ÐÏà¡±á>þÿ BDþÿÿÿ;<=>?@Aÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á @ ø¿<bjbjqäqä ..ŽŽXÿÿÿÿÿÿˆz^²^²^²8–²ü’µz8¶¢¼ÖxÌ"šÌšÌšÌuÍRÇÛ<ã q5s5s5s5s5s5s5$¸8R ;N—5%ùøuÍuÍùøùø—5šÌšÌÛ¼7ËËËùø”šÌšÌq5Ëùøq5ËËr…T…šÌ–¼À¨ú»§É^²ù|ÙÕœ(Ò708çžX; ú²X;…têX;…P£æ¤Gí¾ËòÌÑõ(£æ£æ£æ—5—5zzä^²»zz^² Hackney Best Bar None Award Scheme On Licence Application Form APPLICANT S DETAILS APPLICANT NAME FORMTEXT PREMISES NAME FORMTEXT PREMISES ADDRESS FORMTEXT TELEPHONE NUMBER FORMTEXT MOBILE NUMBER FORMTEXT AREA MANAGER NAME (IF APPLICABLE) FORMTEXT AREA MANAGER ADDRESS (IF APPLICABLE) FORMTEXT DPS NAME FORMTEXT DPS PERSONAL LICENCE NUMBER FORMTEXT TELEPHONE NUMBER FORMTEXT MOBILE NUMBER FORMTEXT PREMISES LICENCE NUMBER FORMTEXT Please tick one of the following boxes that you feel best describes your licensed premises: FORMCHECKBOX PUB/BAR FORMCHECKBOX CLUB FORMCHECKBOX RESTAURANT (where alcohol can be sold separately to table meals) INDEX SECTION A - PREVENTION OF CRIME & DISORDER - capacity - security - drinks/drunkenness - drugs - thefts/burglary - disorder 4SECTION B - PUBLIC SAFETY - first aid - event control - glass - fire - building safety - transport - health and safety 11SECTION C - PREVENTION OF PUBLIC NUISANCE - noise - litter/waste - recycling - fly posting - community engagement 16SECTION D - PROTECTION OF CHILDREN FROM HARM 20SECTION E - PLANNING 22SECTION F - HACKNEY COUNCIL S STATEMENT OF LICENSING POLICY 22SECTION G GENERAL 23SECTION A PREVENTION OF CRIME & DISORDER CAPACITYA1What is your estimated or actual capacity?Indoor FORMTEXT Outdoor FORMTEXT A2How do you manage your capacity? FORMCHECKBOX Clickers FORMCHECKBOX Ticket sales FORMCHECKBOX Head count FORMCHECKBOX Use of comfort factor FORMCHECKBOX Other (Please specify) FORMTEXT A3How do you monitor and react to any particular areas of your premises which may become overcrowded? (include details of planning for an unusual event e.g. a televised football match, New Year s Eve party) FORMTEXT SECURITYA4Do you hold regular meetings to review security following an incident, such as a theft, a burglary, a fight etc? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, describe how often these meetings are held and their format. For example: FORMCHECKBOX Fully staffed meeting with security staff where notes are taken FORMCHECKBOX Informal discussion with staff including security staff where notes are taken FORMCHECKBOX Review of security procedures is discussed FORMCHECKBOX Introduction of new policy and/or practices to address concerns are discussed FORMCHECKBOX Other (please specify) FORMTEXT If notes are taken, where are these stored? FORMTEXT A5Do you employ door staff? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please specify when: FORMCHECKBOX At all times FORMCHECKBOX At all times when open FORMCHECKBOX During certain times* FORMCHECKBOX Sometimes* FORMCHECKBOX As and when necessary**Please give details FORMTEXT If used, how do you ensure door staff are registered with the Security Industry Authority (SIA)? FORMTEXT If you do not, how do you ensure that staff carrying out security duties are registered with the SIA? FORMTEXT A6Do you have a written search policy? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, where is this documented and how are staff trained in relation to this? FORMTEXT A7Do you use search equipment? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, what is used (eg metal detectors) and how is it maintained? FORMTEXT A8Are any of the following incidents recorded by your staff? FORMCHECKBOX Accidents FORMCHECKBOX Lost property FORMCHECKBOX Found property FORMCHECKBOX Thefts FORMCHECKBOX Banned persons FORMCHECKBOX Ejected persons FORMCHECKBOX Other incidents FORMCHECKBOX Injuries FORMCHECKBOX Allegations against staff FORMCHECKBOX Other (please specify) FORMTEXT If so, please indicate where these are recorded and by whom: FORMTEXT A9Which of the following have you adopted to make your staff and other contractors easily recognisable to customers, the Police or others who may be required to inspect your premises? FORMCHECKBOX Name Badge FORMCHECKBOX Photo ID FORMCHECKBOX Uniform FORMCHECKBOX None FORMCHECKBOX Other (please specify) FORMTEXT DRINKS/DRUNKENNESSA10How do you promote sensible drinking policies?Give careful consideration to any use of happy hours, drinks with high strength alcohol and drinks promotions which may encourage binge drinking. FORMTEXT A11On a day to day basis, what do you do to ensure your customers do not drink and drive? FORMTEXT A12It is an offence for the DPS, Premises Licence Holder or Worker to knowingly sell, attempt to sell or allow the sale of alcohol to a drunk on relevant premises as well as to allow disorderly conduct on licensed premises . What measures do you take to ensure the safety of your customers in respect of drunkenness? FORMTEXT A13Describe your staff training practices with regard to drunkenness. If this is documented, explain