G= menu item not contained in the food item

A = if a an ingredient is removed it safe for that allergen

R= Not safe and ingredient cannot be removed
C = Cross Contamination

Column B is for Brands of an ingredient

Column C is for ingredients

Column S is to highligh cross contamination issues for internal use for creating policy document

Master sheet can be copied to create per section, starters, mains , desserts etc.

To use the Grill & Fryer examples use the example sheet, delete all the current content and use from
fresh.

This matrix is supplied on the condition that the Food Allergy logo remains .

Use the master sheet to create a new sheets

Before using set up the master sheet with headers, footers and company logo's
Page breaks need to be set dependent on the your menu content
Page layout can be changed from landscape to portrait if appropriate
Additional allergens not listed in the FIC 1169/2011 are optional and can be added to the master sheet
as appropriate for your business

FATC ©2020 Allergy Menu tool

FATC does not accept any liability for the mis-use or incorrect information which is entered into this
document and is used entirely at your own businesses discretion.

FATC ©2020 Allergy Menu tool

ment

use from

ster sheet

nto this

FATC ©2020 Allergy Menu tool

XXX Hotel XXXX Restaurant Hotel logo small

Notes
KEY

Cereals containing
'G' Green - safe from Allergen
'R' Red - not safe contains allergen
'A' Amber - remove from dish safe from allergen

Crustaceans

Nuts (Tree)
'C' Purple - contains traces of allergen cross contamination

Sulphites
Molluscs
Mustard

Peanuts
Sesame
VEGAN

Gluten
Celery

Lupin

Soya
Milk
Eggs
Fish
Veg
Menu Item
Sandwiches
British Bacon with Lettuce and Tomato r r g r g r r g r g g c g g r g Gluten: Wheat
Free Range Egg Mayonnaise Sandwich g r g r g r g g g g r c g c r g Gluten: Wheat
Smoked Ham & Free Range Egg Farmhouse Sandwich r r g r g r g g r g r g g g r g Gluten: Wheat
Wraps & Salad
Chicken Fajita Wrap r r g r g g g g r g r c c c g g Gluten: Wheat
Pulled Pork Wrap r r g r g g g g r g g g g g g g Gluten: Wheat
Mozzarella & Slow Roasted Tomato Pasta Salad g r g r g r g g r g g c c c g g Gluten: Wheat
Pastries, Cakes etc
Almond Croissant G r g r g r g g r g g r g c c g Gluten: Wheat
Butter Croissant g r g r g r g g r g g c g c c g Gluten: Wheat
Chocolate Twist g r g r g c g g r g g c g g r g Gluten: Wheat
Pain au Raisin g r g r g c g g r g g c g g c g Gluten: Wheat
Blueberry Muffin g r g r g r g g c g g c g g c g Gluten: Wheat
Triple Chocolate Muffins g r g r g r g g r g g c g c r r Gluten: Wheat
Chocolate Tiffin Triangle g r g r g g g g r g g c g g r g Gluten: Wheat
Granola Bar g r g r g g g g r g g r g g g r Gluten: Wheat
Raspberry & Almond Bake g r g r g r g g r g g r g g g g Gluten: Wheat
Belgian Chocolate Teacake r r g r g r g g r g g c g g r g Gluten: Wheat
Layered Carrot Cake Gluten: Wheat
g r g r g r g g r g c r c c c c
Lemon Cake Gluten: Wheat
g r g r g r g g r g c c g c c g
Lemon Tart Gluten: Wheat
g r g r g r g g r g g c c g r r

Created By: (Name) Signature & Date:

Checked By: (Name) Signature & Date:

3 months audit - Checked By: (Name) Signature & Date:

6 months audit - Checked By: (Name) Signature & Date:

9 months audit - Checked By: (Name) Signature & Date:

12 months audit - Checked By: (Name) Signature & Date:

FATC ©2014 Allergy Menu tool

Sample pack of Allergen tables as pdfs
Drinks sheet
Grill sheet
Fryers sheet
Menu table for internal use
Menu table for external use

To find out more email marketing@[Link] or call 07732637292 - we

can help compile your menus and it may not cost as much as you think.

Once created you can manage interanlly - Call us today!

