Title Page

  • Trade as / Town

  • Conducted on

  • Officer

  • Premises Address
  • Premises Telephone Number

  • Mobile number

  • Email address


Premises Details

  • Description of business

  • Opening times

  • Head Office
  • Ownership

  • Proprietor

  • First Language

  • Interviewed

  • Manager

  • Interviewed

  • Number of staff

  • Number of seats / covers

  • Please note that over 10 seats / covers customer toilet required

Other Agencies

  • Fire Authority notified

  • Licensing notified

  • Licensable activities

  • Are there any licensable activities at the premises

  • Trading Standards notified

  • Planning notified

  • Building Control notified

  • Environmental Protection notified


Structural checks

  • Does the design and construction of premises meet legal requirements

  • Number of wash hand basins / location

  • Locations

  • Number of sinks / location / designation

  • Locations

  • Adequate drainage facilities incl grease traps

  • Adequate ventilation

  • Adequate work surface area / separation of raw and cooked / ready to eat foods

  • Adequate equipment for safe raw and cooked / ready to eat preparation

  • Adequate temperature controlled storage

  • Adequate food waste facilities

  • Adequate oil waste facilities

  • Adequate staff toilet facilities

  • Is there adequate pest control measures in place

General food law

  • Is the business aware of the main General Food Law Requirements

  • Is the business aware of food safety management systems

  • Officer to provide FBO with information and direction to SFBB packs

  • Type of system

  • Is the business allergy aware

  • Officer to provide links to FSA website or contact Trading Standards

  • Is the business aware of staff training requirements

  • Food Hygiene Course available at Charnwood Borough Council

  • Is the business aware of the FHRS scheme

Health and Safety

  • Is the business aware of health and safety law

  • Direct business owners to HSE website www.hse.gov.uk

  • Is the business aware of risk assessments

  • Risk Assessments covered

  • Is there a current gas safety certificate

  • Date

  • Is there a current electrical safety certificate

  • Date

Additional Notes

  • Additional Notes

  • Notes

  • Extra photos

  • Does the business require signposting to external partners

  • Extetnal Partners

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.