Temporary Food Stall Notification Form

Required fields are marked with an asterisk (*).

This Temporary Food Stall Notification form is designed for not-for-profit community organisations that may hold
occasional events such as sausage sizzles, Devonshire teas, or bake sales within the District Council of Karoonda East
Murray
, or for caterers or commercial food businesses who are notified with another council. Caterers and commercial
food businesses based in the District Council of Karoonda East Murray must have notified as such.

You will need to complete a new form for each event held by the organisation/group. This must be provided to the council
PRIOR to the event. Please note that Environmental Health Officers will periodically inspect such events to ensure
compliance with relevant legislation.

For information on the Requirements for Temporary and Mobile Food Operators, click here.

For access to Free Online Food Safety Training, click here.

Should you have any questions, concerns, or require clarification on any aspect of this form, please contact the District

Council of Karoonda East Murray.

Telephone: (08) 8578 1004

Email: council@dckem.sa.gov.au

Part 1 - Contact Details of Organisation and Responsible Person
A natural person must be nominated to act as contact for this stall. This person will be responsible for providing all required information to allow council assessment of the stall and must be present at the stall for the majority of the operating period.
Part 2 – Details of Stall Trading
This must enable Council Staff to locate stall
eg: dd/mm/yyyy 10am - 2pm
Part 3 – Foodstuff For Sale
This includes beverages and condiments.
Part 4 – Foodstuff Safety Information
E.g. previous business owner, SA TAFE course, food handling certificate, I'm Alert, prior experience etc.
E.g. supermarket, supplier, home kitchens (if so, please list names of those supplying)
Temperature Control * How potentially hazardous foods are to be kept under temperature control from the point of purchase to sale. E.g. esky with ice, fridge, heat packs; and regular temperature checks using available thermometer.
Detail how you will prevent contamination of food by food handlers and other sources. E.g. gloves, tongs, covers for food, pre- wrapped food, sneeze guards etc.
Unless ALL foods are pre-wrapped, it is essential that hand washing facilities are provided and available at all times (see factsheet link (top of this form) on temporary hand washing facilities for more information)
Detail methods used to ensure surfaces (including crockery/cutlery) may be cleaned and sanitised. E.g. detergent and food grade sanitiser, disposable crockery, dishes placed in container for washing in kitchen etc.

Please note that:

Environmental Health Officers may inspect stalls to ensure compliance with regulations and statements made above.
Officers have the power to prevent the ongoing sale of food where a risk is found to exist and/or relevant legislation
has been breached.

Notification submission
Confirmation * By ticking this box I confirm all details provided are true and correct.