Business Name:

Name of Applicant:

Position:

Address

Post Code:

Telephone Number(s):

Email address:

M: Are you a member of the Safer Socialising Partnership (SSP)?:

or; Are you a member of Business Crime Reduction Partnership (BCRP)?

YES NO
YES NO

S: How often do you attend meetings of:

SSP/BCRP Partnerships:

A Local Pubwatch:

Licensed Victuallers Association:

A Trade Association:

All Meetings: Most Meetings: Sometimes: Never:

All Meetings: Most Meetings: Sometimes: Never:

All Meetings: Most Meetings: Sometimes: Never:

All Meetings: Most Meetings: Sometimes: Never:

M: Are you a member of a radio pager or text pager scheme?

How many handsets do you have?

Who uses the handsets? [You can check more than one box]

YES: NO:
Number of handsets:

Manager: Supervisor: Security staff: All staff: Others:

C: Are you an accredited Safe Haven?

If not would you like to become a Safe Haven for victims of crime?

YES NO

YES NO

M: Have you ever completed any of the following?

(You can check more than one box)




M: Please give brief details of each:

"In-house" Health and Safety risk assessment: YES: NO:

Police Crime Prevention Survey: YES: NO:

Any other Risk Assessment: YES: NO:

In House: Police: Other:

M: What measures do you take to ensure customer safety in relation to drunkenness?

(Remember it is an offence to permit drunkenness or to sell alcohol to a person who is drunk on your premises).

Limiting drinks:
Security screening on entry:
Security screening on the premises:
Bar staff decision making:
Sales staff decision making:
Other (please explain below): Our measures include:

S: Do you actively promote the sale of any of the following?

(You can check more than one box)

Soft drinks:
Tea/Coffee:
Snacks:
Other:

S: When do you provide the following types of drink container?





If "Certain occasions", please give details:

Toughened bottles: Always: Certain occasions: Never:
Plastic bottles: Always: Certain occasions: Never:
Glass bottles: Always: Certain occasions: Never:
Cans: Always: Certain occasions: Never:
Toughened glasses: Always: Certain occasions: Never:
Details:

M: What do you do to ensure that bottles and glasses are removed from public areas as soon as they are finished with, or empty?

Regular glass removal:
As required:
Other (please specify):

M: Who is responsible for collecting glasses/bottles?

(You can check more than one box)

Bar staff:
Customer return:
Other (please specify):

M: How do you ensure that glasses or bottles are not removed from the premises?

(You can check more than one box)

Security staff:
Bar staff monitoring:
Other (please specify):

C: Please answer these questions about security

(You can check more than one box)







Please give details of Tape/CD management and storage system:

C Are your premises alarmed?
C Connected to central monitoring station?
S Do you have a CC TV system?
S If yes, does it record images?
S If yes, does it record sound?
S Is it a digital system?
S Is it a video system?
S Is the system registered for Data Protection?
Management and Storage Details:

M: Is the transit of cash around your premises discreet, constantly changed and reviewed?

YES: NO:

S: Do you remove cash from fruit machines on a regular basis?

YES: NO:

S: Describe how you reduce the opportunity for criminal activity by design layout and safety of your premises:

Design/Layout/Safety:

M: How do you ensure that all parts of your premises have sufficient lighting at all times, considering that darkly lit areas may be attractive to those involved in criminal activities?

(You can check more than one box)

Regular checking:
Specific lighting:
Cordoned off areas:
Other: (Please specify):

S: Do your customers have unrestricted access to drinking water?

YES: NO:

M: What procedures are in place to deal with persons suffering the adverse effects of either drink or drugs?

(You can check more than one box)

Outline what First Aid Facilities you have at your premises:

Staff trained in first aid:
Medical room :
Contact friends/family:
No organised method: First Aid Facilities:

M: Do you have one trained First Aider present during opening times?

YES: NO:

M: What is the renewal date of the first aid certificate?

M: How do you deal with spillages, which may be hazardous, to prevent injury to staff and customers?

We deal with these spillages by:

M: How do you ensure your building is in good order to prevent injury to staff and customers?

(You can check more than one box)

Regular patrols to check fabric of building:
Ongoing maintenance programme:
Instant response to damage:
Regular health and safety checks:
Other:
No organised method:

S: If any of the following incidents are recorded by staff, please state where they are recorded?

(You can complete more than one box)

Accidents:
Lost property:
Found property:
Theft:
Banned persons:
Ejected persons:
Fights:
Injuries:
Assaults:
Allegations against staff:
Other incidents:

M: Do you actively promote health and risk-awareness campaigns on your premises?

If yes, how do you promote health and risk awareness:

YES: NO:

An in-house policy:
Company policy:
Staff feedback:
Customer feedback:
Posters:
Staff training:
Advising Customers:
Other (please specify):

S: Are your staff trained in fire routines and evacuation procedures?
S: Do you have an automatic fire detection system?
C: If yes, is it connected to a central monitoring station?

YES: NO:
YES: NO:
YES: NO:

S: How often are fire extinguishers, exits and escape routes checked?

Daily:
Weekly:
Monthly:
Other:

M: Who checks these extinguishers, exits and escape routes?

(You can check more than one box)

Manager:
Assistant Manager:
Staff with Responsibility:
Staff Generally:
Other: (please specify):

S: Where are these practices recorded?

(You can check more than one box)

In Policy Documents:
In Staff handbook:
On Notice Board:
In Staff Circular:
Other: (please specify):

M: Which of the following have you adopted to ensure that staff are easily recognisable by customers, police or others who may be required to inspect or attend your premises?

(You can check more than one box)

Badge:
Uniform:
Photo ID:
None:
Other: (please specify):

S: Do you have a policy in place to manage and reduce incidents of violence, drunkenness and crime in and around your premises?

YES: NO:

S: Do you actively promote anti-drugs messages on your premises?

If yes, how are they promoted and how are they displayed?

[You can check more than one box].

YES: NO:

M: Do you have an anti-drugs policy agreed by the Police and Local Authority?

YES: NO:

M: If a member of staff finds controlled drugs on your premises, how do you deal with:

Retention or Disposal?
The person in possession?
Documentation?

S: How do you review security measures?

You can check more than one box]

Regular assessment: Annual survey: Patrols: Staff suggestions: Customer suggestions: Other (please specify):

S: Which of the following measures have you in place to assist in the prevention of public nuisance or pollution?

[You can check more than one box]

Litter Bins: Notices to customers: Removal or disposal of offensive material: Report offences or problems to the appropriate authority: Regular patrols: Damage/Litter clear ups: Sound proofing: Noise limiters: Shutting windows/doors:
Other (please specify):

S: Do you have contact with local residents to discuss issues arising in relation to your premises?

If yes, please describe briefly:

YES: NO:

S: How do you ensure that all servicing, waste disposal and recycling activities occur at a time that is considerate to local residents?

S: Please include any other information you feel may assist in determining your application:

Additional Info:

START AGAIN? - CLEAR all above fields and start again:

SEND your APPLICATION NOW:

If you are unable to send this data automatically, please email the same data to us at:

stephen.govier@lbac.org.uk