Information

  • Audit Title

  • Registration No.

  • Proprietor

  • Location
  • Class of premises

  • Conducted on

  • Type of inspection

  • Prepared by

Food Premises Details

  • Email

  • Food Safety Supervisor

  • Food Safety Program

  • Action required in:

  • ITEM - TEMPERATURE CONTROL
  • Potentially Hazardous Food (perishable items e.g. Meat, seafood, dairy etc) is under temperature control: food receipt, storage, display and transport - less than 5'C or above 60'C. Frozen food frozen solid

  • Action required in:

  • ITEM - CONTAMINATION OF FOOD
  • Food protected from the possibility of contamination; food receipt, storage, display and transport.

  • Ensure that the following action is taken:

  • Ensure that the following action is taken:

  • Action required in:

  • ITEM - HAND WASH FACILITIES
  • Hand washing facilities (including those at toilets) are provided with a supply of warm running water through a hands-free tap with single spout, liquid soap and single-use paper towels.

  • Ensure that the hand wash facilities are provided with the following:

  • Action required in:

  • Hand washing facilities are easily accessible, used solely for the purpose of washing hands, arms and face.

  • Ensure that the following action is taken:

  • Action required in:

  • ITEM - CLEANLINESS
  • Premises, fixtures, fittings and equipment maintained to an appropriate standard of cleanliness.

  • Ensure that the following area(s) are thoroughly cleaned:

  • Ensure that the following action is taken:

  • Action required in:

  • ITEM - ANIMALS AND PESTS
  • Practical pest exclusion measures used (e.g. Screens, doorseals)

  • ITEM - OTHER

  • Non-compliance
  • Other non-compliance(s)

  • Action required in:

  • NOTES
  • Add media

  • Person in charge

  • Environmental Health Officer

Melton City 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

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.