View report page

75
Metropolitan Borough of St. Marylebone
Consecutive Number M. O. H.
M I LKSHOPS.
Occupier's Name
Occupier's Address
Covering and cleanliness of walls ceiling
What is floor covered with?
Is it smooth and free from cracks, Slc. ?
How often is floor swept ? Scrubbed ?
When scrubbed last? Condition
How milk or milk vessels protected during sweeping?
How often is counter (table) scrubbed ?
When scrubbed last? Condition
Any signs of milk spilt on counter or floor ?
Cleanliness of person in charge of shop, clothing ? Hands?
Cleanliness of fixtures (tables, counter) ?
Milk Utensils.
Number Nature
How cleansed ?
What are they covered with ?
If a cloth cover, how often is cover changed ?
Dipper or measure made of? Cleanliness?
Where kept when not in use ?
Is any strainer used? Where kept?
What is done with milk left over at end of day ?
For what other purposes is milk used?
Name specially anything likely to give rise to effluvia?
Is milkshop in aerial communication with (a) any sleeping apartment
or (6) any place from which impure air can gain access to milk (drains, gullies,
urinal, closets, dust receptacles, manure, overcrowded room, dirty room, paraffin,
rags, pig swill, etc., etc.)?
Any infectious disease in these premises recently ?
Has Occupier a copy of the Dairies, Cowsheds, and Milkshops Regulations?
Inspector s Initials
Date