Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
GENERAL INFORMATION
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Is this vist being conducted as a result of a complaint?
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Name of Officer
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Date of Inspection
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Name of Premises
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Contact Name
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Contact Number
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Actions=
FU - Follow Up
V - Verbal Warning with Education
W - Warning Letter
I - Infringement
P - Prosecution
TOBACCO RETAILERS
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Are tobacco products and packaging covered and not visable to the public from anywhere inside or outside the retail premises?
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Is the Health Warning Sign Displayed?
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Is the 'We dont sell tobacco to u/18s' sign displayed?
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If a price board is displayed, is there a graphic health warning sign displayed on or immediatly next to the price board?
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Are staff being trained regarding cigarette sales to minors?
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Is there any tobacco advertising within the store (inc. non-branded tobacco advertising such as a backlit sign of lighter and/or matches)?
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Are there any 'discounted' or 'cheap' cigarette signs?
INFORM ON
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Types of identification that should be signted when someone purchasing cigarettes who may be under the age of 25
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Not selling single cigarettes or in packet less than 20
ENCLOSED WORPLACES
EATING ESTABLISHMENT
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Licensed Premises
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Gaming
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Shopping Centre
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Cafe/Restaurant
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Other:
CHECK
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Are no smoking signs posted as required (licensed premises, shopping cetnre, bingo centre, casino, cafe/restaurants)?
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Any signs that smoking may be occuring in the workplace (eg butts, smell)?
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Is the vending machine located in a correct position (in line of sight of the bar area not more than 5 meters from the outer edge of the bar area in a licensed premises, or in the line of sight of coutner at a gaming venue or casino, or next tot he counter at a bottle shop)?
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Are tobacco products and packaging covered and not visable inside or outside of the vending machine? (price tickets permitted)
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Is the smoking status of any outdoor dining and drinking area correct? (see further info)
INFORM ON
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The need for the entire enclosed workplace to be smoke-free at all times
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Educating new staff regarding the smoke-free enclosed workplace
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Smoking status of a worksplace never changes even if doors and windows are opened
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Smoking status of an outdoor area can change if awning (or similar) are drawn
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Occupier must not provide ash trays, matches, lighters or any other things designed to facilitate smoking
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If occupier witnesses smoking in their workplace they should request that the person extinguish the cigarette
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Where possible, designate an outside area where smoking is permitted
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A cigarette butt bin shoudlb e provided in designated ourdoor smoking areas
OUTDOOR DINING AND DRINKING AREAS
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Step 1.
Does area have roof?
Does the roof impede airflow? if so, tha area should be regarded as having a roof.
As a guide, if half of the area is covered then the area may be considered to have a roof -
Calculation
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Step 2.
Total notional wall area.
Calculate the total wall surface area that is required to enclose all walls up to the lowest point of the roof along with perimeter of the roofline - this will give you your 'total notional wall area' -
Wall 1.
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Wall 2.
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Wall 3.
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Wall 4.
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Total
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Step 3.
Total actual wall area.
Work out the acutal wall area that exists. If a wall prevents or significantly impedes lateral airflow in an area, despite any openings or gaps int he wall, those openings should be disregarded in assessing the toal actual area of the wall surface. -
Wall 1.
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Wall 2.
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Wall 3.
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wall 4.
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Total
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Step 4.
Compare your actual wall area as a percentage of your toal notional wall area.
If the amount is 75% or less, smoking is permitted.
If the amount is more than 75%, smoking is not permitted.
Actual Wall area (m2)/Notional Wall Area(m2) x 100 = % wall area covered. -
Calculation
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Diagrams
CERTIFIED SPECIALIST TOBACCONISTS
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When conducting a visit at a certified specialist tobacconist, please complete both checklists below, the first checklist shows offences where infringements can be issued wihld the second is a checklist used by the department of health to determine whether the retailer is eligible for certification and cannot be used as a basis for enforcement action.
CHECK: Please report any breach to the Department of Health at tobacco.policy@health.vic.gov.au or 9096 0469
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Is the certificate displayed in a conspicuous position?
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Is there only one tobacco display area?
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Is the display of tobacco product facings less than 4 square meteres (exluding cigars in an operating humidor)?
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Is there only one front facing of each product line on display?
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Is the 'We Dont Sell Tobacco to u/18s' sign displayed?
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Is the health warning sign displayed?
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Are staff being trained regarding cigarette sales to minors?
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Is there any tobacco advertising within the store (inc. non-branded tobacco advertsing such as a backlit sign of lighters and/or matches)?
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Are there any 'discounted' or 'cheap' cigarette signs?
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Are any cigarette cartons displayed?
INFORM ON
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Types of identification that should be signted when someone purchasing cigarettes who may be under the age of 25
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Not selling single cigarettes or in a packet less than 20
CERTIFIED SPECIALIST TOBACCONIST CRITERIA CHECKLIST Please report any non-conforming criteria to the Department of Health at tobacco.policy@health.vic.gov.au or 9096 0469
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Does the Retail outlet operate from premises separated from all other retail premises by walls? If N - Advise Dept.
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Do the signs at the front of the retail outlet clearly show that it is a tobacconist by using branding containing any or all of the words: tobacconist, tobaco, cigars, cigarettes? If N - Advise the Dept.
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Does the retail outlet operate from premises opening directly or exiting from any other retail premises? If Y - Advise Dept
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Does the retail outlet identify itself as a newsagent? If Y - Advise Dept
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Does the retail outlet contain any internal or external branding identifying it as a newsagent? If Y - Advise Dept
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Does the retail outlet sell print materials other than local, state, and national, daily and weekly newspapers? If Y - Advise Dept
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Does the retail outlet sell any food or beverages other than low risk and shelf-stable foods and beverages? If Y - Advise Dept
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Does the retail outlet sell any milk or dairy products, including UHT or other shelf-stable products? If Y - Advise Dept
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Does the retail outlet sell any bread or other bakery products? If Y - Advise Dept
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Does the retail outlet sell any eggs or breakfast cerials? If Y - Advise Dept
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does the retail outlet sell products or services for children or adolescents? If Y - Advise Dept
NOTES/COMMENTS
SIGNATURE
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Signature of Officer