Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • E-mail address

Floors

  • Are floors coved?

  • Are floors smooth, impervious and easy to clean?

  • Is the cool room floor smooth, impervious and easy to clean?

Walls

  • Are walls smooth, impervious and easy to clean?

  • Are all wall openings for pipes vermin proof?

Ceiling

  • Are ceilings suitable?

  • Are the ceilings of solid construction and free of gaps? (NOTE: drop in panels are not acceptable in food preparation areas)

Sinks

  • Are hand wash basins available for use?

  • Does hand wash basin have warm running water through a common outlet?

  • Are hand wash basins within 5 metres travel distance of food preparation and service areas?

  • Do hand wash basins have liquid hand soap and paper hand towel dispensers adjacent to hand wash basin?

  • Do hand wash basins have a 300mm splash back?

  • Is there a dish rinsing sink available does it have hot water and appropriate splash back?

  • Is there a dish washing sink or dishwasher available is it connected to hot water or sanitising agent?

  • Is there a cleaners sink available?

  • Is there a food preparation sink available?

Fixtures and fittings

  • Are fixtures and fittings smooth, impervious and easy to clean?

  • Are all fridges, freezer and hot and cold displays commissioned and operational?

  • Is a working theremometer available at the premises?

Mechanical ventilation

  • Has the mechanical ventilation been certified as being installed in compliance with the BCA and AS 1668.2 and any specific DA conditions?

Cleaning

  • Are the floor, walls, ceilings, fixtures and fittings clean?

Waste storage

  • Is there an appropriate waste storage area that does not pollute stormwater?

Temperature control

  • Are potentially hazardous food being kept either below 5°C or above 60°C?

Notes and items that may require attention

  • Notes and other items that may require attention

  • Environmental Health Officer

  • Environmental Health Officers Signature

  • Interviewed persons signature

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.