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Form owner: Site Manager

Frequency: Monthly

Form 11: Weekly Food Safety Inspection Checklist


Month: ______________________
Date: _____________ Reviewed by: _____________
AREA MONTHLY REPORTING COMPLETED/ CORRECTIVE ACTIONS IMPLEMEMTED FOOD SAFETY AREA Form 3 Incoming Goods Form 4 Food Safety Log completed Form 5 Weekly Dishwasher Sanitising Temperature Log completed Form 8 Monthly Calibration Log completed Yes Form 9 Non Conforming Product/ Customer Complaint Form completed (if applicable) Form 10 Recall Form completed (if applicable) Form 13 Catering Product Dispatch Form completed PREMISES/ EQUIPMENT Premises in good repair e.g. ceilings, walls, floors, fittings, coving Repairs and maintenance faults reported to Foxtel Operations Manager and documented in email folder Unused equipment removed SUPPLIERS CALIBRATION Approved Supplier List up-to-date (Form 1 Approved Supplier List) Probe thermometer available and used Probe thermometer calibrated monthly CLEANING Kitchen/ equipment clean Correct chemicals used - Sanitiser - Degreaser -General purpose cleaner Yes No NA No NA

Audit conducted by: Date:

__________________ __________________

COMPLIANT Yes Yes Yes No No No NA NA NA

Yes Yes Yes

No No No

NA NA NA

Yes

No

NA

Yes Yes Yes Yes Yes Yes

No No No No No No

NA NA NA NA NA NA

Authorised By: Susan Sunny Hotel Manager Document Number HACCPPROGRAM

Document Date: Next Review Date: Revision 0

1 March 2013 st 1 March 2014 Page No 1 of 3

st

AREA

FOOD SAFETY AREA Current MSDS for commercial chemicals available Chemicals safely stored, away from food Disposable cloths used/ clean Cleaning equipment correctly stored, clean e.g. brooms, mops, buckets

COMPLIANT Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No NA NA NA NA NA NA NA NA NA

WASTE TRAINING PESTS

Bins clean All new staff trained/ inducted in food safety No evidence Pest sightings reported to Foxtel Operations Manager and documented in email folder

PERSONAL HYGIENE STORAGE

Hand-washing Facilities have Soap Paper toweling Hot water Storage areas/ shelving clean in:- Dry stores - Walk in cool room/ walk in freezer - Under bench fridges/ freezer - Upright fridges - Hot/ cold display units - Chemical storage area Containers/ Packaging clean, appropriate No cross contamination/ All items off floor items covered/ no open cans Chemicals bundied up, labelled and stored correctly

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No No No No No

NA NA NA NA NA NA NA NA NA NA NA NA NA

DISPLAY and SERVICE

Service areas and equipment (e.g. boards, display units) clean, cloths appropriately stored and used Good personal hygiene observed

Yes

No

NA

Authorised By: Susan Sunny Hotel Manager Document Number HACCPPROGRAM

Document Date: Next Review Date: Revision 0

1 March 2013 st 1 March 2014 Page No 2 of 3

st

Report all Food Safety Problems


Describe Problem Describe what you did about it Who is responsible? When will the problem be fixed by? Completed on (date)

Authorised By: Susan Sunny Hotel Manager Document Number HACCPPROGRAM

Document Date: Next Review Date: Revision 0

1 March 2013 st 1 March 2014 Page No 3 of 3

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