Information
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Conducted on
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Client/Site
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Business address
Business details
Business Details
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Full name of food business operator
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Full name of food business proprietor
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Head Office
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Registered Office
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Business Type
Intervention details
Intervention Details
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Select date
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Intervention type
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Food law under which intervention conducted:-
The European Communities Act 1972
Food Safety Act 1990
Food Hygiene (England) Regulations 2013
General Food Regulations 2004
Regulation (EC) No. 178/2002
Regulation (EC) No. 852/2004 -
Other:-
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Areas inspected
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Photos of area/s if required
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Name/s of person/s seen and/or interviewed
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Documentation and/or other records examined
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Samples taken
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Key points discussed
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Actions to be taken by the Food and Safety Authority
Priority actions
Key points discussed
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Legal
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Recommendations
Inspecting officer details
Local Authority
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Mid Sussex District Council
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Signature
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Name in capitals
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Designation
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Contact details of inspecting officer
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Phone
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Fax 01444 477366
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Email: foodsafety@midsussex.gov.uk
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Food authority name and address
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Food & Safety Team
Environmental Health
Mid Sussex District Council
Oaklands
Oaklands Road
Haywards Heath
West Sussex
RH16 1SS -
Contact details of Food Safety Team Leader (in case of dispute)
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Mrs Elaine Jowett
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Telephone 01444 477295
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Fax 01444 477366
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Email: foodsafety@midsussex.gov.uk
Food business operator/representative signature
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Signature
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Name in capitals
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Select date
