Foodstuffs, Cosmetics and Disinfectants Act, 1972 (Act No. 54 of 1972)

Regulations

Regulations Governing General Hygiene Requirements for Food Premises, the Transport of Food and Related Matters

Annexures

Annexure B: Certificate of Acceptability of Food Premises
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ANNEXURE B

[Regulation 3(5)(a)(i)]

 

CERTIFICATE OF ACCEPTABILITY FOR FOOD PREMISES

 

This certificate is not transferable from premises to premises

 

A.AUTHORITY: ..............................................................................................................

CERTIFICATE NO: .......................................................................................................

NAME:  ......................................................................................................................

TEL. NO: ....................................................................................................................

OFFICIAL DATE  STAMP

 

 

 

 

B.FOOD PREMISES

Name (if any)

Address: (Location or trading area, stand no. or vehicle registration No.):

Address where food is processed:

 

C.        PERSON IN CHARGE

Name:

I.D. Number


 

 

D.        VEHICLE(S) TRANSPORTING PERISHABLE FOOD/ PREPACKED FOOD [Regulation 3(1)(a) and 14(6)(a)]

Name of company (if any)

Name of owner/person in charge

Physical Address: (Location or trading area, stand no.):

Areas where food if to be transported:

 

Vehicle 1 - Registration number

Vehicle 2 - Registration number

Vehicle 3 - Registration number

 

E.        NATURE OF HANDLING

 

List and describe what the activities will entail (e.g preparation or packing and processing).



 

F.        CERTIFICATION AND RESTRICTION

 

It is hereby certified that the above-mentioned food premises comply with the provisions of regulations 5 and 6 made by Government Notice No. .......... of .........in respect of ..........................................................................  (the handling of food as specified in the application).

 

Restrictions, conditions or stipulations in terms of regulation 3(1)(b):

                                                                                                                                                                         

                                                                                                                                                                         

                                                                                                                                                                         

 

G.SIGNATURE OF INSPECTOR

 

Name of Inspector ...................................................................................................

Official Designation: ................................................................................................

Signature: ................................................................................................................

Date: ........................................................................................................................

 

H.APPROVED BY: DESIGNATED LOCAL AUTHORITY OFFICIAL

 

Name of Designated Local Authority Official: .............................................................

Official Designation: ...................................................................

Signature: ...................................................................................

Date: ...........................................................................................

 

I.ENDORSEMENTS/EXEMPTIONS - In terms of regulation 14(1)

Endorsements / Exemptions

Date

Signature of Inspector