Risk Management Programme Template Page 2

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Risk Management Programme - Business Specific Information
Page: 1 of 15
Date:
/
/
1.
Business Identification
Business ID: ………………………………..
RMP No.: …………….
Are other businesses covered by this RMP?
[
]
No
(fill in pages 1 – 14)
[
]
Yes (fill in pages 1 – 14 for main business, copy and fill out page 15 for each other business)
2.
Operator Name, Business Address and Contact Details
Legal entity (tick one)
Details (Fill out appropriate line – should correspond with the box you have ticked):
[
]
Company…………………………..
Name listed at Companies Office:
……………………………………………………………………………………………………………………….
or
[
]
Sole trader………………………..
Name of business owner: ………………………………………………………………………………………………………………………………….
or
[
]
Partnership………………………..
Names of Partners:
…………………………………………………………………………………………………………………………………..
Trading name (if different):
……………………………………………………………………………………………………………………….…………………………………………………………………………………..
Physical address(es) of premises:
Phone No:
………………………………………..
…………………………………………………………………………………………………………………
…….……………………………………………………………………………………………………………
Fax No:
………………………………………..
Postal address (for communication):
E-mail:
……………………………………………………………………….
…………………………………………………………………………………………………………………
…….……………………………………………………………………………………………………………
[
]
tick for consent to being provided electronic information.
3.
Responsible Persons
Role
Name, position or
Contact details (if different from
Competency of this person
designation
above)
Day-to-day Manager of the
RMP
Egg Template issued by NZFSA in June 07
Initial:

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Parent category: Business