Information
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Store Name
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Store Number
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Age of Store / Date of last refurb.
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Conducted on
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Prepared by
Executive Summary
Department Scores
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Deli
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Seafood
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Bakery
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Meat
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Produce
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Perishable
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Grocery
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Back Dock
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Non Department Specific
Overall Store Rating and Summary
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Rating
- 1
- 2
- 3
- 4
- 5
- NA
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Summary
Deli
Deli
Customer
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Rate appearance of department from a customers perspective.
Temperature Control
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Are refrigerated products being maintained at or below 5 deg.
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Is hot food being maintained at or above 60 deg.
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Are all temperatures being monitored as required and recorded.
Cleaning
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Are cleaning standards throughout preparation, storage and display areas acceptable.
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Are cleaning records being completed to a satisfactory standard.
Product Contamination
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Are there any potential areas for product contamination. Eg physical, chemical, biological, allergens.
Product Weight
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Are weights of in store packed product compliant.
Stock Rotation
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Are all products on display and in storage within expiry date.
Personal Hygiene
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Are staff adhering to personal hygiene requirements.
Repairs and Maintenance
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Is condition of equipment or surfaces acceptable.
Pest Control
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Is there any sign of pest infestation within the department.
Labelling
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Are trace labels being applied as required.
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Is country of origin labelling compliant.
Other
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Please specify details
Seafood
Seafood
Customer
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Rate appearance of department from a customers perspective.
Temperature Control
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Are refrigerated products being maintained at or below 5 deg.
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Are all temperatures being monitored as required and recorded.
Cleaning
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Are cleaning standards throughout preparation, storage and display areas acceptable.
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Are cleaning records being completed to a satisfactory standard.
Product Contamination
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Are there any potential areas for product contamination. Eg physical, chemical, biological, allergens.
Stock Rotation
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Are all products on display and in storage within expiry date.
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Are day dots being used correctly.
Personal Hygiene
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Are staff adhering to personal hygiene requirements.
Repairs and Maintenance
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Is condition of equipment or surfaces acceptable.
Pest Control
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Is there any sign of pest infestation within the department.
Labelling
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Are trace labels being applied to products as appropriate.
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Is country of origin labelling compliant.
Other
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Please specify details
Bakery
Bakery
Customer
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Rate appearance of department from a customers perspective.
Temperature Control
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Are refrigerated products being maintained at or below 5 deg.
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Are all temperatures being monitored as required and recorded.
Cleaning
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Are cleaning standards throughout preparation, storage and display areas acceptable.
-
Are cleaning records being completed to a satisfactory standard.
Product Contamination
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Are there any potential areas for product contamination. Eg physical, chemical, biological, allergens.
Weight Control
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Are weights of in store packed product compliant.
Stock Rotation
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Are all products on display and in storage within expiry date.
Personal Hygiene
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Are staff adhering to personal hygiene requirements.
Repairs and Maintenance
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Is condition of equipment or surfaces acceptable.
Pest Control
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Is there any sign of pest infestation within the department.
Labelling
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Are trace labels being applied as appropriate.
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Are best before and use by dates being applied to correct products.
Other
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Please specify details
Meat
Meat
Customer
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Rate appearance of department from a customers perspective.
Temperature Control
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Are refrigerated products being maintained at or below 5 deg.
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Are all temperatures being monitored as required and recorded.
Cleaning
-
Are cleaning standards throughout preparation, storage and display areas acceptable.
-
Are cleaning records being completed to a satisfactory standard.
Product Contamination
-
Are there any potential areas for product contamination. Eg physical, chemical, biological, allergens.
Weight Control
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Are weights of in store packed product compliant.
Stock Rotation
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Are all products on display and in storage within expiry date.
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Are primals removed from carton appropriately labelled.
Personal Hygiene
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Are staff adhering to personal hygiene requirements.
Repairs and Maintenance
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Is condition of equipment or surfaces acceptable.
Pest Control
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Is there any sign of pest infestation within the department.
Labelling
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Is country of origin labelling compliant.
Other
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Please specify details
Produce
Produce
Customer
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Rate appearance of department from a customers perspective.
Temperature Control
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Are refrigerated products being maintained at or below 5 deg.
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Are all temperatures being monitored as required and recorded.
Cleaning
-
Are cleaning standards throughout preparation, storage and display areas acceptable.
-
Are cleaning records being completed to a satisfactory standard.
Product Contamination
-
Are there any potential areas for product contamination. Eg physical, chemical, biological, allergens.
Stock Rotation
-
Are all products on display and in storage within expiry date.
Personal Hygiene
-
Are staff adhering to personal hygiene requirements.
Repairs and Maintenance
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Is condition of equipment or surfaces acceptable.
Pest Control
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Is there any sign of pest infestation within the department.
Labelling
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Is country of origin labelling compliant.
Other
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Please specify details
Perishables
Perishables
Customer
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Rate appearance of department from a customers perspective.
Temperature Control
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Are refrigerated products being maintained at or below 5 deg.
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Are all temperatures being monitored as required and recorded.
Cleaning
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Are cleaning standards throughout preparation, storage and display areas acceptable.
-
Are cleaning records being completed to a satisfactory standard.
Stock Rotation
-
Are all products on display and in storage within expiry date.
Repairs and Maintenance
-
Is condition of equipment or surfaces acceptable.
Other
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Please specify details
Grocery
Grocery
Customer
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Rate appearance of department from a customers perspective.
Cleaning
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Are cleaning standards throughout area acceptable.
Stock Rotation
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Are all products on display and in storage within expiry date.
Other
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Please specify details
Back Dock
Back Dock
Temperature Control
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Are temperatures of refrigerated products being checked upon receipt.
Cleaning
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Are cleaning standards throughout area acceptable.
Repairs and Maintenance
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Is condition of equipment or surfaces acceptable.
Pest Control
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Is there any sign of pest infestation within the department.
Other
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Please specify details
Non Department Specific
Non Department Specific.
Recall / Withdrawals
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Are quarantine tubs in place and appropriately identified.
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Have all recall / withdrawals been actioned as required.
Temperature Device Accuracy Checks.
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Has the 6 Monthly Ice Point Check been completed to scedule.
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Has the monthly accuracy check been completed to schedule.
Training
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Has the Store Manger completed Food Safety Supervisor Training.
Other
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Please specify details
Action Plan
Action Plan
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Non-conformance
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Issue
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Action to be completed by store
Sign off
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Food Safety Specialist
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Store Manager / Duty Manager
