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Company Info
General Info
Confirmation
Section 3: FOOD OPERATIONS
Does applicant have an automatic extinguishing system over deep fat fryers, grills & stoves?:
Yes
No
How often are hood/ducts cleaned?
By whom:
Insured
Subcontractor
If by sub-contractor, how often are they serviced?
Date last serviced:
What is the restaurant exposure?
Full Serve
Snack Bar
Lessor’s Risk-Square footage
Indicate which of the following apply:
Ranges
Grills
Ovens
Broilers
Deep Fryers
Griddles
Are portable fire extinguishers provided in the kitchen?
Yes
No
How often are filters cleaned?
Central station fire alarm?
Yes
No
Central station burglar alarm?
Yes
No
Surveillance cameras?
Yes
No
Does the applicant have automated external defibrillator(s) (AED)?
Yes
No
Is there an emergency back-up power source for lights and communications?
Yes
No
Please describe:
Describe the medical response system in place:
Is there someone on premises at all times that is certified in First Aid and CPR?
Yes
No
Does the applicant have an emergency evacuation plan?
Yes
No
Evacuation and floor plans posted?
Yes
No
Are parking lots well lit?
Yes
No
Are all curbs, steps, and ledges highlighted?
Yes
No
Does your facility comply with current standards set by the Americans with Disabilities Act?
Yes
No
Patrolled by security?
Yes
No
Describe security (armed/unarmed):
Is security present during open hours?
Yes
No
Closed Hours?
Yes
No
Does the applicant provide live entertainment?
Yes
No
If yes, describe the type and how often:
Do you maintain grandstands?
Yes
No
If yes, are any over 15 years old?
Yes
No
Seating capacity:
Construction:
Is there a dance floor?
Yes
No
Submit
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