Food premises assessment report checklist

Template Information

Parramatta city council

Category: general

Template Questions

  • Date of Inspection Date
  • Time of Inspection Date
  • Trading Name
  • Address
  • Licence Number
  • Person Interviewed
  • Proprietor/Company
  • Phone
  • Email
  • Food Safety Supervisor (FSS)
  • FSS Certificate No.
  • Inspection Details
  • General Requirements
  • Food Handling Controls (FSS 3.2.2 cl 5-12)
  • Health and Hygiene (FSS 3.2.2 cl 13-18)
  • Cleaning and Sanitising (FSS 3.2.2 cl 19-20)
  • Miscellaneous (FSS 3.2.2 cl 22-23)
  • Animals and Pests (FSS 3.2.2 cl 24)
  • Design and Construction (FSS 3.2.3)
  • Maintenance (FSS 3.2.2 cl 21)
  • Labelling (FSC Chapter 1)
  • Comments:
  • Additional Notes
  • I HAVE READ THIS REPORT AND UNDERSTAND THE CONTENTS
  • Owner/Employee name & signature
  • Officer's name & signature
  • NOTE: assessment report contains findings from date/time of inspection only.