Information
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Document No.
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Audit Title
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Student Name:
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Student Number:
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Student Email:
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Name of workplace/Site of Assessment:
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Location
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Conducted on
Student Assessment Task Instructions: 1. Prepare a cleaning schedule for your kitchen (or SBIT kitchen) using this Iauditor template below, as required for food safety legislation. 2. Some questions will require you to provide an short word answer/example, some are multiple choice selection. 3. When completed please have your workplace supervisor sign and return to your online coordinator. Include the following: Name of cleaning and sanitising materials to be used How often the processes are to be carried out Any training required Protective clothing and equipment (PPE) required
Example: Area-walls How often-weekly Cleaning materials-degreaser Equipment-chux, scourer PPE-Gloves, goggles Person responsible-Larder chef
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Please list the area/equipment to be cleaned:
Area/equipment.1
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Please list the area/equipment to be cleaned
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How often is this cleaned
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Cleaning materials used:
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Cleaning equipment used:
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Personal, protective, equipment (PPE) used:
- Gloves
- Non slip Shoes
- Mask
- Goggles
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Person responsible:
Area/equipment.2
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Please list the area/equipment to be cleaned
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How often is this cleaned
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Cleaning materials used:
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Cleaning equipment used:
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Personal, protective, equipment (PPE) used:
- Gloves
- Non slip Shoes
- Mask
- Goggles
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Person responsible:
Area/equipment.3
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Please list the area/equipment to be cleaned
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How often is this cleaned
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Cleaning materials used:
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Cleaning equipment used:
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Personal, protective, equipment (PPE) used:
- Gloves
- Non slip Shoes
- Mask
- Goggles
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Person responsible:
Area/equipment.4
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Please list the area/equipment to be cleaned
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How often is this cleaned
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Cleaning materials used:
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Cleaning equipment used:
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Personal, protective, equipment (PPE) used:
- Gloves
- Non slip Shoes
- Mask
- Goggles
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Person responsible:
Area/equipment.5
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Please list the area/equipment to be cleaned
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How often is this cleaned
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Cleaning materials used:
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Cleaning equipment used:
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Personal, protective, equipment (PPE) used:
- Gloves
- Non slip Shoes
- Mask
- Goggles
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Person responsible:
Area/equipment.6
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Please list the area/equipment to be cleaned
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How often is this cleaned
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Cleaning materials used:
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Cleaning equipment used:
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Personal, protective, equipment (PPE) used:
- Gloves
- Non slip Shoes
- Mask
- Goggles
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Person responsible:
Area/equipment.7
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Please list the area/equipment to be cleaned
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How often is this cleaned
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Cleaning materials used:
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Cleaning equipment used:
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Personal, protective, equipment (PPE) used:
- Gloves
- Non slip Shoes
- Mask
- Goggles
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Person responsible:
Area/equipment.8
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Please list the area/equipment to be cleaned
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How often is this cleaned
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Cleaning materials used:
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Cleaning equipment used:
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Personal, protective, equipment (PPE) used:
- Gloves
- Non slip Shoes
- Mask
- Goggles
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Person responsible:
Signatures:
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Supervising chefs name/signature:
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Select date
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SRTO name/signature:
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Select date
Assessment outcome:
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Satisfactory
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Unsatisfactory
