EHO Food Safety Submission

EHO Food Safety Submission

Time critical form
Your Name*

First NameLast Name
Email
if you wish to receive a copy of this Audit
Phone Number

Area CodePhone Number
Your Role
Show Important NOTES

YesNo
TIME CRITICAL FORM

Information gathered in this form is time critical and information is gathered about when you are sent the form and when you respond to it. Also the timing between the questions answered is recorded, this helps us determine how accessible the data is to you when completing the form.

About Your Location

Please complete submission for each location where food is produced
Name of Building
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Opening Hours

Hour Minutes

Until
until
Hour Minutes
Total 0.0

Cleaning Schedule

Pre-requisite
Do you keep a record of your cleaning regime

YesNo
Please upload an image or a copy of your cleaning records for the last 7 days below
Upload Files

Cancelof

Temperature Records

Pre-requisite
Do you record your fridge / Freezer temperatures

YesNo
Please upload an image or a copy of the temperature record log for the last 7 days.
File Upload

Cancelof

Images

Images
Please upload the following 3 images here
1. Under an Oven or Fryer
2. Behind a fridge
3. Underneath a toaster or prep machine
File Upload or Take Photo

Cancelof
Take Photo

Declaration

In completing and submitting this form you are declaring tha the information provided is accurate, as complete as possible and current at the time of submission. This audit is designed to help us assess risk prior to a proposed visit, it should also serve as a reminder of the importance of your own food safety plan.
Signed as above

I agree
Signature

Clear
Should be Empty: