"Refusal of Sales Log Sheet - Chesterfield Borough Council"

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EXAMPLE ORIGINAL TEMPLATE - PLEASE PHOTOCOPY
REFUSAL OF SALES LOG SHEET
NAME OF PREMISES:
_______________________________________________________________ _____________________________________________________________________
Keep a record of any refusals that occur at the premises.
Date
Time
Description of the individual
Product:
Captured
ID produced
Refusal logged by:
Action taken & outcome
print
alcohol/tobacco/solvents/
(if any)
name & sign
refused and reason for
on CCTV?
fireworks/knives etc.
refusal
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
Monitored by:
Date:
(Manager/Supervisor)
__________________________________________________________________________________________________________________________
__________________________________________________
EXAMPLE ORIGINAL TEMPLATE - PLEASE PHOTOCOPY
REFUSAL OF SALES LOG SHEET
NAME OF PREMISES:
_______________________________________________________________ _____________________________________________________________________
Keep a record of any refusals that occur at the premises.
Date
Time
Description of the individual
Product:
Captured
ID produced
Refusal logged by:
Action taken & outcome
print
alcohol/tobacco/solvents/
(if any)
name & sign
refused and reason for
on CCTV?
fireworks/knives etc.
refusal
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
/
/20
:
YES / NO
Monitored by:
Date:
(Manager/Supervisor)
__________________________________________________________________________________________________________________________
__________________________________________________