PAY-PER-USE PRODUTION UNITS APPLICATION FORM
COMPANY DETAILS; Please fill in all items.
Company Name
*
County
*
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submission date
*
/
Day
/
Month
Year
Date
Business Overview. Describe your business and give details of your product.
*
Product type, market, level of production, when it was established etc.
What is the intended use of the Production unit (Choose One)
*
Production of product for sale to market
Trials/Research & Development
Training/workshop events
What is your current level of supply (Choose One)
*
Local - e.g. farmers market
Regional retail
National retail
Export retail
No current market
Which Pay-Per-Use Production Unit is of interest to you? (Choose One)
*
General Product Unit
Meat Production Unit
Seafood Production Unit
Dairy Production Unit
How often do you require the production unit? (Choose One)
*
Multiple times weekly
Weekly
Monthly
Yearly
Once off
Unknown
Are you currently registered with and/or approved by the relevant authority? NOTE: Registration and/or approval is required prior to commencing production. Registration and/or approval is not required for trails or training purposes (Chose One)
*
HSE - Environmental Health Officer (EHO)
Local Authority or Dept. Agriculture, Food & MarineVeterinary Inspector
Sea Fisheries Protection Authority
Milk Hygiene Section - Dept. Agriculture, Food & Marine
No current registration/approval
If yes, please upload proof of registration/approval.
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Do you have up to date and relevant food safety/HACCP training? - FSAI Level 3 or QQI level 5
*
Yes
No
If yes, please upload proof of training.
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Do you have a Food Safety & HACCP plan relevant to the proposed product? NOTE: A Food Safety & HACCP plan is required prior to commencing production.
*
Yes
No
If yes, please upload Food Safety & HACCP plan.
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Do you have up to date Manual Handling Training?
*
Yes
No
If yes, please upload proof of training.
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Users of the Pay-Per-Use production units must have a valid and up-to-date insurance policy that meets the specified requirements of BIA Innovator Campus. Details of the required insurance coverage will be provided. Please note that insurance is not required for supervised research and development trials.
*
I confirm that I have, or will obtain, the required insurance policy before using the Pay-Per-Use production units
I am conducting trails, insurance is not required.
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