Site conducted
Prepared by
Date & time conducted
Date
Location (if not in system)
Business Name (if not in system)
Risk Level
Low Risk
Medium Risk
High Risk
TBA
Reason for assessment
Select
Follow Up Food Safety Assessment
Improvement Notice Follow Up Food Safety Assessment
Complaint Investigation Food Safety Assessment
Follow Up Food Safety Assessment Improvement Notice Follow Up Food Safety Assessment Complaint Investigation Food Safety Assessment
Proprietor/manager on site at time of assessment
Food Receipt
Food is protected from contamination - 3.2.2. 5(1)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Identification & traceability of food - 3.2.2. 5(2)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
PHF* is kept under temperature control - 3.2.2. 5(3),(4)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food Storage
Food is protected from contamination - 3.2.2. 6(1)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Stock is rotated & products are within use-by-date - 3.2.2 11
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
PHF* is kept under temperature control - 3.2.2. 6(2)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food Processing
Food is protected from contamination - 3.2.2. 7(1)(b)(i)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Separation of raw & ready to eat foods - 3.2.2. 7(1)(b)(i)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food is adequately cooked/processed - 3.2.2. 7(1)(b)(i)(i)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Time out of temperature control is minimised - 3.2.2. 7(2)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
PHF* is cooled suitably & rapidly - 3.2.2. 7(3)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
PHF* is reheated suitably & rapidly - 3.2.2. 7(4)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food Display
Food is protected from contamination - 3.2.2. 8 (1)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
PHF* is displayed under temperature control - 3.2.2. 8(5)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Suitable & separate serving utensils provided - 3.2.2. 8(2)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Packaging / Transport / Disposal
Food is protected from contamination - 3.2.2. 9(b), 10(a)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
PHF* is transported under temperature control - 3.2.2. 10 (b),(c)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food is sold with correct labeling - 1.2.1
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food for disposal is clearly marked and kept seperate - 3.2.2. 11
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Health / Hygiene / Skills & Knowledge
Good hygiene practices - 3.2.2. 13, 15, 16
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
HWB* functional, Accessible & correctly used - 3.2.2 15(2),(3),(4), 17(1)(a); 3.2.3 14
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Soap & single use towels are available adjacent HWB* - 3.2.2 17(1)(b)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food handlers have adequate skills & knowledge - 3.2.2. 3(1)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Temperature probe is suitable & available - 3.2.2 22
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Suitability of Premises
Floors, walls & ceiling are clean - 3.2.2 19(1)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Fixtures, fittings, equipment & utensils are clean - 3.2.2 19(2)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food contact surfaces are cleaned then sanitised - 3.2.2 20
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Exhaust canopy cleaned & maintained - 3.2.2 19(2)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Lighting & ventilation adequate - 3.2.3 7,8
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Fixtures, fittings & equipment in good working order - 3.2.2 21(1)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Surfaces smooth, impervious, gap free & easy to clean - 3.2.3 3(c),(d)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Pest entry & harbourage prevented, records are kept - 3.2.2 24(1)(b),(c); 3.2.3 3(d)(ii),(iii)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Hot/cold water supply & sewage adequate - 3.2.3 4,5,13
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Suitable storage of waste and recyclables - 3.2.3 6
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Bin area & grease trap cleaned & maintained - 3.2.3 5,6
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Toilets adequate and clean - 3.2.3 16
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Separate storage for personal items & chemicals
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
No chipped, broken or cracked eating utensils - 3.2.3 21(2)
Compliant
Non-Compliant
Serious Non-Compliance
Not Verified During Assessment
N/A
Food Act 2008 & Food Standards Code Requirements General comments
Follow-up assessment fee for unsatisfactory work: Proprietor to be charged relevant fee for this assessment
Further Action
Routine assessment
Follow up assessment
Further Enforcement action
Next Assessment Date (assessment may not be on this day)
Date
Authorised Officer Signature
Sign
link copied
Health Services
Health - Food Safety Assessment Report - (follow up / complaint assessment)
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