Mornington Peninsula Shire - Food Safety Assessment

• Trading Name

• Conducted on

  Date

• Type of Inspection

  Select Non-Compliance Inspection Follow Up Annual Assessment Complaint Routine Mandatory Proposed Premises (Progress) New Premises (Final Inspection)

  • Non-Compliance Inspection
  • Follow Up
  • Annual Assessment
  • Complaint
  • Routine
  • Mandatory
  • Proposed Premises (Progress)
  • New Premises (Final Inspection)

• Case Reference Number

• Prepared by

• Registration Number

• Address

• Proprietor

• Food Safety Supervisor

• Inspection Result

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Date of Next Inspection

  Date

• Date of Next Annual Assessment

  Date

Food Safety Program

• 1.1. Copy of Food Safety Program onsite?

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• 1.2. Food Safety Program still suitable for the activities conducted?

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

  Select

• Comments

  Select

• 1.3. Food safety knowledge of the Food Safety Supervisor satisfactory?

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• 1.5. Storage Unit Temperature Log

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• 1.6. Cooking temperature Log

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• 1.7 Time and temperature control (2 hour/4 hour rule)

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• 1.8 Equipment Calibration Log

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

  Select

• Comments

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• Yes

  No

  N/A

• Comments

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• Comments

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• Comments

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• 1.9 Other Records (e.g. sushi, kebab supplement)

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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Purchasing and Receival

• 2.1 Foods sourced from approved suppliers

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• 2.2 Potentially hazardous foods <5°C or >60°C

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• Comments

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• 2.3 Correct labelling/use by dates on foods

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• 2.4 Suitable receival area and delivery vehicles

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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Food Storage and Preparation

• 2.5 Foods protected from pests and contaminants

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comment

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• Comments

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• Comments

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• Comments

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• 2.6 Food Storage areas - suitable, clean and maintained

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

  Select

• Comments

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• 2.7 Temperature of high-risk foods >5C or -15°C

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• 2.8 Foods packaged and protected

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.9 Foods stored with date marking and within use-by date

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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undefined

• Yes

  No

  N/A

• Comments

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• Comments

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• Comments

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• Comments

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• Comments

  Yes

  No

  N/A

• 2.10 Cold storage units suitable

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• Comments

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• 2.11 Potentially hazardous food kept below 5°C during thawing

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.12 Foods protected from contamination during thawing

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Please select the correct code

  Select

• Comments

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• Comments

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• Comments

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• Comments

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• 2.13 Potentially hazardous foods kept at room temperature less than 4 hours in total

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• Comments

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• 2.14 Potable water supply provided

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• undefined

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• Comments

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• 2.15 Sanitising of utensils and food contact surfaces

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• 2.16 Safe food handling practices being followed

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.17 Suitable hand-washing facilities provided

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.18 Potentially hazardous foods cooked to >75C

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.19 Foods protected from contamination

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.20 Potentially hazardous foods cooled correctly

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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Display and Service

• 2.22 Cold potentially hazardous foods <5ºC

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.23 Hot potentially hazardous foods kept at or > 60ºC

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• 2.24 Sanitising of utensils and food contact surfaces

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.25 Safe food handling practices being followed

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.26 Foods protected during display and service

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 2.27 Potentially hazardous foods maintained <5ºC or >60ºC OR 2 hour/4 hour rule being followed and recorded

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• 2.28 Suitable food delivery and delivery vehicles

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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National Food Safety Standards

• 3.1 Food allergens, intolerances and general information to customers

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 3.2 Food recall process

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 3.3 Labelling of packaged foods

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 3.4 Illness Register/Health of food handlers

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Please select the correct code

  Select

• Comments

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• 3.5 Food Handler Skills and Knowledge

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 3.6 Pest Control

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• 3.7 Thermometer (digital & calibrated)

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 3.8 Wastewater disposal

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 3.9 Refuse Disposal

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 3.10. Lighting

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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Cleaning and Maintenance

• 4.1 Floors

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• Comments

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• 4.2 Walls

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 4.3 Ceiling

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 4.4 Fittings, flashings and services

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 4.5 Exhaust Ventilation and Lighting

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

  Yes

  No

  N/A

• Comments

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• Comments

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• 4.6 Toilets

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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Tobacco Act Compliance

• 5.1 Tobacco warning signs for retailers

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 5.2 Suitable advertising by retailers

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• 5.3 No smoking signs

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• Comments

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• 5.4 Suitable outdoor dining and drinking areas

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

• 5.5 Suitable vending machine location

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable

Comments and Follow Up

• Any other comments or issues

• Food Safety Program required?

  Yes

  No

  N/A

• Inspection Result

  Select Compliant Critical Non-Conformance Major Non-Conformance Minor Non-Conformance Not Assessed Not Applicable

  • Compliant
  • Critical Non-Conformance
  • Major Non-Conformance
  • Minor Non-Conformance
  • Not Assessed
  • Not Applicable