Discovery Flavours Ltd Food Questionnaire Form

Discovery Flavours Ltd Food Questionnaire Form

This questionnaire must be completed in full by all food and drink companies wishing to establish trading operations at Discovery Park.
Contact Name

First NameLast Name
Position
Telephone

Area CodePhone Number
Mobile

Area CodePhone Number
Email
example@example.com
Name of Food Business
Trading Name of Business
Registered Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide an overview of the proposed food(s) to be prepared and sold at Discovery Park
Please provide details of all heat and smoke generating equipment that you plan to supply and use on site (please include make and model of all appliances)
Please provide details of Discovery Park assets you wish to make use of (eg fridges, freezers, ovens etc)
Is your business currently a member of any food industry member association (please specify).
Name of the Local Authority your food business is registered with?
Food Hygiene Rating at last inspection*

0

1

2

3

4

5

0 is Worst, 5 is Best
If your Food Hygiene Rating is lower than 5, please provide more detail on any improvement plan and actions to achieve a 5 rating
Date of last inspection

DayMonthYear
Date
Please describe your food safety management plan, HACCP or equivalent system
Please upload a copy of your food safety management plan, HACCP or equivalent system

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Has the Site Manager been HACCP trained?
If you application is successful, please indicate how often you are planning to trade from site (eg Monday-Friday, once a week, fortnightly etc)
How many staff will you employ at Discovery Park?
How many of these staff members have Level 2 Food Hygiene training?
How many of these staff members have Level 3 Food Hygiene training?
Have any of your staff received emergency first aid at work (EFAW) training
Please list below names of all qualified First Aiders who will be employed on site
Please upload the following supporting documentation with your application

* Public liability insurance certificate (minimum £5m public liability cover)

* Employers liability insurance certificate (minimum £10m cover)

* Menu together with proposed pricing

* Food Hygiene certificate

* First Aid certificates for trained members of staff
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Declaration

By signing this declaration you agree that the information you have provided is accurate. Any changes to your proposed operation must be notified to Discovery Park immediately in order for us to assess their suitability and whether additional information is required.
Please sign

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