Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Site Information

  • Facility Managers Name

  • Head Chef/Cook Name

  • Last External Audit

  • Are All Non Compliances Closed Out

  • What is Required to Complete

  • Last Council/Shire Visit

  • Evidence of Canopy Cleaning Certificate

  • Evidence of Cool Room Cleaning

  • Evidence of Pest Control

  • Evidence of Grease Trap Service

  • Staff Training Compliant

  • Who is Non Compliant

  • Resident Dietary Notification is Up to Date

Main Kitchen

  • Are the Doors in Good Condition, no Peeling Paint of Cracks

  • Are the Doors Pest Proofed

  • Is There Sanitiser at Each Entrance to the Kitchen

  • Is the Ceiling Clean and in Good Condition

  • Is the Lighting Sufficient and in Working Order

  • Are the Benches Clean

  • Are the Lips of the Benches Clean

  • Are Draws Clean and Free of Residue

  • Are Shelves Clean, Tidy and Free of Residue

  • Are All Sinks and Drains Clean

  • Are All Taps and Spray Arms Clean and in Good Condition

  • Are Walls in Good Condition, Clean and No Cracked Tiles

  • Is the Floor in Good Condition

  • Are the Floor Drains Clean and Free from Residue

  • Are the Boards in Good Condition, no Scoring or Warping

  • Are the Hand Wash Basins Available with Hot Running Water, Soap, Single Use Towel and Hands Free Bin

  • Are Pots and Pans all Stored Correctly

  • Are all Bins Clean and Free of Residue

  • Is All Small Equipment Stored Away Correctly

  • Are Utensils all Stored Correctly

  • Is the Microwave Clean Inside and Out

  • Is The Bain Marie and Hot Box Clean and in Good Condition

  • What is the Temperature of the Bain Marie

  • Is the Blast Chiller Clean and in Good Condition, no Water Pooling, Seals Clean

  • Is the Fryer Clean and Free from Residue

  • Is the Combi Oven Clean and in Good Condition

  • Is The Gas Oven and Stove Clean and in Good Condition

  • Is the Dishwasher Clean, Free from Scale build up and in Good Condition

  • What is the Rinse Temperature of the Dishwasher

  • Is the Planetary Mixer Clean and in Good Condition

  • Are the Stick Blenders Clean and in Good Condition

  • Is the Blixer/Blender Clean and in Good Condition

  • Is All Random Small Equipment Clean and in Good Condition

  • Is the Bonzer Can Opener Clean and Free from Residue

  • Are all RobotCoupe Plastic Parts Clean and in Good Condition

  • Are all Trollies Clean and Free from Residue including Free Flowing Wheels and Clean Handles

Dry Stores

  • Is the Door Clean and in Good Condition

  • Is all Food Stored off the Floor

  • Is the Ceiling Clean and Free from Cobwebs etc.

  • Is the Lighting Sufficient and in Good Working Order

  • Are the Walls Clean, Free from Residue and in Good Condition

  • Is all Shelving Clean and in Good Condition

  • Are Shelves Tidy and Stock Rotated

  • Is all Decantered Food Labelled Correctly

  • Are all Opened Containers Labelled Correctly

  • Are Bulk Items Stored in Correct Containers

  • Are all Bulk Bins Labelled Correctly

  • Are any Items Past their Use By Dates (UBD)

Cool Room

  • What is the Temperature of the Cool Room

  • Is the Door and Door Handle Clean and Free from Residue

  • Are the Seals Clean and in Good Condition

  • Is Food Stored off the Floor

  • Is the Floor Clean

  • Are the Walls and Ceiling in Good Condition

  • Is the Shelving Clean in Good Condition

  • Is the Motor Cover Clean and Free from Dust and Mold

  • Is Stock Stored Correctly, Segregated and Within UBD

  • Any Open Food Items Labelled Correctly

  • Raw and RTE Meats Separated and Stored Correctly

Upright Fridge

  • What is the Name/Number of the Fridge

  • What Temperature is the Fridge

  • Are the Door and Handles Clean and Free from Residue

  • Are the Seals Clean and in Good Condition

  • Are the Shelves Clean and in Good Condition

  • No Food Stored on the Base

  • Walls and Clean and Free from Residue

  • Motor Clean and Free from Dust

  • All Food Segregated and Stored Correctly

  • All Open Items Labelled Correctly

  • All Items Within UBD

Walk in Freezer

  • What is the Temperature of the Freezer

  • Is the Door and Handle Clean and Free from Residue

  • Are the Seals Clean and in Good Condition

  • Are Shelves Clean and in Good Condition

  • No Food Stored on the Floor

  • Walls Clean and Free from Residue

  • No Build Up on the Motor Cover

  • All Foods Stored and Segregated Correctly

  • All Open Items Labelled Correctly

  • All Items Within the UBD

Chest/Upright Freezer

  • Name/Number of Freezer

  • Temperature of Freezer

  • Are Doors and Handles Clean and Free from Residue

  • Are Seals Clean and in a Good Condition

  • Are the Inside Walls Clean and Free from Residue

  • Are the Shelving/Baskets Clean and in Good Condition

  • No Food Stored on the base (Upright only)

  • All Foods Stored and Segregated Correctly

  • Build up of Ice Controlled

Hygiene

  • Are all Staff in Correct Uniform

  • Are Uniforms Clean and in Good Condition

  • Disposable Aprons Available

  • Hats in Use/ Hairnets Available

  • First Aid Box - Stocked and in Date

  • Disposable Gloves Available in All Sizes

  • Staff are Aware of the Jewellery Policy and Staff are Compliant

Disposal

  • Are the Bins Emptied at Appropriate Times and Appropriate Weights

  • Bins are not Overflowing with Rubbish Exposed

  • Correct Bins are Used for Correct Waste

  • Bin Room/Area is Clean, Neat and Hazard Free

  • Floors can be Effectively Cleaned

  • Grease Trap Externally Cleaned and Maintained

Untitled Page

  • Additional Notes/Comments

  • Re-Inspection Required

  • Date Required

  • All Above Non-Compliances should be close out within a reasonable timeframe, all reports should be sent back to the Facility manager & Hospitality manager

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.