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Franchise Groups/Retail Chains
World Insurance Network merges with Insbroke Services and Ausnet Underwriting to create
Winsure Insurance Group.

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Winsure Website

Online Food Cooking and Preparation Questionnaire

You must enter a valid email address to submit the form. You will automatically recieve a copy of your completed questionnaire via your email address.
 
1. Your details
Insured name
 
Your email
 
Location of risk
 
Phone number  
 
Cuisine style
 
Trading hours

 
2.
a)How long have you been operating this business?   years   months
 
b)Similar businesses?   years   months
 
3.
Are you aware of the relevant Health and Hygiene requirements that govern the Preparation and Handling of Food ?   Yes   No
 
4.
Does your business fully comply with these regulations?   Yes   No
 
5.
Have all of your staff including working proprietors completed the required Food Handling courses and Training?   Yes   No
 
6.
In the past 5 years, has your business ever been found to be in breach of any regulation, law or by-law pertaining to the safe and hygienic provision, serving, cooking, handling and / or transport of food?   Yes   No
 
If yes, give details including any remedial action taken:
 
7.
In the past 5 years have you been fined or convicted for breaching such regulations, laws or by-laws?   Yes   No
 
If yes, give details including any remedial action taken:
 
8.
Do you transport any food in your own vehicle?   Yes   No
If yes, are your vehicles compliant with the relevant laws governing the safe and hygienic transport of food?   Yes   No
 
9.
Do you manufacture, prepare, re-pack or cook any food that is sold to any other business or persons for resale?   Yes   No
 
10.
Do you do any deep frying on the premises?   Yes   No
 
If yes, please provide details of the number of units and their respective size in
litre capacity:
 
Are these deep fryers thermostatically controlled?   Yes   No
 
11.
How often is the kitchen exhaust flue system to be cleaned, and by whom?
 
12.
How often are the grease filters in the exhaust system to be cleaned
and/or exchanged?
 
13.
How often are the cooking hoods, hood lids, grease cups and/or drip pans to
be cleaned?
 
14.
Aside from deep fryers, how many other cooking appliances do you utilise?
 
 Oven(s) Other  
 Griller(s) Other  
 Hot plate(s) Other  
 
15.
Do you and/or the premises have the following fire protection equipment?
 
Fire blankets   Yes   No Monitored fire alarm   Yes   No
Extinguishers   Yes   No Automatic sprinkler system   Yes   No
 
Declaration:
I/we have read and understand the duty of disclosure of this questionnaire and I/We
declare that to the best of my/our knowledge the answers given above are true and
correct. I/We understand that the information given will be considered by Ausnet
Underwriting Agency Pty Ltd in deciding what terms if any are offered at any future
endorsement, change or renewal of this insurance policy.
 
Your name  
 
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