Food Hygiene – Low Risk Premises

This form will ask you to provide the following information:

Your details
Details about your food business and staff
Details of your food safety management system (HACCP)
Details of other food safety checks
Declaration

Please provide as much information as you can to help us understand how you keep the food you sell safe.

Privacy Statement

Your personal information is being processed because it is necessary for compliance with a legal obligation or for the performance of a task carried out in the public interest.

Please refer to our Corporate Privacy Notice for further details on how we process your personal information and your rights. This is also available in other formats (e.g. print).

WK Reference Number

Please enter the WK Reference Number(Required)

This number can be found at the top of the letter on the left (e.g. WK202011111)

Your details

Company Name(Required)

Trading as(Required)

Postcode

Search Postcode

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address

Address(Required)

House name/House No./Flat no Address line 1 Address line 2 City Postcode

Contact telephone number(Required)

Name(s) of proprietor(s)(Required)

First name

Last name

Head Office/Address of proprietor(s)(Required)

Email address(Required)

Enter Email Confirm Email

Control of food hazards

Do you have a documented food safety management system?(Required)

Yes

No

Which system do you use(Required)

Please tick all that apply

Corporate HACCP

In House HACCP

Safer food better business

Other

If other, please describe your documented system (HACCP)(Required)

Food hygiene supervision

Total number of staff who handle food(Required)

Have you or your staff undertaken any food hygiene training(Required)

(e.g. at basic food hygiene level etc)

Yes

No

What type of food hygiene instructions do you give to food handlers when they start work for you for the first time(Required)

(e.g do you provide induction training for all staff, what does this involve)

Purchase of food

Please list all food suppliers that you use(Required)

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Storage and display

Do you carry out any temperature checks of your refrigerator and/or freezers(Required)

Yes

No

Do you keep any temperature records(Required)

Yes

No

Do you store or display any raw or unwrapped foods(Required)

Yes

No

How do you make sure food gets used before any use-by or best-before dates(Required)

i.e. what stock rotation system do you have in place

Cleaning

What chemicals do you use for cleaning/disinfecting surfaces, equipment, shelving etc(Required)

Hand hygiene

Is there an easily accessible wash hand basin(Required)

Yes

No

Is it equipped with(Required)

Please tick all that are relevant

Hot water

Cold water

Hand soap

Drying facilities

Preparation

Do you open any foods on site(Required)

Yes

No

Please details what food preparation you carry out(Required)

(e.g. sandwiches, meat/cheese slicing, heating pies/sausage rolls etc)

Infection control

Please detail what action would be taken if you/the food handler is or has been ill(Required)

(e.g. symptoms of vomiting, diarrhoea, nausea etc)

When are they allowed back to work(Required)

Do you have a contract with a pest control company(Required)

Yes

No

What checks do you carry out to ensure your premises are kept pest free(Required)

Declaration

Declaration - I confirm the information that I have supplied in this questionnaire is true to the best of my knowledge and belief. I will inform Thanet District Council if there are significant changes to the business.

I have read and agree to the Privacy Statement at the beginning of this form.

Name of person completing this questionnaire(Required)

First Last

Position in business(Required)

Date(Required)

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Staff ID

Food Hygiene – Low Risk Premises