Licence required for: Event Name Location Date / Time No. of staff currently trained in food Safety? ……………………………….. Please see for free Food Safety Training I’m Alert. – Size of stall/food van (floor area)....………………………………………………………… Method of construction of van……………………………………………………… …………………………………………………………………………………………………. Note: Food stalls are to comply with the of Shark Bay Food Stalls Guide”. “Temporary Please tick what you will have on-site in the food stall/food van at the above event(s) – A marquee or tent with or without 3 sides & Hand washing facilities: running or contained floor water with liquid soap and paper towels or mobile food van Cold display and storage; fridges, eskies with Dedicated buckets to wash equipment cold bricks or ice Hot display and storage: bain marie Safe power supply & correct extension cords Cooking equipment: deep fryers, woks, BBQ Fire extinguisher or blanket wearing clean clothes, aprons, enclosed Disposable gloves available shoes, and hair covering caps/bandannas Suitable/adequate no. of utensils for handling Single use or dispensers for sauces, napkins, food rather than using hands takeaway containers, disposable cutlery/spoons/stirrers, etc Pre-packed food labelled Rubbish bins Water supply / wastewater disposal point Method of wastewater disposal (explain) Smoking, animals, and babies/young children not permitted in stall Other Other If power is required you must complete the Temporary Food Stall Power Distribution Form. Contact details: Full name……………………………………………………….
Licence required for: Event Name Location Date / Time No. of staff currently trained in food Safety? ……………………………….. Please see for free Food Safety Training – I’m Alert. Size of stall/food van (floor area)....………………………………………………………… Method of construction of van……………………………………………………… …………………………………………………………………………………………………. Note: Food stalls are to comply with the of Shark Bay “Temporary Food Stalls Guide”. Please tick what you will have on-site in the food stall/food van at the above event(s) – A marquee or tent with or without 3 sides & floor or mobile food van Hand washing facilities: running or contained water with liquid soap and paper towels Cold display and storage; fridges, eskies with cold bricks or ice Dedicated buckets to wash equipment Hot display and storage: bain marie Safe power supply & correct extension cords Cooking equipment: deep fryers, woks, BBQ Fire extinguisher or blanket wearing clean clothes, aprons, enclosed shoes, and hair covering caps/bandannas Disposable gloves available Suitable/adequate no. of utensils for handling food rather than using hands Single use or dispensers for sauces, napkins, takeaway containers, disposable cutlery/spoons/stirrers, etc Pre-packed food labelled Rubbish bins Water supply / wastewater disposal point Method of wastewater disposal (explain) Smoking, animals, and babies/young children not permitted in stall Other Other If power is required you must complete the Temporary Food Stall Power Distribution Form. Contact details: Full name……………………………………………………….
Temporary_Food_Stall_Licence_Application_Form_Shark_Bay_Amended_Mar18.docx