Information

  • Audit Title

  • Registration No.

  • Proprietor

  • Location
  • Class of premises

  • Conducted on

  • Type of inspection

  • Prepared by

FOOD PREMISES DETAILS

  • Email

ITEMS TO BE ADDRESSED

    FOOD SAFETY PROGRAM
  • Ensure that the following action is taken:

  • Ensure that Food Safety Records are:

  • Add media

  • Action required in:

  • CLEANLINESS
  • Ensure the following areas are thoroughly cleaned:

  • Ensure the following areas are thoroughly cleaned:

  • Add media

  • Action required in:

  • TEMPERATURE CONTROL
  • Temperatures of hot and cold storage and display units:

  • Ensure that the following action is taken:

  • Add media

  • Action required in:

  • CONTAMINATION OF FOOD
  • Ensure that the following action is taken:

  • Ensure that the following action is taken:

  • Action required in:

  • HAND WASH FACILITIES
  • Ensure that the following action is taken:

  • Ensure that the following are provided:

  • At the following hand wash basin(s):

  • Action required in:

  • Ensure that the following action(s) are undertaken:

  • At the following hand wash basin(s):

  • Action required in:

  • ANIMALS AND PESTS
  • Visual observation of:

  • Location:

  • Engage a licensed pest controller to treat the premises. Ensure that all pest control reports/receipts from the past 6 months are sent to Council.
    http://www.yellowpages.com.au/find/pest-control/melton-vic

  • Action required in:

  • Ensure that the following action is taken:

  • Action required in:

  • OTHER NON-COMPLIANCE
  • Add media

  • Action required in

  • NOTES
  • Add media

INSPECTION RESULT

  • The result of today's inspection is:

  • Person in charge

  • Environmental Health Officer

Melton City Council contact details

  • Ph: 03 9747 7200 | Email: Health@Melton.vic.gov.au

  • Melton Civic Centre - 232 High St Melton 3337

  • Caroline Springs Civic Centre & Library - 193-201 Caroline Springs Bvd Caroline Springs 3023

  • Postal Address - PO Box 21 Melton VIC 3337

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.