Horsham Rural City Council Food Event Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

GENERAL INFORMATION

• Date

  Date

• Name of Event

  Wimmera Machinery Field Days

  Horsham Agricultural Show

  Haven Market

  Natimuk Farmer Market

  Natimuk Agricultural Show

• Name

• Registration Number

• Registration Type

  Council Single Permit

  Streatrader SOT

  Council Registration

• Premises Type

  Stall

  Tent/Marquee

  Mobile Food Van

• Class

  Yes

  No

  N/A

• Name of Officer

  Luke Mitton

  Helene Wortley

INSPECTION

• Food Safety Supervisor Qualifications Sighted

  Yes

  No

  N/A

• Food Safety Program Sighted

  Yes

  No

  N/A

• Food Safety Program Type

• Handwashing Facilities Adequate

  Yes

  No

  N/A

• Soap

• Paper Towel

• HOT Temperatures Adequatre

  Yes

  No

  N/A

• COLD Temperatures Adequate

  Yes

  No

  N/A

• Good Standard of Cleanliness

  Yes

  No

  N/A

• Comments

SIGNATURE

• Signature of Officer

  Sign