Audit

Inspection Details

Chef Manager

Email

Date of last external Audit ?

All non compliances from last external audit are closed out ?

Corrective actions :

Date of last local council visit

All non compliances from council report are closed out ?

Corrective actions :

Staff Training

All food handling staff have completed Food Safety Training ?

Staff training records are up to date ?

Corrective actions :

Supplier and contractor records

Evidence of Pest control reports ( All Pests )

Evidence of coolroom cleaning certificate ( Jaymark )

Evidence of canopy cleaning certificate ( Dunbar )

Evidence of Coolroom preventive maintenance ( Allied Air )

Evidence of Kitchen equipment routine maintenance ( Global , Hobart etc )

Evidence of Waste management Reports ( SITA grease trap collection receipt or invoice )

Main Kitchen

KITCHEN

Kitchen

Is the kitchen door clean with no paint peeling or visible dirt ?

Corrective actions :

Are the kitchen doors pest proofed?

Corrective actions :

Kitchen floor including under the work benches and equipment are clean ?

Corrective actions :

Food items within the kitchen are stored safely i.e. Off the floor, not over stocked and sealed ?

Corrective actions :

Walls and tiles are clean with no cracks and free from dirt and marks ?

Corrective actions :

Is the ceiling clean and no visible marks and no cobwebs ?

Corrective actions :

Lights are in a good working condition with light fittings clean ?

Corrective actions :

Is the hand wash basin clean with warm water , soap , paper towels and a foot operated bin near by ?

Corrective actions :

Are the work benches clean and organised ?

Corrective actions :

Are the pots and pans clean and stored in the a right manner ?

Corrective actions :

Plastic thermal equipment is clean, air dried, free from moisture and impervious

Corrective actions :

The microwave is clean inside and outside ?

Corrective actions :

Food is protected from possible contamination and stored appropriately ?

Corrective actions :

The dishwasher is clean and de scaled regularly and no visible dirt or food debris ?

Corrective actions :

The Dishwasher rinse temperature is ?

Corrective actions :

Is Mixer bowl clean with no food residue inside and out?

Corrective actions :

Is the Robot Coupe clean with no food residue ?

Corrective actions :

Is the Stick blender/s clean with no food residue around the blades and on the machine ?

Corrective actions :

Is the oven clean ?

Corrective actions :

The sinks are clean and maintained properly ?

Corrective actions :

Are the chopping boards in good reasonable condition ?

Corrective actions :

Is the bain-marie with no scaling around the element clean ?

Corrective actions :

The bainmarie temperature is ?

Corrective actions :

Is tin opener free from food residue, clean and in working condition ?

Corrective actions :

The Bins are clean inside and outside with no food residue or any visible dirt ?

Corrective actions :

Cleaning and sanitising schedule is clearly displayed ?

Corrective actions :

Is personal hygiene and GHP Program clearly displayed ?

Corrective actions :

Staff are wearing appropriate uniform and name badge ?

Corrective actions :

Staff are not wearing excess jewellery, nail polish, false nails and good hygiene practices are followed ?

Corrective actions :

RTE food handlers are wearing gloves when preparing any RTE food ?

Corrective actions :

Additional Information

DRY STORE

Dry store

Is the dry store door clean with no paint peelings ?

Corrective actions :

Is the floor clean and all food is stored off the floor ?

Corrective actions :

Is the ceiling clean with no visible marks or any cobwebs ?

Corrective actions :

Walls and tiles are clean with no cracks and free from dirt and marks ?

Corrective actions :

Lights are in a good working condition with light fittings clean ?

Corrective actions :

Food is protected from possible contamination and stored appropriately ?

Corrective actions :

All food is labelled clearly with date opened and use by date ?

Corrective actions :

Are the shelves clean ?

Corrective actions :

Additional Information

COLD ROOM / FRIDGE

Fridge / Cold room

Name or Number of the Cold Room or Fridge

Is the cold room / fridge in good condition and the temperature within limits ?

Corrective actions :

The fridge or cold room temperature is in deg C

Is the floor of the cold room or base of the fridge clean with no food items stored on the floor ?

Corrective actions :

Is the Fridge / cold room walls or sides clean with no visible dirt or food splashes ?

Corrective actions :

Are the shelves clean and in good condition ?

Corrective actions :

Food is protected from possible contamination and stored appropriately ?

