East Lothian is responsible for inspecting food businesses within its area as part of the Food Hygiene Rating Scheme (FHRS). There are currently 984 establishments with hygiene ratings, with an average rating of N/A/5.

Environmental health officers from East Lothian visit restaurants, takeaways, pubs, cafes, and other food businesses to assess hygiene standards. They examine how food is handled and prepared, the cleanliness and condition of the premises, and how effectively the business manages food safety.

Inspection frequency depends on the risk level of each establishment. Higher-risk businesses — including those with previous low ratings — are inspected more frequently. Businesses that disagree with their rating can request a re-inspection or appeal through their local authority.