Food Premises Assessment

• Food Business Name

• Document No.

• Licence number

• Address
  Address

• Business email

• Business phone number

• Date of inspection

  Date

• Officer

Food Receipt

• Food protected from contamination

  full compliance

  partial compliance

  non compliance

• Identification / traceability of food<br>

  full compliance

  partial compliance

  non compliance

• Temperature control of potentially hazardous foods

  full compliance

  partial compliance

  non compliant

Food Storage

• Food protected from contamination

  full compliance

  partial compliance

  non compliant

• Temperature control of potentially hazardous foods

  full compliance

  partial compliance

  non compliant

Food Processing

• Safe and Suitable Food

  full compliance

  partial compliance

  non compliant

• Protection from contamination

  full compliance

  partial compliance

  non compliant

• Adequate cooking / processing

  full compliance

  partial compliance

  non compliant

• Potentially hazardous food out of temperature control for minimum time

  full compliance

  partial compliance

  non compliant

• Cooling of potentially hazardous food- two hours 60-21 & four hours 21-5

  Full compliance

  Partial compliance

  Non compliant

  Not applicable

• Reheating potentially hazardous food to greater than 60

  Full compliance

  Partial compliance

  Non compliant

  Not applicable

Food Display

• Protection from contamination

  full compliance

  partial compliance

  non compliant

• Temperature below 5 or above 60; or hard frozen

  full compliance

  partial compliance

  non compliant

Food Packaging

• Protection from contamination

  full compliance

  partial compliance

  non compliant

Food Transportation

• Protection from contamination

  Full compliance

  Partial compliance

  Non compliant

  Not applicable

• Temperature control of potentially hazardous foods

  Full compliance

  Partial compliance

  Non compliant

  Not applicable

Food Disposal / Food Recall

• Food disposal separation / recall process

  full compliance

  partial compliance

  non compliance

Health and Hygiene Requirements

• Food handlers knowledge commensurate with duties

  full compliance

  partial compliance

  non compliant

• Health of food handlers

  full compliance

  partial compliance

  non compliant

• Hygiene of food handlers

  full compliance

  partial compliance

  non compliant

• Food business responsibilities

  full compliance

  partial compliance

  non compliance

Cleaning, Sanitising & Maintenance

• Cleanliness of food premises

  full compliance

  partial compliance

  non compliant

• Cleaning / sanitising equipment

  full compliance

  partial compliance

  non compliant

• Maintenance of premises, fixtures and equipment

  full compliance

  partial compliance

  non compliant

Miscellaneous

• Temperature measuring device +/- 1 degree

  full compliance

  partial compliance

  non compliant

• Single use items

  full compliance

  partial compliance

  non compliance

• Control of animals and pests

  full compliance

  partial compliance

  non compliant

Food Premises and Equipment

• Suitable design and construction

  full compliance

  partial compliance

  non compliance

• Water supply adequate and potable

  full compliance

  partial compliance

  non compliant

• Sewage, waste water and refuse disposal

  full compliance

  partial compliance

  non compliant

• Adequate ventilation and lighting

  full compliance

  partial compliance

  non compliance

• Adequate hand washing facilities

  full compliance

  partial compliance

  non compliant

• Storage facilities (personal, chemicals etc.)

  full compliance

  partial compliance

  non compliance

• Adequate staff toilet facilities

  full compliance

  partial compliance

  non compliance

Management & Control Procedures

• Track record

  Very Good

  Good

  Poor

• Management approach to food safety

  Very Good

  Good

  Poor

• Hygiene and food safety knowledge available

  Yes

  No

• Documented food safety procedures

  Yes

  No

• Training arrangements for food handlers

  Yes

  No

Smoking / Tobacco Products Control

• Point of sale requirements

  Yes

  No

  N/A

• Smoking in public places

  Yes

  No

  N/A

• Follow up action required

  Select Nil Re-inspection Letter Improvement notice Infringement notice Prosecution

  • Nil
  • Re-inspection
  • Letter
  • Improvement notice
  • Infringement notice
  • Prosecution

• Scores on the Doors

  5 Stars (81%+)

  4 Stars (71%+)

  3 Stars (50%+)

  2 Stars (30%+)

  1 Stars (<30%)

• I have read and understood the contents of this assessment

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