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Food Safety and Hygiene - Food Safety Forms

Competencies | Level Tabel | Kitchen Checklist | Kitchen Checklist Descripton | Food Safety Forms | Mystery Client | Pre-Opening |

 

Customer Complaint

DATE:

 

TIME:
RECEIVED BY:

 


CUSTOMERS NAME & ADDRESS:


TELEPHONE:


PRODUCT UNDER COMPLAINT:

 

NATURE OF COMPLAINT:

 

INGREDIENTS:

 

ACTION TAKEN:

 

COMPLETED:

 

SIGNED

 

DATE:

Illness Incident Record

DATE: TIME:
RECEIVED BY:


NAME & ADDRESS:


TELEPHONE:


DATE MEAL CONSUMED: TIME:
DETAILS OF ALL FOOD & DRINK CONSUMED:
DETAILS OF SYMPTOMS: DATE/TIME/DURATION
NAUSEA
VOMITING
DIARRHOEA
ABDOMINAL PAIN
OTHER SYMPTOMS
OTHER FOOD AND DRINK CONSUMED 48 HOURS PRECEDING SYMPTOMS DATE/TIME/WHERE CONSUMED

 

 

 

 

 

 

 

 

 

 

 

 

ALLERGIES / OTHER ILLNESS?

 

HAS DOCTOR BEEN CONSULTED?
ACTION DETAILS:
SIGNED: DATE:

Breakage Form

UNIT:

TIME/DATE:

 


CUSTOMER DETAILS:


TELEPHONE:


ITEM(S) BROKEN:

 

ACTION TAKEN:

 

FOOD CONTAMINATED:

 

FOOD DISCARDED:

 

HEAD / SOUS CHEF:

 

SIGNATURE:

 

Sample Cleaning Schedule

EQUIPMENT
FREQUENCY
M
T
W
T
F
S
KITCHEN
SINK & STAN DAILY            
WASH HAND BASIN DAILY            
SMALL FRIDGE WIPE DAILY            
TOASTER WEEKLY  
UPRIGHT FRIDGE DAILY            
ICE CREAM FREEZER DAILY            
COLD CABINETS DAILY            
HOT CABINETS DAILY            
FROZEN YOGHURT DAILY            
WALLS WEEKLY  
FLOOR DAILY            
HOT PLATES & BURNERS DAILY            
DEEP FAT FRYER WEEKLY  
CANOPY & FILTERS MONTHLY  
TILL & PHONE WEEKLY  
UTENSIL CONTAINERS WEEKLY  
RESTAURANT
SALAD COUNTER DAILY            
DIRTY TRAY TROLLEYS WEEKLY  
JUICE MACHINE DAILY            
SOUP URN DAILY            
WALLS WEEKLY  

Pest Control Report Form

DATE REPORTED:

 

TIME

PROBLEM:

 

LOCATION:

 

REPORTED BY:

 

DEPT:
DATE INVESTIGATED:

 

TIME INVESTIGATED:
PESTS IDENTIFIED:

 

COMMENTS:

 

OPERATOR:

 

DATE:

Managers Self Checklist

FOOD STORAGE COMMENTS
CORRECT CONTAINERS WITH LIDS  
FOOD IN CORRECT LOCATION (FRIDGE / FREEZER ETC.)  
CORRECT LABELLIN  
DATES CORRECT  
RAW / COOKED FOOD PHYSICALLY SEPARATE  
FOOD HANDLING  
GLOVES CHANGED & HANDS WASHED FREQUENTLY AND PROPERLY  
UTENSILS USED CORRECTLY  
RAW / COOKED FOOD SEPARATION  
‘CLEAN AS YOU GO’ PERFORMED FREQUENTL  
CORRECT CHOPPING BOARD COLOURS FOR TASK  
EQUIPMENT AND SURFACES WASHED & DISINFECTED AFTER EACH TASK  
FREQUENT HAND WASHING  
CORRECT SINK USAGE  
FOOD REHEATING (+75 DEGREES MINIMUM at centre of food)  
PERSONAL HYGIENE  
HAIR TIDY / HATS WORN EVEN DURING SET-UP  
CLEAN UNIFORM & MINIMUM JEWELLERY WORN  
CLEAN, NON SLIP SHOES  
DISPOSABLE GLOVES WORN  
NO OUTDOOR CLOTHING / BAGS IN UNIT  
FIRST AID BOX AVAILABLE & BLUE WATERPROOF PLASTERS STOCKED  
MANAGEMENT DUTIES  
CLEANING SCHEDULE & TEMPERATURE LOGS COMPLETED ACCURATELY WITH A PROBE THERMOMETE  
BASIC FOOD HYGIENE TRAINING FOR ALL STAFF  
INTERMEDIATE FOOD HYGIENE FOR MANAGER  
EQUIPMENT & SAFETY TRAINING RECORDS KEPT  

Staff Training Record

DATE COURSE / TRAINING TRAINERS SIGNATURE STAFF SIGNATURE
       
       
       
       
       
       
       
       
       
       
       
       
SIGNATURE:

Temperature Monitoring Log

UNIT
TEMP RANGE
MON
TUE
WED
THU
FRI
SAT

 

 

AM    PM
AM    PM
AM    PM
AM    PM
AM    PM
AM    PM
FRIDGES              
WILLIAMS +1 - 8°C            
BEVERAGES +1 - 8°C            
               
               
FREEZERS              
WILLIAMS -18°C            
  -18°C            
  -18°C            
               
BAIN MARIE +63°C            
CUPBOARD +63°C            
               
DISHWASHER +55°C            
RINSE +82°C