Information supplier survey

The following tables describe what is part of a

Company Name 
EC number (if applicable) 
Address 
City/Postal code 
Telephone number 
Fax number 
Contact person for HACCP 
Phone number for recall 
Contact person for recall 
Date completed 
Completed by 
Function 
Manufacturer/Trader of the following or  
1. 6. 
2. 7. 
3. 8. 
4. 9. 
5. 10. 
General 
1. Does your organization have a system? Yes/No 
2. Has your organization implemented HACCP system or code? If so, how? If not, when? 
3. Is your organization certified according to the standards of HACCP, BRC, IFS, ISO? If so, which? If not, when is this planned? 
4. Does your production area comply fully with the necessary hygiene requirements? Yes/No 
5. Do you have a recall Yes/No 
Raw  
1. Are all purchased according to specifications? Yes/No 
2. Are specifications available for all Raw Materials? Yes/No 
3. Are Raw Materials checked when received? Yes/No, if yes, what is the frequency and method? 
4. Are there requirements for purchased products, in regard to foreign objects? Yes/No 
5. What measures are taken if raw materials do not comply with specifications? 
6. Do you follow Yes/No 
Process 
1. Is there a process diagram available? Yes (please attach) / No 
2 What process checks take place? Check type, frequency, method 
1. 
2. 
3. 
4. 
5. 
6. 
7. 
8. 
9. 
10. 
3. What measures have been taken to keep out foreign objects? (e.g. metal, wood, and glass) 
and transport 
1. How long will the product be in your storage? 
2. Is the FIFO principle used? Yes/No 
3. Is there climate in the storage area? Yes/No. If yes: 
Temperature: °C 
Relative humidity: % 
4. Are the control sensors regularly calibrated? Yes/No 
5. Are temperature values recorded on paper? Yes/No 
6. Is transport carried out under your control? Yes/No 
7. Is the “Hygiene code for transport, storage and distribution of foodstuffs” followed? Yes/No 
8. If transport is not under your control: Which HACCP requirements do you specify for your external transport? Requirements 
9. Are the conditions during transport controllable? Yes/No 
10. Do you use loggers for cold/ transport? Yes/No 
11. Can you provide specifications and reports for your products and raw materials? Yes/No. If yes, please attach examples. 
Specifications 
Do you guarantee that your provided are adequate and accurate, and comply with the relevant legislation and Yes/No 
Do you declare that you will send us a revised example of every introduced specification change? Yes/No 
In the of a possible recall situation, do you declare that you will inform us at an early stage? Yes/No 
In the event of a recall situation, you declare to give us full access to all relevant and data (including possible on-site audit)? Yes/No 

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