Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Inspection Details

  • Chef

  • Site Manager

  • Email

  • Date of last external Audit ?

  • All non compliances from last external are closed out ?

  • Local council food business certificate is current

  • Date of last local council visit

  • All non compliances from council report are closed out ?

Staff Training

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

  • Staff training records are up to date ?

Supplier and contractor records

  • Evidence of Pest control reports ( All Pests )

  • Evidence of canopy cleaning certificate

  • Evidence of Coolroom preventive maintenance

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

  • Evidence of Dishwasher chemical dosage reports ecolab

  • 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 ?

  • Action taken to close down the above non compliance :

  • Are the kitchen doors pest proofed?

  • Action taken to close down the above non compliance :

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

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • 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 ?

  • Action taken to close down the above non compliance :

  • Are the work benches clean and organised ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • The microwave is clean inside and outside ?

  • Action taken to close down the above non compliance :

  • Food is protected from possible contamination and stored appropriately ?

  • Action taken to close down the above non compliance :

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

  • 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?

  • Action taken to close down the above non compliance :

  • Is the Robot Coupe clean with no food residue ?

  • 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 ?

  • Action taken to close down the above non compliance :

  • Is the oven clean ?

  • Action taken to close down the above non compliance :

  • The sinks are clean and maintained properly ?

  • Action taken to close down the above non compliance :

  • Are the chopping boards in good reasonable condition ?

  • Action taken to close down the above non compliance :

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

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Cleaning and sanitising schedule is clearly displayed ?

  • Action taken to close down the above non compliance :

  • Is personal hygiene and GHP Program clearly displayed ?

  • Action taken to close down the above non compliance :

  • Staff are wearing appropriate uniform and name badge ?

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • DRY STORE

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

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Food is protected from possible contamination and stored appropriately ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Are the shelves clean ?

  • 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 ?

  • 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 ?

  • 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 ?

  • Action taken to close down the above non compliance :

  • Are the shelves clean and in good condition ?

  • Action taken to close down the above non compliance :

  • Food is protected from possible contamination and stored appropriately ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Raw meats are stored on the bottom shelves ?

  • Action taken to close down the above non compliance :

  • Raw meats and RTE meats are separated appropriately ?

  • Action taken to close down the above non compliance :

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

  • 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 ?

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Shelves are clean and in good condition ?

  • Action taken to close down the above non compliance :

  • Food is protected from possible contamination and stored appropriately ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Raw meats are stored on the bottom shelves ?

  • Action taken to close down the above non compliance :

  • Raw meats and RTE meats are separated appropriately ?

  • 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 ?

  • 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 ?

  • Action taken to close down the above non compliance :

  • Room is clean, neat and hazard free ?

  • Action taken to close down the above non compliance :

  • Floors are able to be effectively cleaned ?

  • Action taken to close down the above non compliance :

  • Bin area

  • GREASE TRAP

  • Grease trap
  • Is the grease trap externally clean and maintained ?

  • Action taken to close down the above non compliance :

  • Grease trap area

Servery Standards and Cleanliness

  • SERVERY

  • Servery
  • Servery Name

  • Servery photo

  • Level of Care

  • Meal Period

  • Is work bench or counter area clean ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Inside cupboards are clean ?

  • Action taken to close down the above non compliance :

  • The microwave is clean inside and outside ?

  • Action taken to close down the above non compliance :

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

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • The fridge is clean inside and outside ?

  • Action taken to close down the above non compliance :

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

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • 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 ?

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Air vents clean and in good working condition ?

  • 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 ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Are the dining tables clean and set according to standards

  • Action taken to close down the above non compliance :

Trolley Standards and cleanliness

  • TROLLEY SERVICE

  • Trolley
  • Wing name

  • Meal Period

  • Meal trays are set as per standards

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Are the trollies clean with no food residue ?

  • Action taken to close down the above non compliance :

  • Are the trolley wheels clean ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • 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 ?

  • Action taken to close down the above non compliance :

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?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Photos of the different meal served and food challenge

  • 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?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

  • Photos of the different meal served and challenged

  • Meal

  • Temperature

  • Meal

  • Temperature

  • Textured Meal

  • Temperature

  • Textured meal

  • Temperature

  • Textured meal

  • Temperature

  • Dessert

  • Temperature

Food records

  • Calibration records completed

  • Action taken to close down the above non compliance :

  • GHP records are completed

  • Action taken to close down the above non compliance :

  • GHP records are completed

  • 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 ?

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

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

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

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

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

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

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

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

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

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

  • SERVERY DAILY CONS TIME AND TEMP RECORDS REVIEW

  • Servery
  • Name of the servery

  • Verification of cleaning schedule records completed correctly ?

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

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

Resident Information

  • Resident Diet Analysis are up to date ?

  • Action taken to close down the above non compliance :

  • Is the drinks list up to date ?

  • Action taken to close down the above non compliance :

  • Resident Allergens records are up to date ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

Food Transportation

  • Does the facility transport food to another facility ?

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

  • Action taken to close down the above non compliance :

  • Does the vehicle have an effective cleaning schedule ?

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

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

  • Action taken to close down the above non compliance :

Additional Information

  • Add media

  • Additional Notes/Comments

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

  • Re-inspection Required

  • Time before next inspection

  • 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.

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

  • Chef / Facility Manager signature

  • Central Office signature

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

Contact Details

  • The Bethanie Group Inc

  • Telephone: (08) 62229000

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