Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Licence Displayed

  • Number of days from date of inspection

  • Licensee Details Current

  • Number of days from date of inspection

  • Nominated Food Safety Supervisor Current?

  • Food Safety Supervisor Details

  • Food Handlers Provided Training?

  • Number of days from date of inspection

  • Probe Thermometer (On-site/Operational)

  • Number of days from date of inspection

1.0 Delivery

  • 1.1 Records Maintained

  • Number of days from date of inspection

  • 1.2 Temperature of Potentially Hazardous Food Verified?

  • Number of days from date of inspection

  • 1.3 Condition of Goods Verified

  • Number of days from date of inspection

  • 1.4 Reputable Suppliers Utilised

  • Number of days from date of inspection

2.0 Storage Methods

2.1.1 Dry Goods

  • 2.1.2 Protected from Contamination

  • Number of days from date of inspection

  • 2.1.3 Food-grade Containers Utilised

  • Number of days from date of inspection

  • 2.1.4 Labelling

  • Number of days from date of inspection

2.2.1 Refrigerated Goods

  • 2.2.2 Maintained under Temperature Control

  • Number of days from date of inspection

  • 2.2.3 Records Maintained

  • Number of days from date of inspection

  • 2.2.4 Protected from Contamination

  • Number of days from date of inspection

  • 2.2.5 Separation (Raw/Ready-to-eat)

  • Number of days from date of inspection

  • Number of days from date of inspection

  • 2.2.6 Labelling (Use-by)

  • Number of days from date of inspection

2.3.1 Frozen Goods

  • 2.3.2 Maintained under Temperature Control

  • Number of days from date of inspection

  • 2.3.3 Records Maintained

  • Number of days from date of inspection

  • 2.3.4 Protected from Contamination

  • Number of days from date of inspection

  • 2.3.5 Separation (Raw/Ready-to-eat)

  • Number of days from date of inspection

  • 2.3.6 Labelling

  • Number of days from date of inspection

2.4.1 Food Packaging Material

  • 2.4.2 Protected from Contamination

  • Number of days from date of inspection

  • 2.4.3 Suitable for the Purpose

  • Number of days from date of inspection

2.5.1 Single Use Items

  • 2.5.2 Protected from Contamination

  • Number of days from date of inspection

  • 2.5.3 Not Re-used

  • Number of days from date of inspection

3.0 Display

  • 3.1 Maintained under Temperature Control

  • Number of days from date of inspection

  • 3.2 Protected from Contamination

  • Number of days from date of inspection

  • 3.3 Separation (Raw/Ready-to-eat)

  • Number of days from date of inspection

  • 3.4 Labelling (Use-by)

  • Number of days from date of inspection

4.0 Food Processing

  • 4.1 Defrosting Process

  • Number of days from date of inspection

  • 4.2 Separation (Raw/Ready-to-eat)

  • Number of days from date of inspection

  • 4.3 Cooking Process

  • Number of days from date of inspection

  • 4.3.1 Cooking Temperature

  • Number of days from date of inspection

  • 4.3.2 Records Maintained

  • Number of days from date of inspection

  • 4.4 Cooling Process

  • Number of days from date of inspection

  • 4.5 Reheating Process

  • 4.6.1 Reheating Temperature

  • Number of days from date of inspection

  • 4.6.2 Records Maintained

  • Number of days from date of inspection

5.0 Personal Hygiene

5.1 Duties of Food Business

  • 5.1.1 Hand Wash Basin Access

  • Number of days from date of inspection

  • 5.1.2 Hand Wash Basin Supply

  • Number of days from date of inspection

5.2 Duties of Food Handlers

  • 5.2.1 Hand Wash Basin Use

  • Number of days from date of inspection

  • 5.2.2 Glove Use Procedures

  • Number of days from date of inspection

  • 5.2.3 Personal Appearance

  • Number of days from date of inspection

6.0 Cleaning and Sanitising

  • 6.1 Floors

  • Number of days from date of inspection

  • 6.2 Walls

  • Number of days from date of inspection

  • 6.3 Ceiling

  • Number of days from date of inspection

  • 6.4 Fixtures and Fittings

  • Number of days from date of inspection

  • 6.5 Equipment and Utensils

  • Number of days from date of inspection

  • 6.6 Mechanical Exhaust Ventilation System

  • Number of days from date of inspection

  • 6.7 Sanitiser Type and Use Appropriate

  • Number of days from date of inspection

7.0 Waste Storage and Disposal

  • 7.1 Solid Waste

  • Number of days from date of inspection

  • 7.2 Liquid Waste

  • Number of days from date of inspection

8.0 Maintenance

  • 8.1 Floors

  • Number of days from date of inspection

  • 8.2 Walls

  • Number of days from date of inspection

  • 8.3 Ceiling

  • Number of days from date of inspection

  • 8.4 Fixtures and Fittings

  • Number of days from date of inspection

  • 8.5 Equipment and Utensils

  • Number of days from date of inspection

9.0 Pest Control

  • 9.1 Evidence of Pests

  • Number of days from date of inspection

  • 9.2 Sighting Records

  • Number of days from date of inspection

  • 9.3 Pest Control Report

  • Number of days from date of inspection

  • 9.4 Prevention of Ingress of Pests

  • Number of days from date of inspection

Results

  • Time Inspection Completed

  • General Comments

Sign Off

  • Position

  • Email Address

  • I agree that the above items have been fully explained to me.

  • Signature

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.