Information
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Food business Inspection Report
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Conducted on
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Client/Site
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Address
Business details
Business Details
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Manager
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Contact name
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Position in organisation
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Tel:
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Email:
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Fax:
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Full name of food business operator
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Home address of food business operator
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Limited Company name
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Tel:
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Email:
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If more than one FBO 2nd home address
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Tel:
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Email:
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Head Office
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Tel:
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Email:
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Registered Office Address
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Tel:
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Email:
Business activity
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Type of food prepared & sold
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Premises use
- Before/After school group
- Bakers
- Bakers (mainly retail)
- Bar
- Brewery
- Butchers
- Butcher manufacture-mainly retail
- Child minder
- College
- Day care centre
- Delicatessen
- Educational centre kitchen
- Factory kitchen
- Farmshop
- Filing station
- Small general stall
- Hall/Community centre
- Hawker
- Home caterer
- Greengrocer
- Hospital kitchen
- Leisure centre
- Licensed club
- Market stall
- Nursing home-medical care
- Office canteen
- Office only
- Off licence
- Outdoor leisure pursuits
- Post office
- Postal sorting office
- Pre school (under 5's)
- Pub with full catering
- Pub with snacks
- Residential care home
- Restaurant/Caterer
- Retail
- Supermarket
- Takeaway
- Warehouse
- Wholesale
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Premises use-if not on list above
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FHRS Status
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Customers
- National
- Regional
- Local
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Number of customers in a day
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Vulnerable groups
- Yes
- No
- Elderly
- Under 5
- Sick/immuno-compromised
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Primary Authority
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First language
Opening hours
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Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Opening time
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Closing time
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Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Opening time
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Closing time
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Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Opening time
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Closing time
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Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Opening time
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Closing time
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Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Opening time
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Closing time
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Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Opening time
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Closing time
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Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Opening time
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Closing time
Sanitary facilities
Intervention details
Intervention Details
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Select date
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Intervention type
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Food law under which the intervention conducted:-
- The European Communities Act 1972
- Food Safety Act 1990
- Food Hygiene (England) Regulations 2006
- General Food Regulations 2004
- Regulation (EC) No. 178/2002
- Regulation (EC) No. 852/2004
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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 Authority
Priority actions
Priority Actions/Improvements required
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Compliance with food hygiene and safety procedures
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Compliance with structural requirements
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Confidence in management and control procedures
Food hygiene rating (Provisional-scores to be verified by the Council's Food & Safety Leader)
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Food Hygiene Rating
Inspecting officer details
Local Authority
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The drawing
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Name
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Signature
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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
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Signature of food business operator/representative
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Add signature
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Name in capitals
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Select date
