Food Vendor Application Form CBD Xmas Fair, East Street Rockhampton Saturday 1st December, 5:00pm 9:00pm – – *For enquires please phone (07) 4922 9093 or email EXHIBITOR DETAILS Company Name: Contact Name: Contact Number: M: H: Address: Email: Type of food/drink sold: SITE REQUIREMENTS *All sites - $90 (regardless of size) + 3 volunteer meal vouchers Site size (please detail length & depth): Electricity needed: 10amp - $25 15amp - $ 40 *Payment must be made by Monday 22nd October 2018 Is your vehicle required for stall operation? YES/NO If yes, size of vehicle: (Unless your vehicle is required for the operation of your stall, it will be required to be parked outside of the event area) PUBLIC LIABILITY INSURANCE & FOOD LICENSE *All vendors must provide their own Public Liability insurance. All food vendors must supply a current copy of their food license. Public Liability Certificate of Currency attached We need to obtain Public Liability. A copy will be supplied by (date) Other Food License attached RISK ASSESSMENT You are responsible for ensuring the safety of the public, your staff and visitors that they are not exposed to hazards on your site. Capricorn Helicopter Rescue Service Pty Ltd reserves the right to inspect your site at any time during the course of the event to ensure that you have complied with regulations. Please indicate below any potential health, safety and risks associated with your site and display. Fire Hazards Please confirm if your site will have fire hazards: YES List any items or practices which may NO cause or exacerbate fire, risks and hazards. All gas bottles and any flammable If yes, please list risk details: substances should be included here. Trips, Slips & Falls Please confirm if your site will have trips, slips and fall hazards YES NO If yes, please list risk details: Dangerous Goods, Hazardous Please confirm if your site will have dangerous hazardous substances and chemicals: Substances and Chemicals YES Please list any items or practices which NO may cause or exacerbate the risk or If yes, please list risk details: hazard.
Food Vendor Application Form CBD Xmas Fair, East Street Rockhampton – Saturday 1st December, 5:00pm – 9:00pm *For enquires please phone (07) 4922 9093 or email EXHIBITOR DETAILS Company Name: Contact Name: Contact Number: M: H: Address: Email: Type of food/drink sold: SITE REQUIREMENTS *All sites - $90 (regardless of size) + 3 volunteer meal vouchers Site size (please detail length & depth): Electricity needed: 10amp - $25 15amp - $ 40 *Payment must be made by Monday 22nd October 2018 Is your vehicle required for stall operation? YES/NO If yes, size of vehicle: (Unless your vehicle is required for the operation of your stall, it will be required to be parked outside of the event area) PUBLIC LIABILITY INSURANCE & FOOD LICENSE *All vendors must provide their own Public Liability insurance. All food vendors must supply a current copy of their food license. Public Liability Certificate of Currency attached We need to obtain Public Liability. A copy will be supplied by (date) Other Food License attached RISK ASSESSMENT You are responsible for ensuring the safety of the public, your staff and visitors that they are not exposed to hazards on your site. Capricorn Helicopter Rescue Service Pty Ltd reserves the right to inspect your site at any time during the course of the event to ensure that you have complied with regulations. Please indicate below any potential health, safety and risks associated with your site and display. Fire Hazards List any items or practices which may cause or exacerbate fire, risks and hazards. All gas bottles and any flammable substances should be included here. Please confirm if your site will have fire hazards: YES NO If yes, please list risk details: Trips, Slips & Falls Please confirm if your site will have trips, slips and fall hazards YES NO If yes, please list risk details: Dangerous Goods, Hazardous Substances and Chemicals Please list any items or practices which may cause or exacerbate the risk or hazard. Please confirm if your site will have dangerous hazardous substances and chemicals: YES NO If yes, please list risk details:
CBD-Xmas-Fair-Food-Vendor-Application-Form.docx