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Date of review: Reviewed by: Program component Observation] Corrective action 1. Facility and equipment maintenance 0 Has all equipment been checked? 0 Is all equipment

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Date of review: Reviewed by: Program component Observation] Corrective action 1. Facility and equipment maintenance 0 Has all equipment been checked? 0 Is all equipment operating correctly? Has the entire food premises been thoroughly checked for structural problems? Are there any structural problems? Has the following record been completed? 0 Equipment maintenance and calibration of thermometers 2. Suppliers 0 Have Supplier Agreements been received and updated? Are Goods Delivery Logs completed? Are issues identified at delivery followed up with suppliers? Has the following record been completed? 0 Approved Supplier Agreement Forms 0 Goods Delivery Logs o Corrective Action Register 3. Temperature measuring devices 0 Have all temperature-measuring devices been checked for calibration? o Are temperature measuring devices calibrated to standard procedures? Do all staff know how to take accurate temperatures with each temperature measuring device? 0 Has the following record been completed? 0 Equipment Maintenance and Calibration of Thermometers 4. Pest control Are all activities and support programs followed that identify where pests may breed or enter? Are all areas clean and free from food particles and other waste that may attract pests? Has your premises been treated by your Pest control operator at the correct intervals as in your support program? Have the following records been completed? 0 Cleaning and sanitising 0 Pest control 5. Staff Training 0 Have all staff been instructed/trained so that they have the appropriate skills and knowledge in food hygiene and handling for the tasks they do? 0 Do staff understand theirfood safety responsibilities? Performance Tasks SITXFSAOOS Develop and implement a food safety program _-- 0 Staff Instruction and Trainin_ 6. Food Safety Program 0 Have there been any changes to the forms used in my food safety program? 0 Have there been any updates to the program? 0 If so, have the relevant sections in the Food Safety Pro. ram folder been re ulaced? 7. Food safety program audit 0 Has an audit been conducted at the correct frequency? 0 Have any problems been identified? 0 Have these problems been rectified? 8. Record keeping Are all records being filled out correctly? Are corrective actions being undertaken where problems have been identified? Has the following record been completed? 0 Corrective Action Register Is additional training required? Note any problems

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