Food Safety Audit V1

• Document No.

• Dairy Id & Producer Name

• Farm Name

• Conducted on

  Date

• Prepared by

• Location
  Address

Farm Information

• Food Safety Audit

• Is the visit Pre or Post Gap or DSA

  Pre Gap

  Post Gap

  DSA

• Is the previous audit available

  Yes

  No

• Did You go through the latest gap audit with producer

  Yes

  No

• Is the critical certificates available

  Yes

  No

• Did the producer Pass

  Yes

  No

• Is the producer happy with the audit

  Yes

  No

• Any comment from producer

• Did you fill in the Spreadsheet

  Yes

  No

• Did you send it to the Right Person

  Yes

  No

• Any Comment from Producer

• Date that file was completed

  Date