INTERNAL FOOD SAFETY AUDIT REPORT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Inspection Details

• Chef

• Site Manager

• Email

• Date of last external Audit ?

  Date

• All non compliances from last external are closed out ?

  Yes

  No

  N/A

• Local council food business certificate is current

  Yes

  No

  N/A

• Date of last local council visit

  Date

• All non compliances from council report are closed out ?

  Yes

  No

  N/A

Staff Training

• All food handling staff have completed their mandatory training ? ( Fire and Safety , Manual Handling , Food Safety , Chemical Awareness )

  Yes

  No

  N/A

• Staff training records are up to date ?

  Yes

  No

  N/A

Supplier and contractor records

• Evidence of Pest control reports ( All Pests )

  Yes

  No

  N/A

• Evidence of canopy cleaning certificate

  Yes

  No

  N/A

• Evidence of Coolroom preventive maintenance

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Evidence of Dishwasher chemical dosage reports ecolab

  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

• Action taken to close down the above non compliance :

• Are the kitchen doors pest proofed?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Are the work benches clean and organised ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• The microwave is clean inside and outside ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Food is protected from possible contamination and stored appropriately ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• The Dishwasher rinse temperature is ?

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Is the Robot Coupe clean with no food residue ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Is the oven clean ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• The sinks are clean and maintained properly ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Are the chopping boards in good reasonable condition ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• The bainmarie temperature is ?

• Action taken to close down the above non compliance :

• The freezer temperature is

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Cleaning and sanitising schedule is clearly displayed ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Is personal hygiene and GHP Program clearly displayed ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Staff are wearing appropriate uniform and name badge ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• DRY STORE

Dry store

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Food is protected from possible contamination and stored appropriately ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Are the shelves clean ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• 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

• Action taken to close down the above non compliance :

• The fridge or cold room temperature is

• Action taken to close down the above non compliance :

• 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

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Are the shelves clean and in good condition ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Food is protected from possible contamination and stored appropriately ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Raw meats are stored on the bottom shelves ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Raw meats and RTE meats are separated appropriately ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• 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

• Action taken to close down the above non compliance :

• 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

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Shelves are clean and in good condition ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Food is protected from possible contamination and stored appropriately ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Raw meats are stored on the bottom shelves ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Raw meats and RTE meats are separated appropriately ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

Waste management

• BIN AREA

Bin area

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Room is clean, neat and hazard free ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Floors are able to be effectively cleaned ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Bin area

  Media

• GREASE TRAP

Grease trap

• Is the grease trap externally clean and maintained ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Grease trap area

  Media

Servery Standards and Cleanliness

• SERVERY

Servery

• Servery Name

• Servery photo

  Media

• 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

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Inside cupboards are clean ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• The microwave is clean inside and outside ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• The fridge is clean inside and outside ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• The Fridge temperature at the time of Audit

• Action taken to close down the above non compliance :

• The Freezer temperature at the time of Audit

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• The bainmarie temperature is ?

• Action taken to close down the above non compliance :

• Servery floor is clean ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Air vents clean and in good working condition ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Are the dining tables clean and set according to standards

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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 standards

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Are the trollies clean with no food residue ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Are the trolley wheels clean ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• 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

• SERVERY FOOD SERVICE

Servery

• Name of the servery

• Staff are wearing Uniform with Name Badge?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Photos of the different meal served and challenged

  Media

• Meal

• Temperature

• Meal

• Temperature

• Textured Meal

• Temperature

• Textured meal

• Temperature

• Textured meal

• Temperature

• Dessert

• Temperature

Food records

• Calibration records completed

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• GHP records are completed

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• GHP records are completed

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• KITCHEN DAILY CONS TIME AND TEMP RECORDS REVIEW

Main kitchen

• Verification of cleaning schedule records completed correctly ?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• SERVERY DAILY CONS TIME AND TEMP RECORDS REVIEW

Servery

• Name of the servery

• Verification of cleaning schedule records completed correctly ?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Resident Information

• Resident Diet Analysis are up to date ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Is the drinks list up to date ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Resident Allergens records are up to date ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

Food Transportation

• Does the facility transport food to another facility ?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Does the vehicle have an effective cleaning schedule ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Is the Food temperature within acceptable limits when food departs the facility ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

• Is the Food temperature within acceptable limits when food it arrives the other facility ?

  Yes

  No

  N/A

• Action taken to close down the above non compliance :

Additional Information

• Add media

  Media

• Additional Notes/Comments

• Additional information from facility ? ( chef , kitchen in charge or FM to fill this section )

• 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

• All the above non conformance's should be closed out and sent back to the auditor before this date. If anything cannot be closed out mention them in addition information from facility.

  Date

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

• Chef / Facility Manager signature

  Sign

• Central Office signature

  Sign

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

Contact Details

• The Bethanie Group Inc

• Telephone: (08) 62229000