Food Premise Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

1.0 RECEIVING AND STORAGE OF FOOD

• 1.1 Protection from Contamination (FSC - 5(1) of 3.2.2 )

  Yes

  No

  N/A

  Not Observed

• 1.2 Identification & traceability of food (FSC - 5(2) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 1.3 Temperature of potentially hazardous food (FSC - 5(3)&(4) of 3.2.2 )

  Yes

  No

  N/A

  Not Observed

• 1.4 Appropriate storage temperatures (FSC - 6(1)(b) of 3.2.2 )

  Yes

  No

  N/A

  Not Observed

• 1.5 Temperature of frozen food (FSC - 6(2)(b) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

2.0 PROCESSING

• 2.1 Safe & suitable food (FSC - 7(1)(a) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 2.2 Protection from contamination (FSC - 7(1)(b) of 3.2.2 )

  Yes

  No

  N/A

  Not Observed

• 2.3 Adequate cooking & processing of foods (FSC - 7(1)(b)(ii) of 3.2.2 )

  Yes

  No

  N/A

  Not Observed

• 2.4 Potentially hazardous food out of temp range for min. time (FSC - 7(1)(a) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 2.5 Cooling of potentially hazardous food (FSC - 7(4) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 2.6 Reheating of potentially hazardous food (FSC - 7(4) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

3.0 DISPLAY

• 3.1 Protection from contamination (FSC - 8(1),(2),(3) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 3.2 Temperature control of potentially hazardous food (FSC - 8(5) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

4.0 PACKAGING

• 4.1 Appropriate materials and processing (FSC - 9 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

5.0 TRANSPORTATION & DISTRIBUTION

• 5.1 Protection from contamination (FSC - 10(a) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 5.2 Temperature control of potentially hazardous food (FSC - 10(b) & (c) of 3.2.2)

  Yes

  No

  N/A

  Not Observed

6.0 RECALLS/FOOD DISPOSAL

• 6.1 Food for disposal not sold/recall process (FSC - 11 & 12 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

7.0 HEALTH, HYGIENE & KNOWLEDGE

• 7.1 Health of food handlers - responsibilities (FSC - 14 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 7.2 Hygiene of food handlers (FSC - 13 & 15 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 7.3 Food businesses responsibilities (FSC - 16 & 18 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 7.4 Adequate hand washing facilities (FSC - 17 of 3.2.2 & 14 of 3.2.3)

  Yes

  No

  N/A

  Not Observed

• 7.5 Food handling skills & knowledge (FSC - 3 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

8.0 PREMISES & HYGIENE

• 8.1 Cleanliness of premises, fittings, equipment (FSC - 19 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 8.2 Cleaning of sanitising of food contact surfaces (FSC - 20 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 8.3 Suitability of maintenance of premises, fittings & equipment (FSC - 21 of 3.2.2 & 10,11 & 12 of 3.2.3)

  Yes

  No

  N/A

  Not Observed

• 8.4 Temperature measuring device (FSC - 22 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 8.5 Use of "single use" items (FSC - 23 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 8.6 Control of pests (FSC - 24 of 3.2.2)

  Yes

  No

  N/A

  Not Observed

• 8.7 Disposal of sewage & waste water (FSC - 5 of 3.2.3)

  Yes

  No

  N/A

  Not Observed

• 8.8 Storage of waste matter and recyclables (FSC - 6 of 3.2.3)

  Yes

  No

  N/A

  Not Observed

• 8.9 Adequate lighting and ventilation (FSC - 7 & 8 of 3.2.3)

  Yes

  No

  N/A

  Not Observed

• 8.10 Storage of chemicals (FSC - 15 of 3.2.3)

  Yes

  No

  N/A

  Not Observed

• 8.11 Storage of personal items (FSC - 15 of 3.2.3)

  Yes

  No

  N/A

  Not Observed

• 8.12 Adequate toilet facilities and cleanliness (FSC - 16 of 3.2.3)

  Yes

  No

  N/A

  Not Observed

• Inspection Status

  Select Satisfactory Satisfactory with minor issues Unsatisfactory with minor issues Unsatisfactory with major issues

  • Satisfactory
  • Satisfactory with minor issues
  • Unsatisfactory with minor issues
  • Unsatisfactory with major issues

• Further Action

  Nil

  Reinspection

  Order/Notice

• Expected time of next inspection

  Date