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 vicitms of crime?

YES NO

YES NO

Do you have an area where people wait before entering your premises?

Is this area supervised?

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:

S: Do you have a policy to manage large groups e.g. stag or hen nights?

If yes, please give brief details:

YES: NO:

We manage groups by:

S: Do you make any of the following available to your customers?

[You can check more than one box].

Public transport timetables/routes?
Information on reputable Taxi Services?
Booking service for reputable Taxi Services?
Direct line to reputable Taxi Service?:

C: Do you have a policy that provides for the escorting of customers from the premises to a licensed taxi or private hire vehicle?

YES: NO:

M: Do you actively promote sensible drinking policies?

If yes, say how:

YES: NO: Our policy includes:

M: How do you prevent "binge drinking"?

(You can check more than one box)

Poster Campaign:
Barmats (e.g. Drink Aware Campaign):
Limiting Alcohol Sales:
Security Intervention:
DJ Announcements:
Check on entering premises:
Actively making policy known:
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:

How many staff do you employ?

Total staff:
Managers:
Assistant Managers:
Bar Staff:
Counter Staff:
Other:

M: How is training provided for your staff?

(You can check more than one box)

In-house:
External Training:
Professional Association Training:
Other:
None provided:

M: How often is this training provided? (You can check more than one box)

Weekly:
Monthly:
Quarterly:
Annually:
As needed:
Refresher:

M: What qualifications are available for staff to achieve?

(You can check more than one box)

BII:
City and Guilds:
Other external examining body:
Trade Association:
Police:
Manufacturers:

M: What qualifications has the Manager/Designated Premises Supervisor?

M: When is the holder of personal licence present on the premises?

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:

S: Which of the following measures have you in place to assist in the prevention of crime and disorder on or around your premises?

(You can check more than one box)

Chelsea clips:
Roving Security:
Posters/Signs:
Crime Prevention beer mats:
Staff Lockers:
Customer Lockers:
Cloakrooms:
DJ Announcements:
Regular toilet checks:
Other methods:

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:

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

If yes, which methods do you use?

YES: NO:
Posters:
DJ announcements:
Beer mats:
Bar staff advice:
Counter staff advice:
Other:
No organised method:

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):

M: How do you monitor any particular areas of your premises that may become overcrowded?

(You can check more than one box)

CCTV:
Staff Patrols:
Regular monitoring:
Other: (please specify):

M: How do you react to over-crowding?

(You can check more than one box)

Stop Entry:
Limit Entry:
DJ Safety Announcement:
Other: (please specify):

S: Do you provide notice of special events or promotions to the police?

If yes, please give details:

YES: NO:

S: Do you communicate with other licensed premises sharing information about people who give you concern, e.g. drunks, shoplifters, drug users, large groups etc?

If yes, how do you communicate:

(You can check more than one box).

YES: NO:
By Telephone:
By Mobile phone:
By Radio:
By Texting:
By Email:
By Fax:
By Meetings:
By Incident Reports:

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:
Posters: Beer Mats: Stickers: DJ Announcements:
In Toilets: On Bar: On Tables: At Entrance:
Regular Announcements: Other (please specify):

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

YES: NO:

M: Do you have a search policy?

If yes, please give details:

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?

M: Do you have an age policy in your premises?

If yes, which proof of age scheme do you use? [You can check more than one box]

What procedures are in place to prevent persons under legal age or those who fall outside your age policy from entering your premises?

YES: NO:
P.A.S.S hologram: Connexions: Portman ID: Challenge 21:
Do you also accept: A Passport? A Driving Licence?

S: What is the Capacity for your premises?

How do you ensure this is not exceeded?

Estimated: Fire and Rescue Service Stipulated:

M: Do you employ SIA licensed staff?
How are they employed? [You can check more than one box]

YES: NO:
Agency: In House:

M: What is the ratio of door staff to customers?

How are your door staff identifiable?

Number of Door Staff: Number of Customers:
ID Badge: Uniform: Other (please specify):

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):

M: Do you have a [door] search policy?

If yes, please describe:

What procedures do you have, to deal with the retention or disposal of offensive weapons and persons found in possessions of such weapons?

YES: NO:

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:

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