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  • Infection of Food Establisment

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    Dave Corong
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    This document is a sanitary inspection form for a food establishment. It lists 20 items that are inspected and allows for demerits to be given for non-complying items. Each non-complying item receives 5 demerits. The total demerits are used to calculate a percentage rating for the establishment's sanitation standard on a scale from excellent to satisfactory. The form was used to inspect the listed establishment and any non-complying items during the inspection are indicated with an X.

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    inspection of establishment

    Original Title

    INFECTION OF FOOD ESTABLISMENT

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    This document is a sanitary inspection form for a food establishment. It lists 20 items that are inspected and allows for demerits to be given for non-complying items. Each non-complying item receives 5 demerits. The total demerits are used to calculate a percentage rating for the establishment's sanitation standard on a scale from excellent to satisfactory. The form was used to inspect the listed establishment and any non-complying items during the inspection are indicated with an X.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    4 views1 page

    Infection of Food Establisment

    Uploaded by

    Dave Corong
    This document is a sanitary inspection form for a food establishment. It lists 20 items that are inspected and allows for demerits to be given for non-complying items. Each non-complying item receives 5 demerits. The total demerits are used to calculate a percentage rating for the establishment's sanitation standard on a scale from excellent to satisfactory. The form was used to inspect the listed establishment and any non-complying items during the inspection are indicated with an X.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    EHS FORM NO.

    103-A

    Office of the City/Municipal Health Officer


    SANITARY INSPECTION OF FOOD ESTABLISHMENT
    Establishment: Category
    Owner/Manager: :
    Address:
    No. of Personal No. with Health Sanitary Permit No.
    Certificate:
    DEMERIT RECOMMENDED
    S F ITEM
    (X) CORRECTIVE MEASURES
    P E
    1.
    E A
    2.
    C T 3.
    I U 4. CONSTRACTION OF PREMESIS
    A R 5. MAINTENANCE OF PREMESIS
    L E 6. TOILET PROVESION
    S 7. HANDWASHING FACILITIES
    8. WATER SUPPLY
    9. LIQUID WASTE MANAGEMENT
    10. SOLID WASTE MANAGEMENT
    11. WHOLESOMENESS OF FOOD
    12. PROTECTION OF FOOD
    13. VERMIN CONTROL
    14. CLEANLINESS AND TIDINESS
    15. PERSONAL CLEANLINESS
    16. HOUSEKEEPING ANG MANAGEMENT
    17. CONDITION OF APPLIANCE & UTENSILS
    18. SAN. CONDITIONS OF APPLIANCES & UTENSILS
    19. DISEASE CONTROL
    20. MISCELLANEOUS
    TOTAL DEMERITS
    ------------------------------------------------------------------
    NOTE: Non-complying item are indicated with an (x). Every such
    PERCENTAGE RATING item is weighted with a demerit of 5. The rating of the rating
    (100% Less Demerit Score) of the establishment is therefore 109 (number of demerit
    x5). The result is expresser as a percentage (%) rating.
    SANITATION STANDARD PERCENTAGE RATING
    EXELENT -----------------------------------------------------90 – 100%
    VERY SATISFACTORY -------------------------------------70 – 89%
    SATISFACTORY ---------------------------------------------50 – 69%
    Received by:

    Owner /Operator /Manager Sanitary Inspection

    Date Date

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