Outdoor Catering Form If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. Name of event Location Name of food business operator Name of business Address Phone Email Type of unit: (please tick) Mobile VehicleTrailerStallOther If other please specify Number of units attending event If the unit/s attending the event are vehicle/s please give registration number/s Are you registered as a food business with a local authority? (please tick) YesNo If “Yes” give date of registration Date of last inspection by local authority Name of local authority Address Telephone Contact officer (if known) Please indicate which of the following facilities you intend to provide on site: Wash-hand basinHand-drying facilitiesOven*RefrigeratorsFirst-aid kitFryers*Cooking hobs*FreezersGrill/BBQ*Bactericide SoapMicrowaves* Please note that if you have any of these appliances you should have a powder or CO2 fire-extinguisher and a fire blanket. Is any of the food you intend to sell either cooked or prepared before arrival at the event? YesNo Is this food cooked or prepared at premises other than that of the trader? YesNo What foods are prepared on these premises? What arrangements will you make to ensure the food is transported safely to the event? What power source does the unit use for cooking/refrigeration, etc? LPG GeneratorNoneOther If other, please specify What type of fire-fighting equipment do you have? Fire-extinguishers Co2 (Black)Fire-extinguishers Dry Powder (Blue)NoneFire Blanket Have you got a documented Food Safety Management System (Hazard Analysis)? YesNo If Yes, what evidence exists to show this? HACCP PlanFlow ChartSFBB Have food handlers at the event received adequate food hygiene training? YesNo Will evidence of food handlers training i.e certificates, be available at the event? YesNo What date and time are you planning to arrive on site? What is 14 plus 3? (Anti-spam question) *