Corrective actions :

Food items are clearly labelled with date opened and use by date ?

Corrective actions :

Raw meats are stored on the bottom shelves ?

Corrective actions :

Raw meats and RTE meats are separated appropriately ?

Corrective actions :

Any thawing is done on the bottom Shelves and labelled clearly ?

Corrective actions :

Additional Information

FREEZER

Fridge / Cold room

Name or Number of the Freezer

Is the Freezer in good condition and the temperature within limits ?

Corrective actions :

The freezer temperature is

Is the floor of the base of the Freezer clean with no food items stored on the floor ?

Corrective actions :

Are the Freezer walls or sides clean with no visible dirt or any food splashes ?

Corrective actions :

Shelves are clean and in good condition ?

Corrective actions :

Food is protected from possible contamination and stored appropriately ?

Corrective actions :

Food items are clearly labelled with date opened and use by date ?

Corrective actions :

Raw meats are stored on the bottom shelves ?

Corrective actions :

Raw meats and RTE meats are separated appropriately ?

Corrective actions :

Additional Information

Waste management

BIN AREA

Bin area

Bins not over flowing and no rubbish is on the floor ?

Corrective actions :

Are the correct bins used for correct waste ? General waste, proper recycling and cardboard boxes flattened ?

Corrective actions :

Room is clean, neat and hazard free ?

Corrective actions :

Floors are able to be effectively cleaned ?

Corrective actions :

Bin area

Additional Information

GREASE TRAP

Grease trap

Is the grease trap externally clean and maintained ?

Corrective actions :

Grease trap area

Additional Information

Servery Standards and Cleanliness

SERVERY

Servery

Servery Name

Level of Care
Meal Period

Is work bench or counter area clean ?

Corrective actions :

Hand washing sink available with warm water , soap and paper towels

Corrective actions :

Inside cupboards are clean ?

Corrective actions :

The microwave is clean inside and outside ?

Corrective actions :

The plastic thermal equipment is clean, air dried, free from moisture and impervious

Corrective actions :

All dry food items in the servery cupboards are day dotted and have use by date ?

Corrective actions :

Is the food within use by date and of appropriate Aegis quality ?

Corrective actions :

The fridge is clean inside and outside ?

Corrective actions :

The fridge seals are in good condition and clean with no food debris ?

Corrective actions :

The freezer seals are in good condition and clean with no food debris ?

Corrective actions :

The Fridge temperature at the time of Audit
The Freezer temperature at the time of Audit

Is the Fridge and Freezer in good condition and the temperature within limits ?

Corrective actions :

All food items in the servery fridge are day dotted and has use by date ?

Corrective actions :

All food items are within use by date and of appropriate Aegis standard ?

Corrective actions :

Is the bain-marie with no scaling around the element clean ?

Corrective actions :

The bainmarie temperature is ?

Corrective actions :

Servery floor is clean ?

Corrective actions :

The bins are clean and no food residues found on the lid and outside of the bin ?

Corrective actions :

Servery cleaning equipment ( mop, broom , dustpan , brush or microfiber mop) are stored correctly and clean ?

Corrective actions :

Servery walls are clean with no visible cracks or any damage ?

Corrective actions :

Servery ceiling is clean and with visible cracks or any damage ?

Corrective actions :

Air vents are clean and in good working condition ?

Corrective actions :

Lights are in a good working condition with light fittings clean ?

Corrective actions :

The tea trolley is clean ( including the wheels , handles and bases ) and any plastic thermal serve ware is moisture free ?

Corrective actions :

Correct menu is displayed on the wall menu board and board in good condition ?

Corrective actions :

Are the dining tables clean and set according to Excellence in Dining standards?

Take photo of dining table settings

Additional Information

Trolley Standards and cleanliness

TROLLEY SERVICE

Trolley

Wing name

Meal Period

Meal trays are set as per Aegis "Excellence in Dining" standard

Corrective actions :

Resident name tag with photo is on the tray? (Name tag is clean)

Corrective actions :

Are the trollies clean with no food residue ?

Corrective actions :

Are the trolley wheels clean ?

Corrective actions :

The trays are clean, dry and with no food residue ?

Corrective actions :

The Plastic thermal equipment is clean, air dried, free from moisture and impervious

Corrective actions :

Crockery and cutlery are clean with no chips or rust ?

