Food Business Registration Application

All food businesses under the Food Act 2008 must notify the Shire of their activities prior to operating. Before you start your new venture, it is important to check to see if you need Planning approval first, please contact Planning Services on 9949 3000 for confirmation.

Prior to starting your food business please make an initial contact with the Environmental Health Services who can discuss your plans and the application process with you. An application for Food Registration will need to be submitted with floor plans and proposed menu. Once received an Environmental Health Officer will risk assess your application which will then determine the inspection frequency of the business.

Once your food business set up is completed, a final inspection will be conducted, if all aspects are satisfactory you will receive a certificate of food business and your new food venture will be approved to start.

Question:

If you have any questions or concerns with the application process please contact Shire of Exmouth Environmental Health Services on 9949 3000.

Please indicate type of application*This field is required.
Contact

Contact Details

Premise Details

Premise Details

Are you a mobile vendor (e.g ice cream van) or do you vend permanently stationed at one site.*This field is required.
Nature of Business Information

Nature of Business Information 

What is your business type? Please tick all that apply to your business*This field is required.






Under standard 3.2.2A are you Class 1 or Class 2 food business?*This field is required.
Nature of Food Activities

Nature of Food Activities 

Are you a small business? (employs less than 50 people in manufacturing sector or less than 10 people in food services sector)*This field is required.
Do you directly supply or manufacture food for organisation/s that cater to the sick, elderly, children under 5 or pregnant women?*This field is required.
Do you have a Liquor License for the premise?*This field is required.
Please read carefully and circle yer or no

Please read below carefully and circle yer or no

Purchasing & Receiving

Purchasing & Receiving 

Do yo buy food from other businesses?*This field is required.
Do you buy food from other business and transport to your premises?*This field is required.
Do you buy food from other business and have it delivered to your premises?*This field is required.
Storage

Storage

Do you store dry food?*This field is required.
Do you store cold food?*This field is required.
Do you store frozen food?*This field is required.
Do you thaw frozen food?*This field is required.
Preparation

Preparation 

Do you prepare food?*This field is required.
Do you prepare food and store it to be used later that day or another day?*This field is required.
Do you prepare food that is transported somewhere else for sale or consumption?*This field is required.
Cooking

Cooking

Do you cook food?*This field is required.
Do you cook food and hold it under hot storage?*This field is required.
Cooling

Cooling

Do you cook food, cool it and store it to be used later that day or on another day?*This field is required.
Reheating

Reheating

Do you reheat food that has already been cooked?*This field is required.
If you reheat food, is it held under hot storage? for example in a bain marie or pie warmer*This field is required.
Display & Serving

Display & Serving

Do you display food?*This field is required.
Is the food pre-wrapped?*This field is required.
Do you serve food?*This field is required.
Are customers able to help themselves?*This field is required.
Food Packaging

Food Packaging 

Do you wrap or package food for customers to take away? e.g takeaway or home delivery, wrapping deli products*This field is required.
Do you wrap, package or repackage food within your business?*This field is required.
Transportation

Transport

Do you transport or deliver food to your customers?*This field is required.
Residential

Residential 

Do you intend to prepare or process food from a residential area?*This field is required.
Specific Foods

Specific Foods

Do you prepare food from rotating spits?*This field is required.
Do you prepare sushi?*This field is required.
Do you receive sushi?*This field is required.
Do you display sushi?*This field is required.
Do you prepare and sell Chinese style roast duck*This field is required.
Do you prepare and sell Chinese style chicken?*This field is required.
Do you prepare and sell Chinese style roast/BBQ pork?*This field is required.
Do you manufacture/prepare dairy products?*This field is required.
To be answered

To be answered by all manufacturing/processing businesses only

Do you manufacture or produce products that are not shelf stable?
Do you manufacture or produce fermented meat products such as salami?
To be answered

To be answered by food service and retail business only: (includes charitable and community organisations, market stalls and temporary food premises)

Do you sell ready to eat food at a different location from where it is prepared?
Food Handling

Food Handling

Have you previously worked in the food industry?*This field is required.
Do you have any food handling qualifications?*This field is required.
As required under standard 3.2.2A are you or members staff qualified as food safety supervisor?*This field is required.
Hours of Operation

Hours of Operation

New premise

New Premise Only or Alteration to the Existing Premise

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Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Declaration

Declaration

Declaration*This field is required.
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