Title Page

  • Conducted on

  • Officer

  • Address

  • Trading Name

  • Proprietor/Contact

  • Inspection Sub Type

  • Premises Classification

FIXTURES FITTINGS & EQUIPMENT

  • Are wheels/castors fitted to chest freezers, upright refrigerators or placed on adequate legs for cleaning below?

  • Are service pipes concealed in floors/walls/ceilings or plinths or mounted off walls 25mm?

  • Are wall mounted shelves flushed to walls, or 25mm or more from the wall?

  • Are all surfaces smooth, durable, impervious and free from cracks, crevices and cavities?

  • Has adequate splash back been provided to all the sink facilities?

FLOORS WALLS & CEILINGS

  • Is the floor finish suitable? (Specify floor finish in each food area.)

  • Is the wall finish suitable? (Specify wall finish in each food area.)

  • Is the ceiling finish suitable? (Specify ceiling finish in each food area.)

FOOD STORAGE & DISPLAY

  • Is the self serve unit provided with protective sneeze guards?

  • Are hot and/or cold display units provided with protective sneeze guards?

  • Are sufficient refrigerators / freezers provided for the storage of perishable foods?

FOOD SAFETY PROGRAM

  • For all standard food safety programs, verify completion of the correct template

  • For all non standard (and QA) food safety programs the food business must provide a copy of their food safety program together with the relevant audit certificate indicating that the program complies with the Act.

  • Have FSS qualifications / statement of attainment been submitted?

GENERAL REQUIREMENTS

  • Is the name of proprietor prominently displayed?

  • Do the premises comply with the smoking provisions of the Tobacco Act 1987?

  • Is a probe thermometer provided?

  • Has a food grade sanitiser been provided?

  • Is food/drink stored or prepared at the premises?

  • Have building tools and materials been removed and premises thoroughly cleaned?

LIGHTING

  • Is the natural or artificial lighting provided adequate?

MECHANICAL VENTILATION

  • Has a mechanical exhaust system been installed above cooking equipment and dishwashers if their total maximum electrical power input exceeds 8kW or a total gas output exceeds 29Mj/h

  • A certificate of compliance for the installed mechanical exhaust system should be obtained from the applicant, at the final inspection

PEST CONTROL

  • Are all external door entries provided with self closing doors?

  • Are premises constructed to prevent the harbourage of insects / rodents/ vermin and birds?

PLUMBING FIXTURES

  • Has a hand basin (which is easily accessible by food handlers) been provided in each food area? (Note: A food handler should not need to walk more than 5 metres to the nearest basin in a food area.)

  • Are hand basins supplied with an adequate supply of warm water / soap / paper towels through a single outlet

  • Minimum double bowl sink or single bowel sink and dishwasher provided with a hot and cold water supply

  • Are the utensil / equipment facilities (dishwasher inclusive) large enough to fit the largest piece of equipment to be washed?

  • Front servery/Bar Area(s) - Is a hand basin and a general purpose sink provided?

  • Has a food preparation sink with hot and cold water been provided (Separate to double bowl sink) (Note: Food Preparation sink facilities must be adequate for the size of food activities to be carried out.)

  • Is a cleaner’s sink with hot and cold water provided in a suitable location?

  • Is there potable water supplied with adequate volume, pressure and temperature?

  • Has an effective sewage and waste water disposal system been provided?

STORAGE FACILITIES

  • Garbage Storage - Is there an approved refuse storage area? (outside any food preparation area)

  • Personal Belongings Storage - Are there adequate storage facilities? (separate room or locker)

  • Chemical Storage - Are there adequate storage facilities? (i.e. cleaners cupboard)

TOILET FACILITIES

  • Is the hand basin supplied with warm running water?

  • Are toilets (on site) provided with an adequate air lock?

  • Are toilets (off site) available for use during hours of operation?

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.