For FSA Use Only.docx

For FSA Use Only.docx

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ForFSAUseOnly

FoodLawEnforcement

FocusedAuditProgrammeOnDatabasemanagement,InspectionsandInternalMonitoringarrangements

Pre-VisitQuestionnaire

（forcompletionbyLocalAuthorities）

ForFSAUseOnly

∙Thisquestionnaireshouldbecompletedbythenominatedleadofficer（s）forfoodlawenforcement,oramoreseniorofficer.Whencompletedthequestionnaireshouldbesenttogetherwithanyrelevantdocumentsto:

⏹AbiAdeyemi,

LocalAuthorityLiaisonDivision,

FoodStandardsAgency,Room411C,AviationHouse,

125Kingsway,LondonWC2B6NH

bythedatespecifiedintheaccompanyingletter.

∙SectionsA,BCandAnnex1ofthequestionnaireMUSTbecompletedinallcases.

∙Ifyouwouldlikeanelectroniccopyofthequestionnairepleasecontact:

⏹AbiAdeyemi

Tel.No.02072768428

or

email:

LAAudit@foodstandards.gsi.gov.uk

Contents

∙SectionAGeneraldetails

∙SectionBGeneraldocumentation

∙SectionCSpecificdetails

∙Annex1StaffResources

∙WhilstweappreciatethatthePre-VisitQuestionnairerequiresasubstantialamountofinformation,andthatsomeauthoritiesmayexperiencedifficultiesinprovidingallthatisrequired,theprovisionoftheinformationlistedwillreducetheamountoftimespentonsite.Authoritiesareencouragedtodiscussanydifficultiescompletingtheformwith:

⏹JohnQuestier

Tel.No.02072768429

Nameofpersoncompletingtheform:

Position:

Tel.No.（includingnationaldiallingcode）

Fax（includingnationaldiallingcode）

email:

⏹SectionA-Generaldetails

A1NameoftheAuthority

A2ForthepurposeoftheauditpleasedesignateanAuditLiaisonOfficer

Name:

Designation:

Contactaddress:

Tel.No.（includingnationaldiallingcode）

Fax（includingnationaldiallingcode）

email:

Pleasenote:

theAuditLiaisonOfficerwillbeneededbytheauditorsduringmostoftheauditandtheAuthorityshouldmakearrangementsfortheofficertobeavailablethroughouttheauditvisit.Theauditorswillneedaroom,withcomputeraccess,tolookatfilesandthedatabase.

A3Isfoodhygieneenforcementcarriedoutby:

（a）staffinthesameteam?

（b）staffunderdifferentmanagement?

Pleasegivedetails:

A4Nameandlocationofdepartment（s）.

MapsprovidedshowinglocationofofficesYESNO

Pleaseindicatewhichdepartmentisresponsibleforfoodhygiene.Providecontactdetailsforeachdepartment:

Name/DepartmentTick/Checkasappropriate

Foodhygiene

Address:

Postcode

Tel.No.（incl.nationaldiallingcode）

Fax（incl.nationaldiallingcode）

email:

A5Areanyfoodlawenforcement/

administrativestaffbasedatotherlocations?

YESNO

IfYESpleasegiveaddresses:

（i）Name/Department

Address:

Postcode

Tel.No.（incl.nationaldiallingcode）

Fax（incl.nationaldiallingcode）

email:

（ii）Name/Department

Address:

Postcode

Tel.No.（incl.nationaldiallingcode）

Fax（incl.nationaldiallingcode）

email:

A6Dostaffenforcingfoodhygiene

legislationundertakeenforcementofanyotherlegislation?

YESNO

IfYESpleaselist:

⏹SectionB-Generaldocumentation

∙Whererequested,pleaseenclosecopiesofthosedocumentsorrecordslistedbelow.Please

markupeverydocumentyousendwiththeappropriatereferencenumberasdetailedbelowe.g.ServicePlan–B2,andpleaseclickortickboxeswhereappropriate.

∙Listsofinspections,complaintsandsamplesarerequestedtoenableustoidentifyfilesandrecordswhichwewillneedtoexamineduringtheauditvisit.Wewillnotifyyouinadvanceofthespecificfilesandrecordswewillneedsothatyoucanmakethemavailableonthefirstdayoftheaudit.

B1ServicePlan.PleaseprovideyourServicePlantogetherwiththeminutesshowingMemberApprovalandanyreviewoftheAuthority’sperformanceagainstlastyear’splan.

●Documentsenclosed

Ifnotenclosed,pleasegivereason:

B2Reports.PleaseprovidecopiesofanyreportsregardingthefoodservicemadetotheAuthority’sMembersinthelast2years,togetherwiththerelevantCommitteeminutes.

●Documentsenclosed

Ifnotenclosed,pleasegivereason:

B3Authorisedofficers

（i）PleaseprovideyourAuthorisationProcedure

●Documentsenclosed.

Ifnotenclosed,pleasegivereason:

（ii）PleasecompleteAnnex1（Staffresources）

●Annex1enclosed.

Ifnotenclosed,pleasegivereason:

B4Complaintsaboutfoodandfoodpremises

（i）PleaseprovideyourfoodandComplaintsPolicyandProcedure

●Documentsenclosed.

Ifnotenclosed,pleasegivereason:

（ii）Pleaseprovidealistofcomplaintsreceivedinthelast6months.

（TheListshouldindicatetheofficer（s）whodealtwiththecomplaintandg