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Tandridge District Council
Station Road East
Oxted
Surrey RH8 0BT

How to find us

8.30am-5pm Mon-Thurs
8.30am-4.30pm Fri

Tel: 01883 722000
customerservices
@tandridge.gov.uk

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Section 1

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About your business

Name of food business *

Address of food business *

Telephone number of food business *

Email address for correspondence *

Type of Food Business *

Name of proprietor *

person or company in control

Address of proprietor *

Person completing this form *

Number of food handlers *

Number of food handlers trained *

Does anyone have training in HACCP principles *

advanced, intermediate, level 3 or similar formal training in HACCP Principals

Does anyone have training in HACCP principles

Yes

Food safety controls used

How would you describe the controls in this food business

select the description that most describes the controls in this food business

Documents and records (if any)

Records kept *

tick all that apply

Formal food hygiene training certificates
Individual training records for each food handler on your food safety procedures
Invoices or receipts for food received or purchased
Temperature monitoring
Cleaning schedules
Nominated suppliers inspections
Hygiene checklists
Product or menu item specification
Probe accuracy calibration checks
Water quality testing
Microbiological testing of food samples
Third party audits of your business
Delivery, consignment or invoice records for food supplied to other businesses
Pest control contract
Other (please list) on next section

Other records please list

special dietary guidelines, etc

Scale of your business

Do you serve more that 20 customers per day *

Do you serve more that 20 customers per day

Yes

Do you provide food for more than 20 elderly persons, children under 5 or the sick each day *

Do you provide food for more than 20 elderly persons, children under 5 or the sick each day

Yes

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