Title Page
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Establishment Name:
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Type of Facility:
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Physical Address:
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Person in Charge:
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Inspection Time In:
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Date:
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Person Completing Form:
Food Handling - Food Safety Fundamentals
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Are ready-to-eat foods prepared in separate clean areas?
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Is food handled with utensils, clean gloved hands, or clean hands?
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Are separate utensils and equipment used for ready-to-eat foods unless disinfected in a dishwasher?
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Is the dishwasher in good working order and regularly serviced?
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Are wrapping and packaging used for ready-to-eat food kept in the clean area?
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Do separate staff handle ready-to-eat food or are controls being followed to ensure staff change clothing and wash hands before handling ready-to-eat food?
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Is separate complex equipment provided for ready-to-eat food and is it located in the clean area?
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Are staff handling food as little as possible? (e.g using tongs)
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If color-coded equipment is provided (e.g. utensils, chopping boards), is it correctly used?
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Are high-risk foods prepared in small batches and placed in the fridge immediately after handling/preparation?
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Is food cooled as quickly as possible away from raw food and other sources of contamination?
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Are vegetables/fruit/salads/ trimmed and washed thoroughly before use unless labeled as ready-to-eat?
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Are ready-to-eat foods kept separate on display and screened from customers?
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Are adequate clean utensils available for self service?
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Are frozen foods defrosted safely?
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Is food heated to the correct temperature to remove all bacteria before being placed in the hot holding area?
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Are controls in place to prevent contamination by chemicals/foreign bodies (e.g. glass, packaging materials, bolts, rust, and cleaning chemicals)?
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Are staff aware of food allergy hazards?
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Are controls being followed to ensure staff wash hands after handling raw food and before touching surfaces, such as the cash register?
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Is a separate probe thermometer used for ready-to-eat foods and properly cleaned/disinfected before use?
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Is food tasted using proper method?
Sign-off
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Inspection Time Out:
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Name & Signature