Drinks section example Restaurant Name Your Logo

Notes
KEY
'G' Green - safe from Allergen
'R' Red - not safe contains allergen
'A' Amber - remove from dish safe from allergen
Menu Item
'C' Purple - contains traces of allergen cross contamination

Macadamia
Hazlenuts
Crustaceans

Almonds
Walnuts

Cashew
Pecans
Wheat

Barley

Sulphites
Molluscs

Mustard

Brazil

Peanuts

Sesame
Oats
VEGAN

Rye
Celery

Lupin

Soya
Milk
Eggs

Fish
Veg
Cereals containing Gluten Nuts (Tree)

Flat white coffee

Skimmed/Full fat g r g g g g g g g g g r g g g g g g g g g g g g g
Soya g g g g g g g g g g g g g g c c c c c c c g g r g Tree Nuts: Traces in soya milk
Cappuccino
Skimmed/Full fat g g g g g g g g g g g r g g g g g g g g g g g g g
Soya g g g g g g g g g g g g g g c c c c c c c g g r g Tree Nuts: Traces in soya milk
Café latte
Skimmed/Full fat g g g g g g g g g g g r g g g g g g g g g g g g g
Soya g g g g g g g g g g g g g g c c c c c c c g g r g Tree Nuts: Traces in soya milk
Americano
Skimmed/Full fat g g g g g g g g g g g r g g g g g g g g g g g g g
Soya g g g g g g g g g g g g g g c c c c c c c g g r g Tree Nuts: Traces in soya milk
Cortado
Skimmed/Full fat g r g g g g g g g g g r g g g g g g g g g g g g g
Soya g g g g g g g g g g g g g g c c c c c c c g g r g Tree Nuts: Traces in soya milk

Created By: (Name) Signature & Date:

FATC ©2020 Allergy Menu tool

Grill Allergen Information Restaurant Name Your Logo

Notes

KEY
'G' Green - safe from Allergen
GRILL 1 GRILL 2 GRILL 3 GRILL 4 Notes 'R' Red - not safe contains allergen
Menu Item 'A' Amber - remove from dish safe from allergen

Macadamia
'C' Purple - contains traces of allergen cross

Hazlenuts
Crustaceans

Almonds
Walnuts

Cashew
contamination

Pecans
Wheat

Sulphites
Barley

Molluscs
Mustard

Brazil

Peanuts
Sesame
VEGAN

Oats
Rye
Celery

Lupin

Soya
Milk
Eggs
Fish
Veg
Cereals containing Gluten Nuts (Tree)

GRILL 1
S
MULTI GRAIN - PANCAKES YES NO NO NO G R G R R R R G G G G R G G G G G G G G G G G R G a
u
WHEAT BRAN PANCAKES YES NO NO NO G R G R R R G G G G G G G G G G G G G G G G G R G c

GRILL 2
HASH BROWNS NO YES YES YES G G G G G G G G G G G G G G G G G G G G G G G G G
FALAFEL BURGER (CH) NO YES YES YES G R G G G G G G G G G G G G C C C C C C C G G G G

BURGERS RAW MEAT NO NO YES YES R R G G G G G G G G G G G G G G G G G G G G G G G

GRILL 2
Made in a factory that handles peanuts, nuts and sesame seeds.
BRIOCHE NO NO NO YES G R G R G G G G G G G R G G C C C C C C C C R G G
CHICKEN FILLET NO NO NO YES Char Grilled DawnR R R G G G G G G G G G G G G G G G G G G G G G G
CHICKEN BREAST NO NO NO YES R R G G G G G G G G G G G G G G G G G G G G G G G

FATC ©2020 Allergy Menu tool

Fryers Allergen Information Restaurant Name Your Logo

Notes
KEY
'G' Green - safe from Allergen
'R' Red - not safe contains allergen
FRYER FRYER FRYER 'A' Amber - remove from dish safe from allergen
Menu Item Notes
1 2 3 'C' Purple - contains traces of allergen cross contamination

Macadamia
Hazlenuts
Crustaceans

Almonds
Walnuts

Cashew
Pecans
Wheat

Sulphites
Barley

Molluscs
Mustard

Brazil

Peanuts
Sesame
VEGAN

Oats
Rye
Celery

Lupin

Soya
Milk
Eggs
Fish
Veg
Cereals containing Gluten Nuts (Tree)

FRYER 1
Onion Rings
YES NO NO G G G R G G G G G G G G G G G G G G G G G G G G G
Shrimp FINGERS YES NO NO R R R R G G G R G G G G G C G G G G G G G G G R C
Chicken Wings YES NO NO R R G G G G G G G G G R C G G G G G G G G G G G C
Fish YES NO NO R R G R G G G G G R G G G G C C C C C C C C C C G
Fish NUGGETS YES NO NO R R G R G G G G G R G R G G G G G G G G G G G G G
Chicken Strips YES NO NO R R G R G G G G G G G G G R G G G G G G G G C G G

