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The FPA-SAFE Program tests knowledge of principles of food safety and quality systems auditing, but
does not assess or assure the competency or performance of auditors or constitute the endorsement,
approval, or referral of any particular company or Auditee.
Facility Name:
Facility Location:
Facility Address:
Facility City:
Facility State/Province:
Facility Area / Region:
Facility Country:
Facility Postal Code:
Is the facility required to be registered with the U.S. FDA?
Is the facility registered with the U.S. FDA?
Does this facility audit their supplier either through a first/second/third party audit?
Identify the Standard Owner (e.g., BRC, SQF, IFS, etc.):
What other type of audit has been conducted at this facility (e.g., Social Responsibility, FSIS, Humane Slaughter, etc.):
Overview of Site, Operation and Scope of Products Produced:
Products Produced:
Processing Method:
Type of Primary Packaging (e.g., poly, metal cans, aseptic, etc.):
Sizes of Primary Packaging:
New Product(s) Offering:
Channels of Trade (Retail, Wholesale, International, etc.):
Hours of Operation:
Months of Operation (e.g., January March; January December):
Structure Size, Construction and Design:
Year Built:
Year(s) Updated:
Size of Facility:
Number of Employees:
Property Size:
Neighboring Land Use:
Building Materials, Exterior Walls:
Building Material, Interior Walls:
Building Material, Floors:
Building Material, Exterior Roof:
Building Material, Interior Ceiling:
Areas of the Plant Excluded from the Audit:
Audit Date:
Length of Audit:
Facility Personnel:
Exit Interview With:
Date of Last SAFE Audit:
The audit is designed to qualitatively / quantitatively describe the site's Food Safety and Quality Systems, which are
described in five categories. The auditor shall assess the site's performance, relative to the checklist criteria. The audit
checklist is available to the supplier on the web site at www.fpa-safe.org. It is recommended that the supplier utilize the
audit checklist to perform a self-assessment prior to the scheduled audit. The audit is not scored, as are most traditional
audits (e.g., by the auditor); however, SAFE does provide an on-line scoring algorithm to be utilized by the user /
customer of the report, if they choose to score the audit according to their business model. The auditor provides
descriptive observations and a summary for each section to guide the recipient (customer) to an understanding of how
the facility manages their Food Safety, Security and Quality Systems. The audit report is based on the objective evidence
provided to the auditor and observations of how the items in the checklist are deployed on the facility's factory floor. The
customer is able to interpret the results of each audit relative to their own expectations and methods for measurement.
The auditor may provide verbal guidance / consulting during the audit but is not permitted to include such comments in
the written report.
Facilities have 30 days after receiving the draft audit report to respond to all judgments rated "Substantially Meets" or
below. FPA-SAFE understands from the users of this report that they wish to see responses to all issues identified during
the SAFE audit; however, FPA-SAFE only mandates, through the FPA-SAFE Policy and Procedures, that corrective
actions be placed in the "Facility's Responses to the Auditors Observations" for any identified critical failure. Should the
facility choose not to respond to any judgment rated "Substantially Meets" and below, FPA-SAFE will check with the
auditee one time to verify that this is the condition the auditee wants the report to be posted to the Internet. After
verification, this report will be uploaded to the secure web page in that condition which is determined by the auditee.
Fully Meets Meets or exceeds the Meets or exceeds the intent of the checklist in design
intent of the checklist in and execution. Evidence indicates system is effective.
design and execution. An effective, well-developed and executed system. All
checklist criteria for the section have been addressed,
as applicable to this facilitys programs. Procedures are
established, maintained and documented where so
noted in the checklist, and can be corroborated by
multiple parties and verified by objective evidence.
Substantially Most of the elements Evidence indicates a good, functional system is in
Meets established by the SAFE place. However, 1) a few applicable, minor audit
Audit Checklist were in checklist elements are not followed, 2) minor
place. (Almost Fully inconsistencies exist between implementation versus
Meets) documented procedure, 3) minor examples are evident
of flawed record keeping, and / or 4) informal practices
cannot be corroborated by multiple parties or objective
evidence. (The term "minor" as used in this definition
means that the observation is one that, if left
uncorrected, could not adversely impact product
quality, safety or security.)
Partially Meets Most of the elements Evidence indicates a semi-functional system is in
established by the SAFE place. However, 1) most applicable, minor audit
Audit Checklist were not checklist elements are not followed, 2) implementation
in place (Almost a Does has little resemblance to documented procedure, and /
Not Meet) or 3) record keeping is misleading, inaccurate or
nonexistent. (The term "minor" as used in this
definition means that the observation is one that, if left
uncorrected, could not adversely impact product
quality, safety or security.)
The auditor may provide verbal or off-line recommendations or guidance to the facility being audited, but shall
not include such comments in the written audit report. Specific information, such as identifying customers, is
generally considered proprietary and inappropriate to include in the report. Auditors will be told to remove
such proprietary information unless specifically instructed by the Auditee to include the information in the
report.
2.5.4 Employee gloves used for Is there an employee glove policy, including procedures for glove control? <<Guidance: DESCRIBE policy details.
food safety related This applies to gloves used for food safety related purposes.
purposes are maintained DESCRIBE types of gloves permitted for food safety related purposes. <<Guidance: Indicate glove material
intact, clean and sanitary.
permitted; e.g., latex, nitrile, cotton, etc.
Is there a procedure to ensure that gloves are intact, clean and sanitary?
Do employees in relevant areas adhere to the employee glove policy? <<Guidance: DESCRIBE nature and location
of violations, if any, observed during the audit regarding the employee glove policy.
