INTERNAL FOOD SAFETY AUDIT - AEGIS AGED CARE GROUP

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Final audit report after closing out all non compliances should be returned back to the auditor by

  Date

Inspection Details

• Chef Manager

• Email

• Date of last external Audit ?

  Date

• All non compliances from last external audit are closed out ?

  Yes

  No

  N/A

• Corrective actions :

• Date of last local council visit

  Date

• All non compliances from council report are closed out ?

  Yes

  No

  N/A

• Corrective actions :

Staff Training

• All food handling staff have completed Food Safety Training ?

  Yes

  No

  N/A

• Staff training records are up to date ?

  Yes

  No

  N/A

• Corrective actions :

Supplier and contractor records

• Evidence of Pest control reports ( All Pests )

  Yes

  No

  N/A

• Evidence of coolroom cleaning certificate ( Jaymark )

  Yes

  No

  N/A

• Evidence of canopy cleaning certificate ( Dunbar )

  Yes

  No

  N/A

• Evidence of Coolroom preventive maintenance ( Allied Air )

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Main Kitchen

• KITCHEN

Kitchen

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

  Yes

  No

  N/A

• Corrective actions :

• Are the kitchen doors pest proofed?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Are the work benches clean and organised ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• The microwave is clean inside and outside ?

  Yes

  No

  N/A

• Corrective actions :

• Food is protected from possible contamination and stored appropriately ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• The Dishwasher rinse temperature is ?

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Is the Robot Coupe clean with no food residue ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Is the oven clean ?

  Yes

  No

  N/A

• Corrective actions :

• The sinks are clean and maintained properly ?

  Yes

  No

  N/A

• Corrective actions :

• Are the chopping boards in good reasonable condition ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• The bainmarie temperature is ?

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Cleaning and sanitising schedule is clearly displayed ?

  Yes

  No

  N/A

• Corrective actions :

• Is personal hygiene and GHP Program clearly displayed ?

  Yes

  No

  N/A

• Corrective actions :

• Staff are wearing appropriate uniform and name badge ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

• DRY STORE

Dry store

• Is the dry store door clean with no paint peelings ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Food is protected from possible contamination and stored appropriately ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Are the shelves clean ?

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

• 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 ?

  Yes

  No

  N/A

• 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 ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Are the shelves clean and in good condition ?

  Yes

  No

  N/A

• Corrective actions :

• Food is protected from possible contamination and stored appropriately ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Raw meats are stored on the bottom shelves ?

  Yes

  No

  N/A

• Corrective actions :

• Raw meats and RTE meats are separated appropriately ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

• FREEZER

Fridge / Cold room

• Name or Number of the Freezer

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

  Yes

  No

  N/A

• Corrective actions :

• The freezer temperature is

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Shelves are clean and in good condition ?

  Yes

  No

  N/A

• Corrective actions :

• Food is protected from possible contamination and stored appropriately ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Raw meats are stored on the bottom shelves ?

  Yes

  No

  N/A

• Corrective actions :

• Raw meats and RTE meats are separated appropriately ?

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

Waste management

• BIN AREA

Bin area

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Room is clean, neat and hazard free ?

  Yes

  No

  N/A

• Corrective actions :

• Floors are able to be effectively cleaned ?

  Yes

  No

  N/A

• Corrective actions :

• Bin area

  Media

• Additional Information

  No

  yes

• GREASE TRAP

Grease trap

• Is the grease trap externally clean and maintained ?

  Yes

  No

  N/A

• Corrective actions :

• Grease trap area

  Media

• Additional Information

  No

  yes

Servery Standards and Cleanliness

• SERVERY

Servery

• Servery Name

• Level of Care

  Select Low Care High Care Dementia Extra Services

  • Low Care
  • High Care
  • Dementia
  • Extra Services

• Meal Period

  Select Breakfast Lunch Dinner Morning Tea Afternoon Tea Supper N/A

  • Breakfast
  • Lunch
  • Dinner
  • Morning Tea
  • Afternoon Tea
  • Supper
  • N/A

• Is work bench or counter area clean ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Inside cupboards are clean ?

