Retail Butcher Assurance Scheme Application Form
Company Name:
Address:
Store Manager:
Management Representative:
Bord Bia will normally contact this person re Schemes
Phone Number of Management
Representative :
Fax No:
Email:
No. of Employees (at butcher
counter):
Approval Number or HSE
Registration Number: (if applicable)
Beef
Lamb
Species sold at butcher counter: (please tick)
Pork
Cured Pigmeat
Poultry
Other
Declaration:
We have received or have access to the most recent version of the RBAS Standard and
believe that we can meet the requirements.
We agree to allow right of access to all areas and relevant personnel for the inspector to
carry out inspections and agree to provide documentation and records required for
examination.
We are committed to complying with the requirements for certification.
Signed:
Position:
Date:
Bord Bia RBAS Application Form
July 2013