Title Page
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Manager / Proprietor
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Assessment No.
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Health Premises No.
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Date
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Inspection Frequency
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Prepared by
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Premises Address
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INSTRUCTIONS
1. Please answer "Compliant", "Non-Compliant" or "N/A" on the questions below.
2. Add Photos and Notes by clicking on the Paperclip icon
3. To add a Corrective Action click on the Paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
4. Complete audit by providing digital signature
5. Share your report by exporting as PDF, Word, Excel or Web Link
Receiving
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Receiving - protection from contamination
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Add media
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Receiving - Identification/traceability of food
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Add media
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Receiving - Temperature control of PHF
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Add media
Storage
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Storage - Protection from contamination
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Add media
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Storage - Appropriate environmental conditions
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Add media
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Storage - Temperature control of PHF inc frozen
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Add media
Processing
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Processing - Safe and suitable food
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Processing - Protection from contamination
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Processing - Adequate cooking/processing
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Processing - PHF out of temp. control for min. time
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Processing - Cooling of PHF
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Processing - Reheating of PHF
Display
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Display - Protection from contamination
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Display - Temperature control of PHF incl. frozen
Packaging
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Packaging - Appropriate materials and process
Transportation and distribution
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Transportation and distribution - Protection from contamination
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Transportation and distribution - Temperature control of PHF
Recalls/food disposal
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Food for disposal not sold/recall process
Health, hygiene and knowledge
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Health of food handlers - responsibilities
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Hygiene of food handlers - responsibilities
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Food business - responsibilities
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Adequate handwashing facilities
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Food handling - skills and knowledge
Premises and hygiene
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Cleanliness of premises, fittings, equipment
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Cleaning/sanitising of food contact surfaces
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Suitability and maintenance of premises, fittings and equipment
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Temperature measuring device
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Use of 'single use' items
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Control of animals and pests
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Water supply adequate and potable
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Disposal of sewage and wastewater
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Storage of refuse and recyclable matter
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Adequate ventilation and lighting
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Storage of personal effects/chemicals
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Adequate toilet facilities
Completion
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General Comments
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Assessed by: (Officer's Name and Signature)
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Manager/Staff: (Staff Name and Signature)
