Fillable TEMPORARY EVENT COORDINATOR APPLICATION (Vancouver Coastal Health)

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TEMPORARY EVENT COORDINATOR APPLICATION (Vancouver Coastal Health)

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The TEMPORARY EVENT COORDINATOR APPLICATION (Vancouver Coastal Health) form is 3 pages long and contains:

  • 2 signatures
  • 2 check-boxes
  • 50 other fields

Country of origin: CANADA
File type: PDF

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Central Coast Tel 604-983-6700, Fax 604-983-6702
North Vancouver Tel 604-983-6700, Fax 604-983-6702
Powell River Tel 604-485-3310, Fax 604-485-3305
Richmond Tel 604-233-3147, Fax 604-233-3175
Sechelt Tel 604-885-5164, Fax 604-885-9725
Squamish Tel 604-892-2293, Fax 604-892-2327
Whistler Tel 604-932-3202, Fax 604-932-6953
Vancouver Tel 604-675-3800, Fax 604-736-8651
Vancouver Email (Vancouver Only) temporaryevents@vch.ca
TEMPORARY EVENT COORDINATOR APPLICATION
Coordinator Name:
Business Name:
Business Address:
City:
Postal Code:
Telephone Number:
Email:
Event Name:
Event Venue:
Indoors:
Outdoors:
Date(s) of Event:
Hours of Operation:
Opening Time:
Estimated Daily Attendance:
Venue Contact:
Telephone Number:
Email:
F
or the services listed below, indicate the number of each that will be present at your event.
•
Temporary Food Services
A non-permanent establishment, in operation no more than 14 days a year in which food is processed then
served or dispensed to the public and intended for immediate consumption. Examples: hot dogs, burgers, tacos,
s
kewers, noodles, curries, prepared beverages.
•
Temporary Food Premises
A non-permanent establishment, in operation no more than 14 days a year in which food is sampled, sold or
d
ispensed to the public. Examples: retail and giveaways of pre-packaged food and drink, popcorn stands, food
sampling booths.
Attach all completed temporary food service applications for the categories above
•
Mobile Food Premises
Issued an annual operating permit, a self-contained cart, trailer or vehicle, that is movable from place to place and
eq
uipped to store and prepare food for sale and service to the public.
•
Petting zoo
Latter two categories do not need an application but must be identified.
Provide an electronic document detailing the business name, business address, contact person,
telephone,
email and the specific service provided by all vendors. Only those vendors listed will be
considered for
approval.
Provide a site plan (electronic document preferred) showing the location of all service providers at the
event
and the venue details described on the following page.
Temporary Event Coordinator Application
November 1, 2016
1
EVENT & VENUE DETAILS
Note: The venue may provide some of the requirements below, give name of venue in response if applicable.
Utility/Facility Type
Requirement
Describe How Requirement is Met
Potable Water Supply
Approved water system required.
Provide details of hauler on service
provider list if applicable.
Water Distribution
Supply lines suitable for potable
water. Backflow preventers
provided. Operating prior to event
start.
Sanitary Facilities
Portable privies may be required,
12 Units/1000 people.
Liquid Waste Collection
& Disposal
Collected and disposed in sanitary
sewer not on the grounds or in
storm drains. Provide details of
hauler if applicable.
Solid Waste Collections &
Disposal
Properly contained and regular
removal to prevent nuisance.
Provide details of hauler if
applicable.
Power Supply
All hook ups ready prior to vendor
arrival.
Ice Supply
Approved source and storage.
Provide details of supplier.
Outdoor Booth
Construction
Canopies provided over food
preparation and display areas.
Located on hard, level surface.
Food Storage -
Refrigeration
Shared space must be
mechanically refrigerated,
adequate space, light and security.
Food Storage -
Dry Goods
Secure enclosure, off of ground
and pest proof. Shared space
must have adequate space and
light.
Utensil Washing &
Sanitizing. Detergent and
sanitizer supplied.
Commercial dishwasher or two
compartment sink supplied with
pressurized hot and cold running
water and drain boards.
How Many:
Hand Washing Stations -
Organizer may be required
to supply.
Pressurized hot and cold running
water dispensed so hands free for
washing. Soap in pump dispensers
and single-use paper towels.
How Many:
On site
food preparation and service to public shall not commence until temporary food premises have
been approved. Advise your vendors to be set up ahead of the opening time. Coordinators shall be
available to attend inspections with the Environmental Health Officer.
Temporary Event Coordinator Application
November 1, 2016
2
I understand that completion of the above requirements is necessary to receive approval to operate the
temporary services described in this application. Should I fail to meet these requirements, in accordance
with Section 6 of the B.C. Food premises Regulation, I understand that all or part of the event will not
receive approval to operate.
Signature of Event Coordinator
Date
Please keep a copy of this application for your records and for use as a pre-inspection checklist.
Application Review
To be completed by Health Officer
Signature of Health Officer
Date
Temporary Event Coordinator Application
November 1, 2016
3
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Completed 3 February 2022

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