where? FORMTEXT DRUGSA14Describe what you do to prevent the use or supply of illegal drugs in your premises. FORMTEXT A15If illegal drugs were used in your premises, what do you do/provide to minimise harm? FORMCHECKBOX Free drinking water available from the bar at all times FORMCHECKBOX Signs advertising free water are prominently displayed FORMCHECKBOX Defined seating areas away from the main area with air conditioning/ temperature management (please give details below) FORMCHECKBOX Drugs awareness/ basic first aid training for all staff FORMCHECKBOX Venues have a first aider trained to deal with basic drugs associated symptoms FORMCHECKBOX Health promotion/ harm reduction material available at the venue FORMCHECKBOX The management reserve the right to conduct searches of customers FORMCHECKBOX Other (please give details) FORMTEXT A16What would you do if you found what you thought was an illegal drug? FORMTEXT A17Are these procedures (as described in A16) documented anywhere? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please explain where FORMTEXT A18If illegal drugs were used in your premises, how do you monitor the disposal or treatment of them? FORMCHECKBOX Keep a log book or incident book FORMCHECKBOX Store these safely and securely until they are ready to be disposed of safely FORMCHECKBOX Make arrangements with the Police to dispose of or collect these A19Describe your staff training package with regard to drugs. If this is documented, explain where. FORMTEXT THEFTS/BURGLARYA20Do you have any of the following which may assist you in crime prevention/ reduction on your premises? FORMCHECKBOX Staff Training FORMCHECKBOX Mirrors FORMCHECKBOX Advice notices for customers in relation to thefts FORMCHECKBOX CCTV FORMCHECKBOX Staff lockers FORMCHECKBOX Sufficient lighting in all areas FORMCHECKBOX Cloakroom FORMCHECKBOX Audible alarm FORMCHECKBOX DJ announcements FORMCHECKBOX Window locks FORMCHECKBOX Property patrols FORMCHECKBOX Staffed 24 hours FORMCHECKBOX Regular documented toilet checks FORMCHECKBOX 24 hour security FORMCHECKBOX Toilet attendantsBag clips under tables FORMCHECKBOX Layout designed to ensure effective observations can be carried out by staff at all times FORMCHECKBOX Crime prevention survey FORMCHECKBOX Roving security FORMCHECKBOX Other (please specify) FORMTEXT A21Describe your staff training package with regard to crime prevention. If this is documented, explain where. FORMTEXT A22What do you do to prevent or keep incidents of disorder to a minimum? FORMTEXT A23What procedures are in place to ensure that any items, which may be classed as weapons , which may be found on your premises or customers are disposed of safely? FORMTEXT A24Are these procedures (as described in A23) documented anywhere? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, explain where FORMTEXT A25If disorder or crime occurs what would you do to:Preserve the crime scene FORMTEXT Care for the victim FORMTEXT A26Describe your staff training package with regard to disorder/conflict management. If this is documented, explain where. FORMTEXT A27Do you have CCTV in place? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please explain the arrangements in place. For example:Number of cameras on the premises FORMTEXT Camera specification/type FORMTEXT Area covered FORMTEXT Format CCTV footage is stored FORMTEXT Length of time CCTV footage is stored FORMTEXT Who is responsible for monitoring CCTV footage and cameras FORMTEXT Signage advising that CCTV cameras are in operation FORMTEXT Any other relevant information, please specify: FORMTEXT A28Toilets can be hot spots for disorder, for example they may be used to examine stolen goods, for drug dealing or taking. How do you ensure that your toilets are safe and clean? FORMTEXT PREMISES SUPERVISORA29Do you have a Premises Supervisor that has a valid personal licence? FORMCHECKBOX Yes FORMCHECKBOX No A30If yes, have you notified the Licensing Authority of this? FORMCHECKBOX Yes FORMCHECKBOX NoSECTION B PUBLIC SAFETY FIRST AIDB1What First Aid facilities do you have in your venue? FORMCHECKBOX First aid box(es)* FORMCHECKBOX Separate first aid/ recovery room* FORMCHECKBOX Paramedic/ nurse on site* FORMCHECKBOX Other** Please give details FORMTEXT B2Do you ensure at least one person present during opening hours is trained in basic first aid? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, explain who. FORMTEXT B3If you run a Pub or a Bar, is there a person appointed to take charge of the situation (eg. calling an ambulance following an accident etc)? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, what is the name of the appointed person? FORMTEXT PUBLIC SECURITYB4How do you ensure that all doors are locked when not in use? FORMTEXT B5Describe your staff training package regarding unattended/ suspect packages. FORMTEXT B6Do you have a separate plan for building evacuation in the event of discovering a suspect package? If you do, please give details. FORMTEXT B7If your venue operates a search policy, does this address suspect packages? