SIERRA LEQNE GOVERNMENI

ENVIRONMENTAL HEALTH DIVISION

MINISTRY OF HEALTH ANP SANITATION
ROUTINE INSPECTION O F POOP PREMISES

1. Name of Owner of Business:. H a r \am ^kj1,ff:. 1 J^nh . JcL.l. (o.b.

2. Address:
3. Name of Seller of the Business:........................ .7.!, ,...
4. Place of Business LJil.^.
5. Type of Business^.u6?.f;>.iT^.rO^.M..^
6. Number of Workers:....'??. .0.......... Are they medk^^^ examined:
7. Sanitary condition of preparation room:.^QP^.....
8. Condition of utensils:. 0:^.0.^. ^
9. Where do you get water from to the place of your business:..

10. Have you ever been a victim of any infectious disease e.g cholera etc.

SANITARY INSTRUCTIONS
1. All sellers must have apron preferably white
2. All sellers must have head gears preferable "whrttr
3. All food handlers must have their finger nails cut
4. Food handlers must not speak or smoke over food in the preparation room
5. All food handlers must wash their hands with soap after using the toilet
6. The eating hall/serving room must be kept clean at all times
7. The table floor must be covered v/ith table cloth and mat ,j.

SIGNED:
HEALTH OFFICER