FRYER 2
Potato Tots INC Cheese & bacon NO YES NO R R G R G G G G G G G R G G G G G G G G G G G R R
Sweet Potato FRIES NO YES NO G G G G G G G G G G G G G G G G G G G G G G G G G
Chicken Nuggets NO YES NO R R G R G G G G R G G G G G G G G G G G G G G R G
Red Skins WEDGES NO YES NO G G G G G G G G G G G G G G G G G G G G G G G G G

FRYER 3
Tortilla Chips NO NO YES C R G R G G G C G C G R C G G G G G G G G G G G G
Cheese Sticks NO NO YES G R G R R R R G R G G R G G G G G G G G G G G R G
Curly Fries NO NO YES G G G R G G G G G G G G G G G G G G G G G G G G G

FATC ©2020 Allergy Menu tool

Menu section (Internal use example) Restaurant Name Your Logo

Notes
KEY

Macadamia
'G' Green - safe from Allergen

Hazlenuts
Crustaceans

Almonds
Menu Item Brand Ingredients

Walnuts

Cashew
'R' Red - not safe contains allergen

Pecans
Wheat

Barley

Sulphites
Molluscs

Mustard

Brazil

Peanuts

Sesame
Oats
'A' Amber - remove from dish safe from allergen

VEGAN

Rye
Celery

Lupin

Soya
Milk
Eggs
'C' Purple - contains traces of allergen cross contamination

Fish
Veg
Cereals containing Gluten Nuts (Tree)

DRESSINGS - KETCHUP/ MAYO/ BBQ TABLE DIPPING SAUCE - DRESSING TAB SEE DRESSING TAB
CHICKEN SALAD - GF: Grilled seasoned chicken breast, and mango pieces Gluten: Balsamic dressing, , Celery: Chicken, Vegetarian/Vegan: No chicken
atop a bed of spring mix. Served with balsamic vinaigrette.
CHICKEN SALAD r r r G a G G G G G G G G G G G G G G G G G G G G
BALSAMIC VINAIGRETTE r r G G r G G G G G G G G G G G G G G G G G G G G
CHARGRILLED CHICKEN STRIPS -
DAWN :Salted Chicken breast. Meat
origin: EU approved suppliers from the
possible countries: Ireland, UK, Denmark,
Germany, France, Spain, Belgium,
Netherlands, Poland, Brazil, Chile, and
Thailand.
DAWN **Seasoning contains: Maltodextrin,
Sugar, Onion Powder, Spices (CELERY),
Flavourings, Yeast Extract, Garlic Powder,
Dextrose, Smoke Flavouring.

r r r G G G G G G G G G G G G G G G G G G G G G G
MIXED LEAVES G G G G G G G G G G G G G G G G G G G G G G G G G
Mangos chunks G G G G G G G G G G G G G G G G G G G G G G G G G

AVOCADO CHICKEN CEASAR SALAD: Grilled seasoned chicken breast, fresh Vegetarian/Vegan: No bacon or chicken/ no dressing or cheese (Vegan), Eggs: Padano cheese & dressing, Milk: dressing, butter or
avocado, bacon and shredded Italian cheeses on top of fresh romaine cheese, Gluten: dressing. Celery: chicken,
lettuce and tossed with Caesar dressing. AVOCADO CHICKEN CEASAR SALAD a a r a g g g g a g g r g g g g g g g g g g g g g
CEASAR DRESSING CEASAR DRESSSee Dressing Tab SEE DRESSING TAB
CROUTONS - OPTIONAL CROUTONS - OPTIONAL g g g r g g g g g g g g g g g g g g g g g g g g g
ITALIAN GRAND PADANO g r g g g g g g r g g r g g g g g g g g g g g g g
CHARGRILLED CHICKEN STRIPS: Salted
Chicken breast. Meat origin: EU
approved suppliers from the possible
countries: Ireland, UK, Denmark,
Germany, France, Spain, Belgium,
Netherlands, Poland, Brazil, Chile, and
Thailand.
DAWN **Seasoning contains: Maltodextrin,
Sugar, Onion Powder, Spices (CELERY),
Flavourings, Yeast Extract, Garlic Powder,
Dextrose, Smoke Flavouring.

r r r g g g g g g g g g g g g g g g g g g g g g g
BACON r r g g g g g g g g g g g g g g g g g g g g g g g
AVOCADO g g g g g g g g g g g g g g g g g g g g g g g g g
COS LETTUCE g g g g g g g g g g g g g g g g g g g g g g g g g