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please give details. FORMTEXT B8How do you ensure that your premises are thoroughly checked prior to opening? FORMTEXT EVENT CONTROLB9If you have any events which may be different from your normal trading, do you give prior notice to the Police, other authorities and/or neighbours? (for example for live music events, national celebrations or televised live football) FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, give details of these events, what information is passed, notice given and to whom: FORMTEXT B10Do you keep a record of this? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please give details. FORMTEXT B11Do you undertake any crime risk assessments (eg CIMOS assessments, available from the Police Licensing Unit) or health and safety risk assessments when planning to hold any unusual or large events? If you do, please specify. FORMTEXT B12Has the Council approved the location of any outside drinking area you have situated on the public highway? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please supply your street trading licence number: FORMTEXT GLASSB13How do you ensure the safe use and disposal of glass is maintained at all times including the events mentioned at B9 (Please include details of procedures regarding any glasses which may leave your venue at closing time): Inside your premises? FORMTEXT In any outside drinking areas? 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FORMTEXT In any outside drinking areas? FORMTEXT B15What measures do you take to ensure the premises is a safe environment for your staff to work in (eg. exposure to noise/smoke/violence)? FORMTEXT FIREB16Describe your fire detection/ warning systems. FORMTEXT B17When were these last checked? FORMTEXT B18Have you carried out a fire safety risk assessment? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, what were the findings and how were there addressed? FORMTEXT B19Where is this kept? FORMTEXT B20Who is responsible for carrying out the fire risk assessment? FORMTEXT B21Briefly describe your emergency evacuation procedure and how staff are trained for this. FORMTEXT B22Describe your staff training package in fire safety training. If this is documented explain where. FORMTEXT B23Outline the means of escape from your premises in an emergency situation. FORMTEXT B24Detail any equipment you have in your premises for fighting fire. FORMTEXT B25List any other fire related equipment within your premises. FORMCHECKBOX Fire Extinguishers FORMCHECKBOX Emergency lighting FORMCHECKBOX Other (Please Specify) FORMCHECKBOX Exit signage FORMTEXT BUILDING SAFETYB26How are spillages which can be hazardous, identified and managed to prevent injury to customers? FORMTEXT B27How do you ensure that your building is in good order and does not cause injury to any customer or staff member (Including from heat and burns from lighting) at all times? FORMTEXT TRANSPORTB28With regard to late night transport, do you make any of the following available to your customers? FORMCHECKBOX Public transport timetables/routes FORMCHECKBOX Safe waiting area FORMCHECKBOX Information regarding reputable taxi services FORMCHECKBOX Booking service for taxis FORMCHECKBOX Other (Please specify) FORMTEXT B29If so, how do you make this information available to your customers? FORMTEXT B30How many Scores on the Doors stars do you have? FORMTEXT B31Have you carried out a suitable and sufficient health and safety risk assessment? FORMTEXT SECTION C PUBLIC NUISANCE NOISEC1Do you provide any of the following to ensure noise from your premises is kept to a minimum? For ease of marking, please first describe your surrounding area in the space below. FORMCHECKBOX Soundproofing FORMCHECKBOX Sound limiter (locked in tamper proof cabinet) FORMCHECKBOX Use lollipops or similar to reduce customer noise FORMCHECKBOX Close all doors & windows whilst music is being played FORMCHECKBOX Display notices asking customers to leave quietly FORMCHECKBOX Create space for customers to wait for taxis FORMCHECKBOX Have deliveries/services carried out between 07.00 - 23.00 with consideration given to neighbouring residents and businesses FORMCHECKBOX Consult with local residents/businesses FORMCHECKBOX Music policy adjusted to play chilled music at the end of the evening to affect the mood of customers FORMCHECKBOX No music / regulated entertainment in external areas FORMCHECKBOX Use of external lighting FORMCHECKBOX Other (Please specify) FORMTEXT C2Do you have any policy regarding the times you will have live or recorded music? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please give details. FORMTEXT C3Do you have any policy regarding the times that your outdoor areas may be used? