Hygiene Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Storage

• Chilled/ frozen food stored without delay

  Yes

  No

  N/A

• Store room in clean & tidy condition

  Yes

  No

  N/A

• Food stored on suitable racking off the floor (6")

  Yes

  No

  N/A

Cleaning

• Cleanings records available and in date

  Yes

  No

  N/A

• Deep cleans carried out

  Yes

  No

  N/A

• Chopping boards, knives, slicers, etc, sanitised / washed after use

  Yes

  No

  N/A

• Bins cleared, lids on and in good condition

  Yes

  No

  N/A

• Equipment - extractors, ovens, taps, ice machines and mixers in good condition.

  Yes

  No

  N/A

Fridge/freezers

• All temperature gauges in working order

  Yes

  No

  N/A

• Seals clean and in good condition

  Yes

  No

  N/A

• Walk in fridge/freezers safety lock working

  Yes

  No

  N/A

• Handles secure

  Yes

  No

  N/A

• Walk in fridge/freezers food stored 6 inches off the floor

  Yes

  No

  N/A

• All products in date

  Yes

  No

  N/A

• Temperature records available and in date

  Yes

  No

  N/A

Personal Hygiene

• Personal cleanliness/hand washing facilities

  Yes

  No

  N/A

• Protective clothing

  Yes

  No

  N/A

Maintenance

• Light fitting/ covers

  Yes

  No

  N/A

• Ceilings in good condition

  Yes

  No

  N/A

• Work surfaces

  Yes

  No

  N/A

• Equipment/utensils/fridges/ice boxes

  Yes

  No

  N/A

• Ventilation system

  Yes

  No

  N/A

Flooring

• Flooring in good condition

  Yes

  No

  N/A

• Floors clear of slip and trip hazards

  Yes

  No

  N/A

• Wet floors cleared immediately.

  Yes

  No

  N/A

• Skirting clean/free of dirt

  Yes

  No

  N/A

Temperature Records

• All refrigerators

  Yes

  No

  N/A

• All freezers

  Yes

  No

  N/A

• Thermometers working correctly

  Yes

  No

  N/A

• Records of food probing

  Yes

  No

  N/A

Pest control

• Pest proofing in place

  Yes

  No

  N/A

• Insect screens/ fly killing devices.

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

Personal Hygiene Standards

• All food handlers issued and trained in good hygiene guidance

  Yes

  No

  N/A

• Wash basins and soaps available, clean and in good condition

  Yes

  No

  N/A

• Good personal hygiene practices being followed (seen @ time of inspection)

  Yes

  No

  N/A

Records

• Probe calibration records

  Yes

  No

  N/A

• Cleaning schedule available

  Yes

  No

  N/A

• Records of core cooking temperature

  Yes

  No

  N/A

• Fridge/freezer temperature sheets available.

  Yes

  No

  N/A

• Deep cleans carried out

  Yes

  No

  N/A

• Training up to date.

  Yes

  No

  N/A

Illnesses

• Any illnesses with employees in last week

  Yes

  No

  N/A

• Any illnesses with guests in the last week

  Yes

  No

  N/A

Allergen

• Allergen sheets available

  Safe

  At Risk

  N/A

• Allergen sheets applicable and in date.

  Yes

  No

  N/A

Other

• Fire extinguishers available and in date.

  Yes

  No

  N/A

• Fire exits clear and free of obstruction

  Yes

  No

  N/A

• First aid kit available.

  Yes

  No

  N/A

• Any out of date stock

  Yes

  No

  N/A

Summary

Additional Information

• Consultants name

  Sign