Information

  • Select final inspection type

  • Development Application No.

  • Applicant Name

  • Applicant phone

  • Applicant email

  • Conducted on

  • Location
  • Inspecting Officer

Food Premises

Hand wash basin

  • Has the hand wash basin been installed correctly?

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

  • Has a liquid hand soap dispenser been installed?

Walls and ceiling

  • Are all walls made of solid construction?

  • Are all walls smooth and impervious?

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

  • Is the ceiling smooth and impervious?

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

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

Flooring

  • Is the floor made from appropriate construction?

  • Is the floor waste fitted with an appropriate cap?

  • Does the flooring have compliant coving?

Misc

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

Skin Pentration

Hand wash basin

  • Has the hand wash basin been correctly installed?

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

  • Has a liquid hand soap dispenser been installed?

Cleaning sink

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

Walls and ceilings

  • Are the walls smooth and impervious?

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

  • Is the ceiling finish appropriate, smooth and impervious?

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

Flooring

  • Is the floor finish appropriate, smooth and impervious?

Approved sharps disposal container

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

Sterlisation

  • Does the premise have a TGA approved steriliser?

Results

Inspection result

  • Result

  • Insert comments / details of required works

  • Applicant Name

  • Applicant Signature

  • Time/date inspection concluded

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

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.