of days from date of inspection
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2.2.4 Protected from Contamination
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Number of days from date of inspection
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2.2.5 Separation (Raw/Ready-to-eat)
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Number of days from date of inspection
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Number of days from date of inspection
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2.2.6 Labelling (Use-by)
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Number of days from date of inspection
2.3.1 Frozen Goods
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2.3.2 Maintained under Temperature Control
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Number of days from date of inspection
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2.3.3 Records Maintained
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Number of days from date of inspection
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2.3.4 Protected from Contamination
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Number of days from date of inspection
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2.3.5 Separation (Raw/Ready-to-eat)
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Number of days from date of inspection
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2.3.6 Labelling
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Number of days from date of inspection
2.4.1 Food Packaging Material
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2.4.2 Protected from Contamination
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Number of days from date of inspection
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2.4.3 Suitable for the Purpose
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Number of days from date of inspection
2.5.1 Single Use Items
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2.5.2 Protected from Contamination
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Number of days from date of inspection
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2.5.3 Not Re-used
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Number of days from date of inspection
3.0 Display
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3.1 Maintained under Temperature Control
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Number of days from date of inspection
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3.2 Protected from Contamination
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Number of days from date of inspection
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3.3 Separation (Raw/Ready-to-eat)
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Number of days from date of inspection
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3.4 Labelling (Use-by)
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Number of days from date of inspection
4.0 Food Processing
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4.1 Defrosting Process
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Number of days from date of inspection
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4.2 Separation (Raw/Ready-to-eat)
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Number of days from date of inspection
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4.3 Cooking Process
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Number of days from date of inspection
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4.3.1 Cooking Temperature
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Number of days from date of inspection
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4.3.2 Records Maintained
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Number of days from date of inspection
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4.4 Cooling Process
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Number of days from date of inspection
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4.5 Reheating Process
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4.6.1 Reheating Temperature
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Number of days from date of inspection
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4.6.2 Records Maintained
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Number of days from date of inspection
5.0 Personal Hygiene
5.1 Duties of Food Business
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5.1.1 Hand Wash Basin Access
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Number of days from date of inspection
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5.1.2 Hand Wash Basin Supply
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Number of days from date of inspection
5.2 Duties of Food Handlers
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5.2.1 Hand Wash Basin Use
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Number of days from date of inspection
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5.2.2 Glove Use Procedures
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Number of days from date of inspection
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5.2.3 Personal Appearance
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Number of days from date of inspection
6.0 Cleaning and Sanitising
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6.1 Floors
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Number of days from date of inspection
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6.2 Walls
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Number of days from date of inspection
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6.3 Ceiling
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Number of days from date of inspection
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6.4 Fixtures and Fittings
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Number of days from date of inspection
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6.5 Equipment and Utensils
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Number of days from date of inspection
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6.6 Mechanical Exhaust Ventilation System
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Number of days from date of inspection
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6.7 Sanitiser Type and Use Appropriate
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Number of days from date of inspection
7.0 Waste Storage and Disposal
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7.1 Solid Waste
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Number of days from date of inspection
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7.2 Liquid Waste
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Number of days from date of inspection
8.0 Maintenance
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8.1 Floors
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Number of days from date of inspection
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8.2 Walls
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Number of days from date of inspection
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8.3 Ceiling
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Number of days from date of inspection
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8.4 Fixtures and Fittings
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Number of days from date of inspection
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8.5 Equipment and Utensils
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Number of days from date of inspection
9.0 Pest Control
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9.1 Evidence of Pests
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Number of days from date of inspection
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9.2 Sighting Records
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Number of days from date of inspection
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9.3 Pest Control Report
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Number of days from date of inspection
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9.4 Prevention of Ingress of Pests
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Number of days from date of inspection
Results
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Time Inspection Completed
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General Comments
Sign Off
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Position
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Email Address
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I agree that the above items have been fully explained to me.
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Signature