Online Form - 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.

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*

Contact Details

Premise Details

Are you a mobile vendor (e.g ice cream van) or do you vend permanently stationed at one site.*

Nature of Business Information 

What is your business type? Please tick all that apply to your business*






Under standard 3.2.2A are you Class 1 or Class 2 food business?*

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)*
Do you directly supply or manufacture food for organisation/s that cater to the sick, elderly, children under 5 or pregnant women?*
Do you have a Liquor License for the premise?*

Please read below carefully and circle yer or no

Purchasing & Receiving 

Do yo buy food from other businesses?*
Do you buy food from other business and transport to your premises?*
Do you buy food from other business and have it delivered to your premises?*

Storage

Do you store dry food?*
Do you store cold food?*
Do you store frozen food?*
Do you thaw frozen food?*

Preparation 

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

Cooking

Do you cook food?*
Do you cook food and hold it under hot storage?*

Cooling

Do you cook food, cool it and store it to be used later that day or on another day?*

Reheating

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

Display & Serving

Do you display food?*
Is the food pre-wrapped?*
Do you serve food?*
Are customers able to help themselves?*

Food Packaging 

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

Transport

Do you transport or deliver food to your customers?*

Residential 

Do you intend to prepare or process food from a residential area?*

Specific Foods

Do you prepare food from rotating spits?*
Do you prepare sushi?*
Do you receive sushi?*
Do you display sushi?*
Do you prepare and sell Chinese style roast duck*
Do you prepare and sell Chinese style chicken?*
Do you prepare and sell Chinese style roast/BBQ pork?*
Do you manufacture/prepare dairy products?*

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 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

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

Hours of Operation

New Premise Only or Alteration to the Existing Premise

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
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*
 
Get Audio Code