Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Food Delivery
Food Delivery
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Date and time of delivery
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Supplier
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Food description
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Temperature of food on delivery
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Delivery accepted by
Temperatures Fridge
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Name/Number/Location of Fridge
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Temperature of outside thermometer
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Time checked AM
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Time checked PM
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Name of person conducting temperature checks
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Actions/Notes
Temperatures Freezer
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Name/Number/Location of Freezer
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Temperature of outside thermometer
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Time checked AM
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Time checked PM
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Name of person conducting temperature checks
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Actions/Notes
Critical control point: cooking/reheating
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Food item
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Temperature (acceptable 75c/30 seconds)
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Time
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Name of person conducting checks
Critical control point hot holding
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Food item
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Temperature (acceptable 75c/30 seconds)
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Time
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Name of person conducting checks
Critical control point: chilling times & temperatures
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Food item
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time cooling started
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Temerature at start - photo of probe
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Time cooling ended
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Temperature at end of process - photo of probe
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Name of person conducting cooling process
Hot water temperature check
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Sink location
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Hot water temperature - photo of probe
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Time to run through
Daily cleaning tasks
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Floors including under work benches and equipment
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Reason why item not cleaned
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Walls, doors & paintwork, check any repairs required
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Reason why item not cleaned
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Work surfaces & cutting boards are in good working order
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Reason why item not cleaned
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Fridges and freezer clean
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Reason why item not cleaned
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Fridges and freezer clean
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Reason why item not cleaned
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Mixer and scales cleaned
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Reason why item not cleaned
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Can opener
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Reason why item not cleaned
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fryers
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Reason why item not cleaned
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oven
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Reason why item not cleaned
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toaster
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Reason why item not cleaned
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Microwave
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Reason why item not cleaned
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Hot holding cabinet
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Reason why item not cleaned
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Dish washer
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Reason why item not cleaned
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Sink area
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Reason why item not cleaned
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Equipment Racks Shelving
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Reason why item not cleaned
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Waste Bin
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Reason why item not cleaned
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Staff area / Toilets
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Reason why item not cleaned
Closing down checklist
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Turn off gas and extraction fan
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All food covered and stored correctly
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all food dated and labelled with allergens listed
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Any out of date food disposed of and wastage reported
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List of food that has been disposed of
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Fridge & freezers closed
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Equipment turned off (where required)
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All cleaning tasks completed
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All refuse and waste food removed from preparation areas
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All bins, internal and external areas clean and bins have lids on
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floors left clean
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All equipment working
Additional comments
Sign off
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Comments of daily operations
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Person completing the form