Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Site Information
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Facility Managers Name
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Head Chef/Cook Name
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Last External Audit
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Are All Non Compliances Closed Out
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What is Required to Complete
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Last Council/Shire Visit
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Evidence of Canopy Cleaning Certificate
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Evidence of Cool Room Cleaning
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Evidence of Pest Control
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Evidence of Grease Trap Service
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Staff Training Compliant
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Who is Non Compliant
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Resident Dietary Notification is Up to Date
Main Kitchen
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Are the Doors in Good Condition, no Peeling Paint of Cracks
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Are the Doors Pest Proofed
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Is There Sanitiser at Each Entrance to the Kitchen
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Is the Ceiling Clean and in Good Condition
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Is the Lighting Sufficient and in Working Order
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Are the Benches Clean
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Are the Lips of the Benches Clean
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Are Draws Clean and Free of Residue
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Are Shelves Clean, Tidy and Free of Residue
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Are All Sinks and Drains Clean
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Are All Taps and Spray Arms Clean and in Good Condition
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Are Walls in Good Condition, Clean and No Cracked Tiles
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Is the Floor in Good Condition
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Are the Floor Drains Clean and Free from Residue
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Are the Boards in Good Condition, no Scoring or Warping
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Are the Hand Wash Basins Available with Hot Running Water, Soap, Single Use Towel and Hands Free Bin
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Are Pots and Pans all Stored Correctly
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Are all Bins Clean and Free of Residue
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Is All Small Equipment Stored Away Correctly
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Are Utensils all Stored Correctly
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Is the Microwave Clean Inside and Out
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Is The Bain Marie and Hot Box Clean and in Good Condition
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Is the Blast Chiller Clean and in Good Condition, no Water Pooling, Seals Clean
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Is the Fryer Clean and Free from Residue
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Is the Combi Oven Clean and in Good Condition
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Is The Gas Oven and Stove Clean and in Good Condition
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Is the Dishwasher Clean, Free from Scale build up and in Good Condition
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Is the Planetary Mixer Clean and in Good Condition
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Are the Stick Blenders Clean and in Good Condition
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Is the Blixer/Blender Clean and in Good Condition
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Is All Random Small Equipment Clean and in Good Condition
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Is the Bonzer Can Opener Clean and Free from Residue
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Are all RobotCoupe Plastic Parts Clean and in Good Condition
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Are all Trollies Clean and Free from Residue including Free Flowing Wheels and Clean Handles
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Dry Stores
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Is the Door Clean and in Good Condition
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Is all Food Stored off the Floor
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Is the Ceiling Clean and Free from Cobwebs etc.
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Is the Lighting Sufficient and in Good Working Order
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Are the Walls Clean, Free from Residue and in Good Condition
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Is all Shelving Clean and in Good Condition
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Are Shelves Tidy and Stock Rotated
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Is all Decantered Food Labelled Correctly
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Are all Opened Containers Labelled Correctly
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Are Bulk Items Stored in Correct Containers
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Are all Bulk Bins Labelled Correctly
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Are any Items Past their Use By Dates (UBD)
Cool Room
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Is the Door and Door Handle Clean and Free from Residue
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Are the Seals Clean and in Good Condition
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Is Food Stored off the Floor
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Is the Floor Clean
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Are the Walls and Ceiling in Good Condition
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Is the Shelving Clean in Good Condition
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Is the Motor Cover Clean and Free from Dust and Mold
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Is Stock Stored Correctly, Segregated and Within UBD
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Any Open Food Items Labelled Correctly
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Raw and RTE Meats Separated and Stored Correctly
Upright Fridge
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What is the Name/Number of the Fridge
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Are the Door and Handles Clean and Free from Residue
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Are the Seals Clean and in Good Condition
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Are the Shelves Clean and in Good Condition
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No Food Stored on the Base
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Walls and Clean and Free from Residue
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Motor Clean and Free from Dust
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All Food Segregated and Stored Correctly
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All Open Items Labelled Correctly
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All Items Within UBD
Walk in Freezer
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Is the Door and Handle Clean and Free from Residue
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Are the Seals Clean and in Good Condition
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Are Shelves Clean and in Good Condition
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No Food Stored on the Floor
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Walls Clean and Free from Residue
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No Build Up on the Motor Cover
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All Foods Stored and Segregated Correctly
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All Open Items Labelled Correctly
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All Items Within the UBD
Chest/Upright Freezer
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Name/Number of Freezer
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Are Doors and Handles Clean and Free from Residue
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Are Seals Clean and in a Good Condition
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Are the Inside Walls Clean and Free from Residue
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Are the Shelving/Baskets Clean and in Good Condition
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No Food Stored on the base (Upright only)
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All Foods Stored and Segregated Correctly
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Build up of Ice Controlled
Hygiene
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Are all Staff in Correct Uniform
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Are Uniforms Clean and in Good Condition
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Disposable Aprons Available
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Hats in Use/ Hairnets Available
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First Aid Box - Stocked and in Date
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Disposable Gloves Available in All Sizes
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Staff are Aware of the Jewellery Policy and Staff are Compliant
Disposal
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Are the Bins Emptied at Appropriate Times and Appropriate Weights
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Bins are not Overflowing with Rubbish Exposed
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Correct Bins are Used for Correct Waste
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Bin Room/Area is Clean, Neat and Hazard Free
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Floors can be Effectively Cleaned
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Grease Trap Externally Cleaned and Maintained
Untitled Page
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Additional Notes/Comments
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Re-Inspection Required
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Date Required
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All Above Non-Compliances should be close out within a reasonable timeframe, all reports should be sent back to the Facility manager & Hospitality manager