Corrective actions :

The tea trollies are clean ( including the wheels , handles and bases ) and any plastic thermal serve ware is moisture free ?

Corrective actions :

Additional Information

Food service Delivery and Food Challenge
Any photos before service

TROLLEY SERVICE

Wing

Name of the Wing

AIN's are ready to serve the meal at time of service?

Corrective actions :

Food served is of ' Excellence in Dining ' standard ?

Corrective actions :

Photos of the different meal served and food challenge

Meal

Temperature

Meal

Temperature

Textured Meal

Temperature

Textured meal

Temperature

Textured meal

Temperature

Dessert

Temperature

Additional Information

SERVERY FOOD SERVICE

Servery

Name of the servery

Staff are wearing Uniform with Name Badge?

Corrective actions :

Staff are not wearing excess jewellery, nail polish, false nails and follow good hygiene practices ?

Corrective actions :

AIN's are ready to serve the meal at time of service?

Corrective actions :

Food served is of ' Excellence in Dining ' standard ?

Corrective actions :

Photos of the different meal served and challenged

Meal

Temperature

Meal

Temperature

Textured Meal

Temperature

Textured meal

Temperature

Textured meal

Temperature

Dessert

Temperature

Texture Modified Dessert

Temperature

Additional Information

Food records

Calibration records completed and sighted for the past 6 months

Corrective actions :

GHP records are completed and sighted for the past 6 months

Corrective actions :

KITCHEN DAILY CONS TIME AND TEMP RECORDS REVIEW

Main kitchen

Verification of cleaning schedule records completed correctly ?

Corrective actions :

Supplier records completed correctly and are they within acceptable limits ?

Corrective actions :

Equipment temperatures are completed correctly and are they within acceptable limits ?

Corrective actions :

Is thawing process correct , within limits and matches the previous days or next days process ?

Corrective actions :

Are cold prep records filled correctly and within the limits ?

Corrective actions :

Are cooking records completed and matches the other process and under the limits ?

Corrective actions :

Do cooling records match the other process and with in the limits ?

Corrective actions :

Do texture modification records match the other process and with in the limits ?

Corrective actions :

Do reheating records match the other process and within the limits ?

Corrective actions :

Do hot holding records match the other process and within the limits ?

Corrective actions :

Does Service records match the other process and under the limits ? ( plate service only )

Corrective actions :

Additional Information

SERVERY DAILY CONS TIME AND TEMP RECORDS REVIEW

Servery

Name of the servery

Verification of cleaning schedule records completed correctly ?

Corrective actions :

Equipment temperatures are completed correctly and are within acceptable limits ?

Corrective actions :

Does Service temperature completed fully with no gaps and the food are within the acceptable limits ?

Corrective actions :

Additional Information

Resident Information

Resident Diet Analysis are up to date ?

Corrective actions :

Is the drinks list up to date ?

Corrective actions :

Resident Allergens records are up to date ?

Corrective actions :

Resident meal ordering form is up to date with all required information ?

Corrective actions :

Additional Information

Food Transportation

Does the facility transport food to another Aegis facility ?

Is the vehicle used to deliver the food clean and food storage containers are insulated ?

Corrective actions :

Does the vehicle have an effective cleaning schedule ?

Corrective actions :

Is the Food temperature within acceptable limits when food departs the facility ? Check records to confirm

Corrective actions :

Is the Food temperature within acceptable limits when food it arrives the other facility ? Check records to confirm

Corrective actions :

Additional Information

Additional Information
Add media

Additional Notes/Comments

Final audit report to be returned back to the auditor by

It is the facility's ( Chef / FM / In charge ) responsibility to fill out the corrective actions tab in every non compliance and close out any non compliances marked in this audit. The final closed out report should be sent back to the auditor before the above mentioned date.

Scan and email the filled report to the auditor by the mentioned date

Re-inspection Required

Time before next inspection

DECLARATION: I have read this report and understand the contents

Central Office signature

NOTE: assessment report contains findings from date/time of inspection only

Contact Details

Aegis Aged Care Group

Address: 90 Goodwood Pde Burswood Perth WA 6103

Telephone: (08) 6254 8200

Fax: (08) 6254 8299

Email: operations@aegiscare.com.au

Web: www.aegiscare.com.au


www.aegiscare.com.au

ABN: 97 377 986 723

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.