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Do Not Make Copies
Candidate: __________________________________________________
Date of Audit Start ____/____/____
Date of Audit End ____/____/____
Auditor: _____________________________________________________
Worksheet
Did the inspector successfully complete the Level I Competency training
curriculum, including the FDA-ORA U courses and examinations, as specified
in FDA’s Draft Retail Program Standards, Standard No. 2 Trained
Regulatory Staff or equivalent curriculum?
Comments:
________________________________________________________________________
- Did the Food Safety Inspection Officer (FSIO) demonstrate the use
of risk based inspection methodology to assess regulations related
to practices essential to the safe storage, preparation and service
of food, and obtain immediate corrective action for out of compliance
practices?
Comments:
- Did the FSIO demonstrate the use of necessary equipment and current
applicable resource information?
Comments:
- Did the FSIO demonstrate knowledge of good retail practices and
other applicable statutes, regulations and ordinances?
Comments:
- Did the inspector demonstrate an ability to properly collect evidence
as applicable in order to document violations and support potential
regulatory actions?
Comments:
- Did the FSIO demonstrate an ability to clearly and adequately engage
in dialogue with the person in charge/employees to obtain information
relevant to the inspection?
Comments:
- Did the FSIO demonstrate an ability to communicate deficiencies
and corrective actions with responsible persons?
Comments:
- Did the FSIO respond appropriately to relevant questions and comments?
Comments:
- Did the FSIO properly complete appropriate inspection forms?
Comments:
- Did the FSIO present all proper forms to the appropriate person(s)?
Comments:
- Did the FSIO demonstrate the following attributes?
- open-mindedness
- ethical behavior
- diplomacy
- tactfulness
- consideration
Comments:
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