Kölle-2015-02-#

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Information to stall and owner Information Standbesitzer

• Stall number Standnummer
  Address
• Responsible person Verantwortlicher
  Address
• Produkts / Produkte
  Address

A) Documentation

• Hygiene training?<br><br>Hygieneschulungen?<br>

  Yes

  No

  N/A

• Inspection of goods?<br><br>Wareneingangskontrollen?<br>

  Yes

  No

  N/A

• Temperature documentation? Hot / cold / hot holding?<br><br>Temperaturkontrollen?

  Yes

  No

  N/A

• Cleaning schedules documentation?<br><br>Reinigungspläne?<br>

  Yes

  No

  N/A

• Food additives? (Contains perservations/colours)<br><br>Zusatzstoffkennzeichnung?

  Yes

  No

  N/A

• Allergens declared?<br><br>Allergenkennzeichnung?

  Yes

  No

  N/A

B1) Construction of stall

• Minimize risk of cross contamination? (food protected from customers, correct storage, correct temperatures)<br><br>Vermeidung nachteiliger Beeinflussung?

  Yes

  No

  N/A

• Surfaces easy to clean cleaning and desinfection?<br><br>Oberflächen leicht zu reinigen?

  Yes

  No

  N/A

B2) Water supply and refuse

• Cold and warm water available? Separate facility for washing food? Dish washer?<br><br>Kalt u. warmes Wasser vorhanden? Separates Möglichkeit zu waschen von Lebensmitteln vorhanden?

  Yes

  No

  N/A

• Tubes for waste water recogniziable?<br><br>Abwasserleitungen gekennzeichnet?<br>

  Yes

  No

  N/A

B3) Facility for washing hands / separate sink

• Warm and cold water availebale?<br><br>Warmes und kaltes Wasser vorhanden?

  Yes

  No

  N/A

• Seperate facility for hands washing liquid soap, disinfection, paper towls?

  Yes

  No

  N/A

B4) Diplay of food

• Hot wine continous flow electric heater?<br><br>Durchlauferhitzer bei Glühwein?<br>

  Yes

  No

  N/A

• Breath protection sufficient?<br><br>Husten und Spuckschutz?

  Yes

  No

  N/A

C) Hygiene and food saftey

• Correct storage of food (separate raw form ready to eat food, separate storage of detergents, proper temperaturs, no pest e.g. flies, mice, rats)<br><br>Hot holding at least 63 degrees celsius, reheating at least 75 degrees celsius, cold storage at least 8 degrees clesius<br><br>Lagerung der Lebensmittel angemessen?

  Yes

  No

  N/A

• Digital thermometer for measuring core temperature of food?<br><br>Digitales Thermometer vorhanden um Kerntemperatuen zu messen?

  Yes

  No

  N/A

• Hygenic waste diposal, waste bins covered?<br><br>Abfallentsorgung angemessen?

  Yes

  No

  N/A

• Adequate working clothes for purpose?<br><br>Angemessene Arbeitskleidung?

  Yes

  No

  N/A

• Personal hygiene (no jewellery, no wounds)?<br><br>Personalhygiene ok?

  Yes

  No

  N/A

• Toillets for staff, warm and cold water, soap,disinfectant, paper towls?<br><br>Toiletten für Angestellte vorhanden?

  Yes

  No

  N/A

• No private items in the stall?<br><br>Keine privaten Gegenstände im Stand.

  Yes

  No

  N/A

Bemerkungen

• Yes = Requirements accomplished No = N/A = Anforderung nicht relevant

• Standard ok? delphi hygiene seal

• Corrective actions Korreturmaßnahmen

• Auditor

  Sign

• Date of audit

  Date