Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Does the restaurant have a Certificate of Acceptability
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Does the restaurant have a health and safety file
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Does the restaurant have the appropriate health and safety teams
- Health and Safety Rep
- First Aider
- Fire Marshal
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Has the restaurant had an external hygiene audit done
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Date of last audit
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Percentage of last audit
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Is there a corrective action plan on failed areas
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Are all kitchen staff trained on food hygiene practices
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Chemicals stored separately from food areas
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All distribution boards secured
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Any loose wiring that may pose a hazard in the kitchen area
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Are there any trip hazards within the kitchen
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Kitchen floors are clean with only daily working dirt
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Is the food preparation areas, including hot areas, visibly clean
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Is the kitchen ceiling free from holes and missing ceiling panels
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Is there a wash basin for staff to wash their hands
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Does the wash basin have hot and cold water, soap and paper towels
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Are there temperature records for the fridge and freezers
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External walls of the fridges in good state of repair
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Internal walls and floors in good state of repair
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No food is stored on the floor, all food is stored off the floor on shelving or pallets
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Cooling unit is free from dirt build up
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There is no visible dirt build up within the fridge
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Floors are clean within the fridge
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All shelves are clean from dirt build up
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Does food stored in the fridges have food labels
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Raw food is stored below cooked foods
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Meats are separated accordingly from other meats ie: fish
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Is the fridge and freezer free from any expired foods
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Dry store area visually clean from dirt
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Items in dry stores stored off the floor
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Is there a gas isolation valve
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Are staff trained in gas shutdown procedures
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Is there a sign to indicate where the the gas isolation valve is located
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Do staff know where the gas isolation switch is
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Is there a gas detection unit in the kitchen
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Is the gas detection unit working correctly
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Is the gas detection unit placed in the correct position
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Does the outlet have a fire suppression system over the hot cooking areas
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Is the fire suppression system in the cocked or ready position
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Are the nozzles of the suppression system directed in the correct direction
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Is the system serviced every six months
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Date of last service
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Is there a fire blanket(s) located within the kitchen
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Is there fire extinguishers located within the kitchen
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Are the fire extinguishers tampered with in any way
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Is the fire equipment free from obstructions
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Smoke detection system in good state of repair
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Sprinkler system in good state of repair
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Are emergency exits clear
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Is there adequate emergency signage within the kitchen
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Break glass release box or door release in good state of repair
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Staff know where the assembly point is in an evacuation
OTHER AREAS OF CONCERN OR NOTED
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INSPECTION COMPLETED
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Completed by