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please give details. FORMTEXT C4Do you have a crowd control policy for customers entering your premises (eg. patrons queuing) and /or dispersing from your premises to ensure they do not cause noise or annoyance to your neighbours? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please give details. FORMTEXT C5Have you read the Council / Police policy document on outside drinking? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, what procedures have you in place to support this policy? FORMTEXT LITTER / WASTEC6Do you do any of the following to prevent or discourage customers from polluting the environment with waste/litter which may come from your venue? FORMCHECKBOX Litter bins at exits / outside FORMCHECKBOX Advice notices to customers FORMCHECKBOX Report offences to appropriate authorities FORMCHECKBOX Clear surrounding area of litter/flyers FORMCHECKBOX Other If you do any of above, please give details. FORMTEXT C7Do you have a commercial waste agreement with an authorised waste carrier, to dispose of your business waste? FORMCHECKBOX Yes FORMCHECKBOX NoPlease give name of waste carrier. FORMTEXT C8Do you have a designated area for the storage of waste? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, give details. FORMTEXT RECYCLING C9Do you do any of the following to encourage more sustainable waste activities? FORMCHECKBOX Participate in the Council s trade glass recycling scheme FORMCHECKBOX Participate in any other business recycling service FORMCHECKBOX Actively promote waste preventionOther (Please give details below) FORMTEXT FLYPOSTING C10Do you have any policy for dealing with fly posting by those who have hired your venue? FORMCHECKBOX Yes FORMCHECKBOX NoIf this is documented, explain where. FORMTEXT C11How do you allow your premises and the events it hosts to be advertised? FORMTEXT COMMUNITY ENGAGEMENTC12Are you involved in any local community activity or initiative which underlines your commitment to being a good neighbour and responsible business? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please give details FORMTEXT C13Do you attend meetings of community partnership or crime prevention groups such as Pub and Club Watch or SNOW? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please give details FORMTEXT C14Are you a member of any trade representative organisation? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please give details FORMTEXT SECTION D PROTECTION OF CHILDREN FROM HARM D1What forms of identification do you accept? FORMCHECKBOX Passport FORMCHECKBOX Driving licence FORMCHECKBOX Pass Card FORMCHECKBOX Connect Card FORMCHECKBOX Other (please specify) FORMTEXT D2If you allow under 18s to enter your premises, how do you ensure they are protected from harm? FORMTEXT D3How do you ensure under 18s do not consume intoxicants from your premises? (e.g. use of signage) FORMTEXT D4How do you ensure under 18s do not purchase or consume intoxicants from your premises? FORMCHECKBOX Use of signage FORMCHECKBOX Use of 21 refusal criteria FORMCHECKBOX Refusals book is kept FORMCHECKBOX Random checks carried out for underaged sales FORMCHECKBOX Mystery shopping exercise FORMCHECKBOX Other FORMTEXT D5How do you ensure that alcohol is not purchased on behalf of a person under 18? FORMTEXT D6If you ever have any adult entertainment in the venue, how do you ensure that children are protected? FORMTEXT D7How do you ensure that under 18s do not have access to category C adult gaming machines? FORMTEXT D8How do you effectively monitor any family areas that may have?Inside your premises? FORMTEXT In any outside areas? FORMTEXT D9Do you undertake a Health and Safety risk assessment specific to the protection of children? FORMTEXT D10Describe your staff training package with regard to age/alcohol related offences (eg. documented training manual, checking procedures in place, staff sign to confirm they have received training). FORMTEXT D11If English is not the first language of you or your staff, have you had the legal requirements translated (for you and the staff)? FORMTEXT SECTION E PLANNING E1How long have you been operating as a bar, club or pub? FORMTEXT E2Do you have planning permission for the existing use of the premises? FORMCHECKBOX Yes FORMCHECKBOX No SECTION F HACKNEY S STATEMENT OF LICENSING POLICY F1Have you read Hackney s Statement of Licensing Policy? FORMCHECKBOX Yes FORMCHECKBOX No F2Have you asked your employees to read this document? FORMCHECKBOX Yes FORMCHECKBOX NoIf so, explain how this has been monitored. FORMTEXT F3Explain how you have utilised this document in the operation of your premises. FORMTEXT SECTION G GENERAL G1Finally, is there anything you wish to add which may support your application which has not already been covered? (For example: Do you support local recruitment and/ or training? Do you work with Council and Enforcement Agencies?) 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