Title Page

  • Trading Name

  • Proprietor Details

  • Contact Person

  • Food Safety Supervisor

  • Business Food Registration No.

  • Date

  • Postal Address
  • Telephone No.

  • Personnel

Introductory Meeting

  • Have the details of the inspection been explained to management

  • Does the Food Safety Program (FSP) truly reflect the food processes that occur at the premises

Food Purchasing and Receival

  • Is there evidence that food products are purchased from a registered food supplier or premises

  • Is the area where food products are received<br>appropriately designed and maintained<br>

  • Is the equipment used to check incoming food<br>products appropriate (temperature gauges or probes) <br>

  • Are appropriate records checks kept of received food

  • Are employees competent with purchasing and receival procedures and personal hygiene practices

Food Storage

  • Are employees competent with food storage procedures for dry store and or shelf stable foods

  • Are foods stored correctly in cool room(s) refrigerator(s)

  • Are the cool room(s) refrigerator(s) appropriately designed and maintained

  • Are employees competent cool room(s) refrigerator(s) food storage procedures and temperature checks

  • Are critical temperature limits being achieved - food stored between 0 - 5o C

  • Are appropriate records checks kept of stored food temperature critical limits

  • Are the thermometer(s) probe(s) gauges(s) used to check food temperatures accurate

  • Are foods stored correctly in the freezer(s)

  • Are the freezer(s) appropriately designed and maintained

  • Are employees competent with freezer(s) food storage procedures and temperature checks

  • Are dry store and or shelf stable foods stored and or displayed correctly

  • Are areas where dry store and or shelf stable foods are<br>stored and or displayed correctly designed and maintained<br>

  • Is there any evidence of pests or pest infestation

Preparation Handling Procedures

  • Have employees where required been trained in food handling and have the relevant qualifications

  • Are employees competent with food preparation and handling procedures and personal hygiene practices

  • Is the kitchen food preparation area appropriately designed to prevent cross contamination

  • Is there adequate hand washing facilities, soap and paper towels in each food preparation area

  • Is there any evidence of cross contamination of food(s)

  • Are frozen foods thawed correctly

  • Is pre heated food (PHF) left at room temperature for longer than necessary

  • Are high risk foods cooked to critical limit core temperature of 75o C

  • Are cooked foods cooled within the critical limits less than 5o C within 4 hours

  • Is food reheated to critical temperature limit of 70o C

  • Is the food service and display area(s) and<br>equipment appropriately designed and maintained<br>

  • Is cold pre prepared food displayed within the critical limits of between 0 - 5o C

  • Is hot pre heated food (PHF) sold within 2 hours of cooking or displayed within the critical limits of above<br>60o C<br>

  • Is there adequate cleaning facilities to wash all food and kitchen equipment

  • Is the cleaning of food contact surfaces within critical limits - Sanitation or water temp of 75o C

  • Are there an adequate detailed cleaning procedures and schedules

  • Are appropriate records kept of cleaning procedures schedules and checks

Food Delivery Distribution

  • Are delivery employees competent with food distribution procedure and personal hygiene practices

  • Are the Food Transport Vehicles appropriately<br>designed and maintained<br>

  • Is cold food transported within the critical limits of between 0 - 5 C

  • Is hot pre heated food (PHF) delivered within 2 hours of cooking or transported within the critical limits of above 60 C

  • Are appropriate records checks kept of food delivery temperatures

Waste Disposal Program

  • Are Waste Bins washed, sanitised, kept clean and bin liners changed on a regular basis

  • Are Waste Bins appropriately designed and located within food areas

  • Are external waste disposal containers collected and disposed of at regular intervals and is the area kept clean and tidy

  • Are plastic crates, trays, bins, containers and cardboard stored, collected and disposed of safely

Pest Control

  • Are external accesses to food preparation and areas where food is exposed provided with insect screens

  • Is there any evidence of pests or pest infestation in food areas or on the premises

  • Are there a regular inspections for evidence of pests and or pest infestation undertaken at the premises

  • What frequency does the pest control company attend the premises

  • Are appropriate records kept of pest control company inspections

  • Does the cleaning schedule keep the premises clean <br>as to not attract pests<br>

Calibration Program

  • Has the temperature testing equipment been calibrated in accordance with the food safety program (FSP)

  • Are appropriate records kept of the temperature testing

Recall Procedure

  • Are employees competent with food recall procedures internally, externally and food suppliers

  • Are employees competent with the customer complaint<br>procedures and recording customer complaints<br>

  • Is there a customer complaints record sheet

  • Is there a record of customer complaints

  • Is there an area provided for isolation of foods

  • Does the person in charge know who to contact in the <br> event that contaminated food is identified<br>

Summary of Inspection

  • Name of person in charge (inspection witness)

  • Commencement time

  • Completion time

  • Number of minor defects

  • Number of major defects

  • Number of serious defects

  • Premises Rating

  • Date inspection report sent to proprietor

  • Date premises is to be reinspected to check compliance with defects

  • Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.