GARDEN SALAD: Lettuce salad mix, baby tomatoes, cucumbers cheddar Milk: cheese, Gluten: no croutons, Vegan: No cheese
cheese, croutons & salad dressing choice.
GARDEN SALAD g a g a g g g g g g g a g g g g g g g g g g g g g
DRESSINGS DRESSINGS
Cheese, Shredded, Cheddar g g g g g g g g g g g r g g g g g g g g g g g g g
CROUTONS g g g r g g g g g g g g g g g g g g g g g g g g g
Salad Mix - green leaves g g g g g g g g g g g g g g g g g g g g g g g g g
Tomatoes, Grape g g g g g g g g g g g g g g g g g g g g g g g g g
Cucumbers g g g g g g g g g g g g g g g g g g g g g g g g g

Created By: (Name) Signature & Date:

Checked By: (Name) Signature & Date:

3 months audit - Checked By: (Name) Signature & Date:

6 months audit - Checked By: (Name) Signature & Date:

9 months audit - Checked By: (Name) Signature & Date:

12 months audit - Checked By: (Name) Signature & Date:

FATC ©2020 Allergy Menu tool

Menu section (Enternal / Customer version use example) Restaurant Name Your Logo

Notes
KEY
'G' Green - safe from Allergen
'R' Red - not safe contains allergen
'A' Amber - remove from dish safe from allergen
Menu Item Brand Ingredients

Macadamia
'C' Purple - contains traces of allergen cross contamination

Crustaceans

Hazlenuts
Almonds
Walnuts

Cashew
Pecans

Sulphites
Wheat

Molluscs
Barley

Mustard

Peanuts
Brazil

Sesame
Oats
VEGAN
Celery

Rye

Lupin

Soya
Milk
Eggs
Fish
Veg
Cereals containing Gluten Nuts (Tree)

KETCHUP/
DRESSINGS MAYO/ BBQ
TABLE DIPPING SAUCE - DRESSING TAB SEE DRESSING TAB
r r r g a G G G G G G G G G G G G G G G G G G G G Gluten: Balsamic dressing, , Celery: Chicken, Vegetarian/Vegan: No chicken
CHICKEN SALAD - GF: Grilled seasoned chicken breast, and mango pieces
atop a bed of spring mix. Served with balsamic vinaigrette.
CHICKEN SALAD r r G G r G G G G G G G G G G G G G G G G G G G G

AVOCADO CHICKEN CEASAR SALAD: Grilled seasoned chicken breast, fresh Vegetarian/Vegan: No bacon or chicken/ no dressing or cheese (Vegan), Eggs: Padano cheese & dressing, Milk:
avocado, bacon and shredded Italian cheeses on top of fresh romaine dressing, butter or cheese, Gluten: dressing. Celery: chicken,
lettuce and tossed with Caesar dressing.
AVOCADO CHICKEN CEASAR SALAD a a r a g g g g a g g r g g g g g g g g g g g g g

CEASAR DRESSING CEASAR DRESSSee Dressing Tab SEE DRESSING TAB

CROUTONS - OPTIONAL CROUTONS - OPTIONAL g g g r g g g g g g g g g g g g g g g g g g g g g

GARDEN SALAD: Lettuce salad mix, baby tomatoes, cucumbers cheddar Milk: cheese, Gluten: no croutons, Vegan: No cheese
cheese, croutons & salad dressing choice.
GARDEN SALAD g a g a g g g g g g g a g g g g g g g g g g g g g

DRESSINGS DRESSINGS

FATC ©2020 Allergy Menu tool

Menu section Restaurant Name Your Logo

Notes

KEY
'G' Green - safe from Allergen
'R' Red - not safe contains allergen
Menu Item Brand Ingredients

Macadamia
'A' Amber - remove from dish safe from allergen

Crustaceans

Hazlenuts
Almonds
'C' Purple - contains traces of allergen cross contamination

Walnuts

Cashew
Pecans

Sulphites
Wheat

Molluscs
Barley

Mustard

Peanuts
Brazil

Sesame
Oats
VEGAN
Celery

Rye

Lupin

Soya
Milk
Eggs
Fish
Veg
Cereals containing Gluten Nuts (Tree)

test
Test test test

Created By: (Name) Signature & Date:

Checked By: (Name) Signature & Date:

3 months audit - Checked By: (Name) Signature & Date:

6 months audit - Checked By: (Name) Signature & Date:

9 months audit - Checked By: (Name) Signature & Date:

12 months audit - Checked By: (Name) Signature & Date:

FATC ©2020 Allergy Menu tool