RG-FV-AU-19/ 01

Issue Date:
In the Service of Humanity 27/June/2019
ABN: 29 456 496 413 Rev No.:01
1734 South Gippsland Hwy Devon Meadows Page No. 01 Of 02

Food Safety Log

Date: _ _ / _ _ / _ _ _
Section 1 (must be filled by Chef before taking food van out of premises )

Name of Chef………………………………………………….Mobile………………………….. Emergency Contacts

Manpreet Singh 0423 359 279
Assistants………………………………………………………………………………………………. Major Singh 0401 509 236
………………………………………………………………………………………………………......... Lakhwinder Singh 0433 029 912
Food Name and main ingredients:
1. Dish…………………. Ingredients……………………………………………….
………………………………………….............
2. Dish…………………. Ingredients……………………………………………….
………………………………………….............
3. Dish…………………. Ingredients……………………………………………….
Cooking Start and Finish time: ….:…. / ….:….
………………………………………….............
4. Dish………………….
Section 2 (To be filled Ingredients……………………………………………….
by Driver and assistance)
………………………………………….............
(a) Must be filled before taking the van out of premises
One driver will drive the van throughout the shift
Driver Name………………………………………………………………………….Mobile…………………………
Assistance Name……………………………………………………………………Mobile………………………….
Assistance Name……………………………………………………………………Mobile………………………….
Van Odometer Start :……………………..Finish…………….
Checklist: Please check the stock and tick the box
Gloves box 2 Ladles Food warmer cleaning
100 Containers Tissue Paper Generator working
100 Lids Food Carry Bags Patrol in generator
100 Spoons Bin Bags LPG in Van
(b) Temperature Log (Please refer to the back of this page for safe temperature guidelines)
Temperature must be checked and recorded every hour

Location 1 (When Leaving premises) Time……………..Temperature………………

Location 2……………………………………… Time……………..Temperature………………Containers Served……………..
Location 3……………………………………… Time……………..Temperature………………Containers Served……………..
Location 4……………………………………… Time……………..Temperature………………Containers Served……………..
Incident: Please record below any incident, issue, Low Stock, repair required for van and equipment or any suggestion :
……………………………………………………………………………………………………...........................................................
……………………………………………………………………………………………………...........................................................
……………………………………………………………………………………………………...........................................................
……………………………………………………………………………………………………...........................................................
……………………………………………………………………………………………………...........................................................
(c) To be completed once returned back at premises
Leftover food (Quantity)………………………………………………………………………………………………………………………..
Utensils Washed Yes No
Van required Cleaning Yes No

Once completed your shift, Please take a photo of this page and text or What’s app to Major Singh on 0401 509 236
 RG-FV-AU-19/ 01
Issue Date:
27/June/2019
Rev No.:01
Page No. 01 Of 02