  Yes

  No

  N/A

• Corrective actions :

• The microwave is clean inside and outside ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• The fridge is clean inside and outside ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• 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 ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• The bainmarie temperature is ?

• Corrective actions :

• Servery floor is clean ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Air vents are clean and in good working condition ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Take photo of dining table settings

  Media

• Additional Information

  No

  yes

Trolley Standards and cleanliness

• TROLLEY SERVICE

Trolley

• Wing name

• Meal Period

  Select Breakfast Lunch Dinner Morning Tea Afternoon Tea Supper N/A

  • Breakfast
  • Lunch
  • Dinner
  • Morning Tea
  • Afternoon Tea
  • Supper
  • N/A

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Are the trollies clean with no food residue ?

  Yes

  No

  N/A

• Corrective actions :

• Are the trolley wheels clean ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Crockery and cutlery are clean with no chips or rust ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

Food service Delivery and Food Challenge

• Any photos before service

  Media

• TROLLEY SERVICE

Wing

• Name of the Wing

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

  Yes

  No

  N/A

• Corrective actions :

• Food served is of ' Excellence in Dining ' standard ?

  Yes

  No

  N/A

• Corrective actions :

• Photos of the different meal served and food challenge

  Media

• Meal

• Temperature

• Meal

• Temperature

• Textured Meal

• Temperature

• Textured meal

• Temperature

• Textured meal

• Temperature

• Dessert

• Temperature

• Additional Information

  No

  yes

• SERVERY FOOD SERVICE

Servery

• Name of the servery

• Staff are wearing Uniform with Name Badge?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Food served is of ' Excellence in Dining ' standard ?

  Yes

  No

  N/A

• Corrective actions :

• Photos of the different meal served and challenged

  Media

• Meal

• Temperature

• Meal

• Temperature

• Textured Meal

• Temperature

• Textured meal

• Temperature

• Textured meal

• Temperature

• Dessert

• Temperature

• Texture Modified Dessert

• Temperature

• Additional Information

  No

  yes

Food records

• Calibration records completed and sighted for the past 6 months

  Yes

  No

  N/A

• Corrective actions :

• GHP records are completed and sighted for the past 6 months

  Yes

  No

  N/A

• Corrective actions :

• KITCHEN DAILY CONS TIME AND TEMP RECORDS REVIEW

Main kitchen

• Verification of cleaning schedule records completed correctly ?

  Yes

  No

  N/A

• Corrective actions :

• Supplier records completed correctly and are they within acceptable limits ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Are cold prep records filled correctly and within the limits ?

  Yes

  No

  N/A

• Corrective actions :

• Are cooking records completed and matches the other process and under the limits ? <br>

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

• SERVERY DAILY CONS TIME AND TEMP RECORDS REVIEW

Servery

• Name of the servery

• Verification of cleaning schedule records completed correctly ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

Resident Information

• Resident Diet Analysis are up to date ?

  Yes

  No

  N/A

• Corrective actions :

• Is the drinks list up to date ?

  Yes

  No

  N/A

• Corrective actions :

• Resident Allergens records are up to date ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

Food Transportation

• Does the facility transport food to another Aegis facility ?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Corrective actions :

• Does the vehicle have an effective cleaning schedule ?

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

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

  Yes

  No

  N/A

• Corrective actions :

• Additional Information

  No

  yes

Additional Information

• Add media

  Media

• Additional Notes/Comments

• Final audit report to be returned back to the auditor by

  Date

• 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

  Yes

  No

  N/A

• Time before next inspection

  Select Week Fortnight 1 Month 3 Months 6 Months 1 year

  • Week
  • Fortnight
  • 1 Month
  • 3 Months
  • 6 Months
  • 1 year

• DECLARATION: I have read this report and understand the contents

• Central Office signature

  Sign

• 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