Schedule 1 Form

Schedule 1 Form

Report of food safety auditor

section 188

Audit details

Licence name—

Licence number—

Facility location—

Facility reference number—

Auditor first name—

Auditor surname—

Auditor number—

Audit date—

Audit duration—

Last audit date—

Audit items

[The information below must be completed for each of the following audit items—

• food safety program,

• construction and maintenance,

• hygiene and sanitation,

• process control,

• product ID and traceability,

• analytical and testing,

• prerequisite programs,

• corrective action.]

Result: CAR issued / Acceptable [Delete whichever is not applicable]

CAR issue level: Minor / Major / Critical [Delete whichever is not applicable]

Audit results

Audit score—

Audit level—

Audit outcome—

Auditor declarations

I am of the opinion that the food business is being carried on in compliance with the requirements of the regulations relating to food safety programs.

Yes □ No □

I am of the opinion that the food business is being carried on in compliance with the Food Safety Standards.

Yes □ No □

Auditor comments

Comments—