Title Page

  • Trading as / Location

  • Conducted on

  • Officer

  • Address
  • Premises telephone number

  • Mobile phone number

  • Email address

Premises

Premises

  • Proprietor

  • Interviewed

  • Manager

  • Interviewed

  • Number of Staff

Model Licence Conditions

Paperwork

  • Licence on display

  • Adequate insurance

Construction

  • Walls compliant

  • Floors compliant

  • Ceilings compliant

  • Doors compliant

  • Windows compliant

  • Drainage compliant

  • Lighting compliant

  • Ventilation compliant

Animals

Cats

  • Maximum number of cats

  • Number of units

  • Sleeping areas

  • Exercise areas

Dogs

  • Maximum number of dogs

  • Number of units

  • Sleeping areas

  • Exercise areas

Management

  • Are staff adequately trained

  • Is there adequate temperatures

  • Is the premises clean

  • Adequate food and water supplies

  • Adequate kitchen facilities

  • Adequate disease control / vaccination

  • Isolated facilities

  • Register of animals

  • Adequate identification of kennels

  • Adequate supervision

  • Adequate fire precautions

Additional comments

Comments

  • Extra photographs

  • Licence to be issued

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.