Final Food & Regulated Premises Inspection

• Select final inspection type

  Food Shop

  Skin Penetration

  Hair Dressing

  Cooling Tower

  Sex Industry

• Development Application No.

• Applicant Name

• Applicant phone

• Applicant email

• Conducted on

  Date
• Location
  Address

• Inspecting Officer

  Select Ben Loiacono Craig Bourke Daniel Giffney Deborah Mitchell Jayne McFarlane Juliana Naidovski Lauren Farinelli Luke Herron Sarah Brienesse

  • Ben Loiacono
  • Craig Bourke
  • Daniel Giffney
  • Deborah Mitchell
  • Jayne McFarlane
  • Juliana Naidovski
  • Lauren Farinelli
  • Luke Herron
  • Sarah Brienesse

Hand wash basin

• Has the hand wash basin been installed correctly?

  Yes

  No

  N/A

• Has a paper towel or hand drying device been installed?

  Yes

  No

  N/A

• Has a liquid hand soap dispenser been installed?

  Yes

  No

  N/A

Walls and ceiling

• Are all walls made of solid construction?

  Yes

  No

  N/A

• Are all walls smooth and impervious?

  Yes

  No

  N/A

• Are all walls, joins and intrusions appropriately sealed? No cracks, cavities, gaps or holes?

  Yes

  No

  N/A

• Is the ceiling smooth and impervious?

  Yes

  No

  N/A

• Is the ceiling, joins and intrusions appropriately sealed? No cracks, cavities, gaps or holes?

  Yes

  No

  N/A

• Are conduits and wall intrusions designed so the area can be easily cleaned?

  Yes

  No

  N/A

Flooring

• Is the floor made from appropriate construction?

  Yes

  No

  N/A

• Is the floor waste fitted with an appropriate cap?

  Yes

  No

  N/A

• Does the flooring have compliant coving?

  Yes

  No

  N/A

Misc

• Is there an adequate area for the storage of personal belongings?

  Yes

  No

  N/A

Hand wash basin

• Has the hand wash basin been correctly installed?

  Yes

  No

  N/A

• Has a paper towel or hand drying device been installed?

  Yes

  No

  N/A

• Has a liquid hand soap dispenser been installed?

  Yes

  No

  N/A

Cleaning sink

• Does the premise have a designed cleaning sink which is separate to the hand wash basin and kitchette?

  Yes

  No

  N/A

Walls and ceilings

• Are the walls smooth and impervious?

  Yes

  No

  N/A

• Are all walls, joins and intrusions appropriately sealed? No cracks, cavities, gaps or holes?

  Yes

  No

  N/A

• Is the ceiling finish appropriate, smooth and impervious?

  Yes

  No

  N/A

• Is the ceiling, joins and intrusions appropriately sealed? No cracks, cavities, gaps or holes?

  Yes

  No

  N/A

Flooring

• Is the floor finish appropriate, smooth and impervious?

  Yes

  No

  N/A

Approved sharps disposal container

• Does the premise have an ASXXXX approved sharps disposal bin?

  Yes

  No

  N/A

Sterlisation

• Does the premise have a TGA approved steriliser?

  Yes

  No

  N/A

Inspection result

• Result

  Satisfactory - Issue Final

  Unsatisfactory - Issue Interim

  Unsatisfactory - Works Required

• Insert comments / details of required works

• Applicant Name

• Applicant Signature

  Sign

• Time/date inspection concluded

  Date

Please ensure this report is entered and forwarded to Development Certification for finalisation