Melton City Council Food Premises Inspection Report

• Audit Title

• Client / Site

• Registration No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Food Premises Details

• Proprietor

• Contact number

• Email

• FSS Certificate

  Media

• Class of Premises

  Class 1

  Class 2

  Class 3

  Class 4

Inspection details

• Inspection start

  Date

• Inspection end

  Date

• Type of inspection

  Routine

  Re-inspection

  Complaint

  Transfer

  Registration

• ITEM

Non-compliance

• Direction

• Time limit

  Select 24 hours 48 hours 3 days 5 days 7 days 14 days 21 days Other

  • 24 hours
  • 48 hours
  • 3 days
  • 5 days
  • 7 days
  • 14 days
  • 21 days
  • Other

• Add media

  Media
NOTES

• Person in charge

  Sign

• Environmental Health Officer

  Sign

Council - contact details

• Ph: 039747 7200 F: 03 9743 9970

• Civic Centre - 232 High St Melton 3337

• Caroline Springs - 193-201 Caroline Springs Bvd Caroline Springs 3023

• Postal Address - PO Box 21 Melton VIC 3337