close
lumiform
Lumiform Mobile audits & inspections
Get App Get App

Food Safety Assessment

Downloaded 48 times
Audit
GENERAL INFORMATION
Date and Time audit began
Name of business
Address of premises
Phone number
Name of proprietor or staff in attendance
Officer undertaking the assessment
ASSESSMENT TYPE
Reason for the assessment
RECEIVING
Protection from contamination (5(1) of 3.2.2)
Identification/traceability of food (5(2) of 3.2.2)
Temperature control of PHF (5(3) and (4) of 3.2.2
STORAGE
Protection from contamination (6(1)(a) of 3.2.2)
Appropriate environmental conditions (6(1)(b) of 3.2.2
Temperature control of PHF (5(3) and (4) of 3.2.2)
PROCESSING
Safe and suitable food (7(1)(a) of 3.2.2)
Protection from contamination (7(1)(b)(i) of 3.2.2)
Adequate cooking/processing (7(1)(b)(ii) of 3.2.2)
PHF out of temp. control for min. time (7(2) of 3.2.2)
Cooling of PHF (7(3) of 3.2.2)
Reheating of PHF (7(4) of 3.2.2)
DISPLAY
Protection from contamination (8(1), (2), (3) & (4) of 3.2.2)
Temperature control of PHF incl. frozen (8(5) of 3.2.2)
PACKAGING
Appropriate materials and process (9 of 3.2.2)
TRANSPORTATION AND DISTRIBUTION
Protection from contamination (10(a) of 3.2.2)
Temperature control PHF (10(b) & (c) of 3.2.2)
RECALLS/FOOD DISPOSAL
Food for disposal not sold/recall process (11, 12 of 3.2.2)
HEALTH, HYGIENE & KNOWLEDGE
Health of food handlers - responsibilities (14 of 3.2.2)
Hygiene of food handlers - responsibilities (13, 15 of 3.2.2)
Food business - responsibilities (16, 18 of 3.2.2)
Adequate hand washing facilities (17 of 3.2.2)
Food handling - skills & knowledge (3 of 3.2.2)
PREMISES AND HYGIENE
Cleanliness of premises, fittings, equipment (19 of 3.2.2)
Cleaning/sanitising of food contact surfaces (20 of. 3.2.2)
Suitability and maintenance of premises, fittings and equipment (21 of 3.2.2 and 3, 10, 11 & 12 of 3.2.2)
Temperature measuring device (22 of 3.2.2)
Use of "single use" items (23 of 3.2.2)
Control of animals and pests (24 of 3.2.2)
Water supply adequate and potable (4 of 3.2.3)
Disposal of sewage and waste water (5 of 3.2.3)
Storage of refuse & recyclable matter (6 of 3.2.3)
Adequate ventilation and lighting (7 & 8 of 3.2.3)
Storage of personal effects/chemicals (15 of 3.2.3)
Adequate toilet facilities (16 of 3.2.3)
COMMENTS/ACTIONS TO BE TAKEN
Input additional comments and actions here
FURTHER ACTIONS
Further Action?
REINSPECTION DATE
Select date
SIGNATURES
Signature of Proprietor/Staff
Signature of Officer
Share this template:
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
This site is registered on wpml.org as a development site. Switch to a production site key to remove this banner.