Fillable APPLICATION FOR REGISTRATION UNDER FOOD ACT 2014 (Masterton District Council New Zealand)

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APPLICATION FOR REGISTRATION UNDER FOOD ACT 2014 (Masterton District Council New Zealand)

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Masterton District Council
PO Box 444
Masterton 5840
Phone: 06 370 6300
mstn.govt.nz
health@ms
tn.govt.nz
APPLICATION FOR REGISTRATION
UNDER FOOD ACT 2014
WE ARE LOCAL GOVERNMENT
WWW.MSTN.GOVT.NZ
MULTIPLE SITES
IN MASTERTON
FOOD CONTROL PLAN ONLY
During the planning stage of any new food premises please contact Masterton District Council to ensure the
proposed premises meets all relevant requirements. Speak to:
Environmental Health Ocer for suitability of the Food Act requirements
Resource Consents Planner about compatibility with the District Plan
Building Development Facilitators for Building Act requirements
APPLICATIONS TAKE 20 WORKING DAYS TO PROCESS
(provided all required information is supplied)
BEFORE YOU START, LET’S CHECK THAT YOU HAVE EVERYTHING YOU WILL NEED:
Complete the application form
Attach completed scope of operations document. Available from Masterton District Council or www.mpi.govt.nz
Attach site plan for each site. Scale floor plan (e.g. 1:50) of the proposed premises showing the layout, fittings and
fixtures, detailing all floor, wall and ceiling surfaces, essential features and, if any, outdoor seating.
Attachcopiesofcompanyregistrationcerticatesifyouhavearegisteredlimitedliabilitycompany.
If your business is a registered limited liability company, a copy of the company registration certicate.
See www.companies.govt.nz
$134-Registrationfeemustbepaidwhenthisapplicationissubmitted.
• If there are any changes to the details provided in this application after it has been sent, tells us in
writing immediately.
• The fee includes up to 2 hours to process the registration. Additional processing will be charged at
$67 per hour.
• Masterton District Council verification fee is $235 (up to 3.5 hours). Additional work will be charged
at $67 per hour. This will be invoiced separately.
• Fees are set in the in the Masterton District Council Annual Plan, and are reviewed annually.
Collection of Personal Information
• Some of the information collected will be displayed on a public register; and
• Under Principles 6 and 7 of the Privacy Act 1993, you have the right of access to, and correction of, any
personal information that you have provided.
CollectionofOcialInformation
• All information provided to the Masterton District Council is ocial information
and may be subject to a request made under the Ocial Information Act 1982.
Office Use: GL 1520715
food act requirementS
The operator must ensure that the design, construction and location of the place of the food business enables
food to be safe and suitable, including by:
• Identifying and managing any risks posed to the safety or suitability of food
• Ensuring that the place has adequate space for producing, handling and processing of food as well as
xtures, ttings and equipment
• Ensuring that the design of the place enables the movement of staff, visitors and food to ow in a way that
prevents and manages risk
• Ensuring the design of the place provides easy access for cleaning and maintenance
• Ensuring the place is designed, constructed and located as to exclude dirt, dust, fumes, smoke and other
contaminates as well as prevents pests from entering and remaining
• Ensure materials used in the construction of the premises are not capable of contaminating food
The operator must also ensure that the facilities, equipment and essential services are designed, constructed,
and located in a way that enables food to be safe and suitable, this includes:
• Ensuring facilities, equipment, and essential services are not operated beyond their capacity or capability
• Water used for producing, processing, handling of food and for personal hygiene and cleaning is suitable
for purpose, does not adversely affect the safety and suitability of food
• The capacity of the water supply is adequate for the food business
traininG requirementS
It is good operating practice for at least one person, preferably the manager, to have completed a basic food
safety course. Under the Food Act 2014 managers are responsible for training their staff. For example if you are
operating under a template Food Control Plan the day-to-day manager must be familiar with and understand all
procedures before training staff. The manager would then need to complete and sign a staff training record for
each staff person who works in their business.
WE ARE LOCAL GOVERNMENT
WWW.MSTN.GOVT.NZ
Masterton District Council
PO Box 444
Masterton 5840
Phone: 03 370 6300
mstn.govt.nz
health@mstn.govt.nz
APPLICATION FOR REGISTRATION
UNDER FOOD ACT 2014
MULTI-SITE IN
MASTERTON
Type of business New Existing
BUSINESS INFORMATION
Legal name(s) of operator (e.g. registered company, partnership or individual)
Copy of the company name registration from the New Zealand Companies oce attached (www.companies.govt.nz)
NZ Business number (NZBN)
For more information about NZBNs, including how to get one, visit www.business.govt.nz/companies)
Trading Name, if any (ie ‘Trading as’) Same as legal name above
OPERATOR ADDRESS
You must provide this information to be registered. However, if the address is a dwellinghouse, you may ask that
the address is withheld from the public register by ticking the box below.
Postal address
This address is a private dwellinghouse and I wish it to be withheld from the public register.
Physical address
(if different to postal)
This address is a private dwellinghouse and I wish it to be withheld from the public register.
CONTACT PERSON DETAILS
The contact person details entered below will be used for communications about your registration, such as
sending approval documents and renewal reminders. Contact MPI if the details change.
Mobile
Business Phone
Email
By entering an email address you consent to being sent information and notications electronically, if required.
Operator day to day manager name
Position
APPLICATION STATEMENT
I conrm that;
1) The information supplied in this application is truthful and accurate to the best of my knowledge and belief; and
2) The operator of the food business is able to comply with the requirements of the Food Act 2014.
Name Job title
Signature Date
/ /
IF YOU HAVE AY QUESTIONS PLEASE CONTACT AN ENVIRONMENTAL HEALTH OFFICER
Masterton District Council phone (06) 370 6300
161 Queen Street email: health@mstn.govt.nz
PO Box 444
Masterton 5840
DETAILS FOR OTHER ADDRESSES
Add additional rows as necessary or attach a le (e.g. spreadsheet) to application with all of the information required below.
Legal name(s) of site operator
(e.g. registered company,
partnership or individual)
(This is for template food control
plan registrations only. Tick box
to conrm company registration
certicate is attached for any limited
liability companies)
NZ Business
Number
(where
applicable)
Trading Name, if any
(ie ‘Trading as’)
Street/Physical Address
(location of actual place)
(Tick box if you wish the address to
be withheld from the public register
because it is a private dwellinghouse)
Vehicle
Registration
numbers
(mobile
businesses only)
Site day-to-day
manager position
Example: Foods Limited
Yummy Cakes RUs,
Masterton Store
123 Cakes Road,
Masterton
Store manager
Name
WRITTEN PROPOSAL
The written proposal should resemble a business proposal covering the following topics:
• The types of food to be provided and/or example menus
• The operating times of the business
• Whether any food will be transported or labelled
• The training/qualications/experience of any staff
• The number of staff to be employed
• If operating a home kitchen, how will goods be separated between domestic and commercial use, and how
much food is to be produced weekly/monthly.
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APPLICATION FOR REGISTRATION UNDER FOOD ACT 2014 (Masterton District Council New Zealand)

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Completed 31 January 2021

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