2.5.5 Eating, drinking, gum Is there a consumption policy that restricts eating, drinking and tobacco use in processing and packaging areas?
chewing, snacks and DESCRIBE any specific exceptions that may apply. <<Guidance: Examples: water bottles, medication, eating
tobacco products are
product from production line, etc.
prohibited in processing
and packaging areas. Are specific areas designated in the plant for the storage of personal effects and consumption?
Do employees, visitors and contractors in relevant areas adhere to the consumption policy? <<Guidance: DESCRIBE
nature and location of violations observed regarding the consumption policy.
DESCRIBE any personal items stored in production or warehouse areas; e.g., sweaters, coats, radios, etc.
<<Guidance: Explain presence and location of non-company-issued apparel, electronic devices (radios, cellular
phones, etc.), medicine containers, purses, backpacks, sunglasses, etc.
2.5.6 Employees with symptoms ** Do personnel health policies and procedures exist to ensure employees afflicted by illnesses or open wounds have
of illness or open adequate protection or are reassigned?
cuts/lesions are excluded Are individuals trained to manage employee health issues?
from sensitive food handling
jobs. Do employees, visitors and contractors in food safety sensitive areas adhere to the health policy? <<Guidance:
DESCRIBE nature and location of violations observed regarding the personnel health policy, if any.
2.7.4 Pallets are managed for Report on whether the facility has a pallet management program. <<Guidance: DESCRIBE whether the facility
contamination, sanitary and inspects pallets prior to use for contamination, unsanitary conditions and physical damage. Also report on whether
physical conditions. they have on-site pallet repair, a pallet identification program (e.g. CHEP), and a system to clean and recycle pallets.
2.7.5 Bulk raw materials are Are bulk carriers received at or shipped from this facility? <<Guidance: IDENTIFY all bulk goods received at or
protected against shipped from this facility. For the purposes of the SAFE audit, bulk carriers include rail tanks, tanker trucks, belly
contamination during dumps, etc. where the entire transport container is a vessel. Totes, pallet-sized loads, super sacks, Gaylords, etc. are
unloading and loading. not included.
Does the facility have documented procedures for unloading and loading bulk carriers?
Indicate whether bulk unloading and loading conform to sanitary practices; e.g., screen or bag on hatch, filters on
blowers or vents. <<Guidance: DESCRIBE any issues observed during bulk loading or unloading.
Explain what food-safety related documentation accompanies inbound and outbound bulk carriers. <<Guidance:
Could include wash tags, COAs, etc.
DESCRIBE how bulk transfer lines/hoses and ports are handled when not in use. <<Guidance: Explain whether ports
and openings are sealed and securely locked (not with key-ring-type clasps)? Are caps properly hung and kept off
unsanitary surfaces? How are O-rings protected? Are hose ends kept off the floor and sealed? Etc.
CONFIRM through a review of records that conformance to bulk handling procedures is achieved. <<Guidance: State
specifically that bulk receiving/shipping records were reviewed, and what they revealed.
2.7.6 A schedule of inbound Does the facility have product receiving procedures that track expiration dates of raw materials?
materials includes condition CONFIRM understanding of acceptance procedures by interviewing receiving/warehouse personnel. <<Guidance:
of storage and expiration DESCRIBE specifically who (title/position) was interviewed, and what was learned.
date.
** DESCRIBE procedures to ensure raw materials are protected from deterioration and adulteration while awaiting
final storage. <<Guidance: If no procedures exist, report observations (negative and/or positive) from the physical
inspection.
** DESCRIBE procedures to ensure finished goods are protected from deterioration and adulteration while awaiting
shipment. <<Guidance: If no procedures exist, report observations (negative and/or positive) from the physical
inspection.
2.10.2 A process to change or Does the facility have procedures that coordinate and confirm specification changes with vendors?
modify incoming material
Do vendors approve in writing all of their specification changes? <<Guidance: If not all, explain.
specifications is
documented. Does the facility have records of specification changes that were made within the last twelve months?
DESCRIBE through a review of specification change records whether written procedures were followed correctly.
<<Guidance: State specifically that records about changes in specification were reviewed, and what they revealed.
2.10.3 There are control Does the facility have policies and procedures that address the use of materials intended for rework?
procedures for rework Does the facility have procedures that address the storage condition of rework materials?
products.
Does the facility have procedures that address the identification and coding of materials intended for rework?
Does the facility have procedures that address percent of rework that can be added back to the regular formula?
<<Guidance: DESCRIBE what percentage, if any, is allowed, or how the facility determines the appropriate amount of
add-back.
Does the facility maintain batch formulation records that identify the addition of reworked product?
Does the facility enforce periodic breaks in the rework cycle? <<Guidance: IDENTIFY the time period between
breaks, if any. (The purpose of the break is to minimize the time that reworked materials are commingled with later
production lots, and thereby reduce the amount of product subject to recall.)
DESCRIBE through a review of rework records whether rework control activities follow the written program.
<<Guidance: State specifically that rework control records were reviewed, and what they revealed.
2.11 SANITARY DESIGN
2.11.1 The design of new Does the facility have specific policies and procedures for the approval of equipment design before purchase?
equipment is approved <<Guidance: This question deals with procedures regarding the selection of equipment PRIOR TO purchase.
following sanitary Does the facility have a documented procedure to review sanitary design considerations prior to purchase?
considerations.
Do sanitary design procedures utilize and/or reference industry standards. <<Guidance: IDENTIFY standards that are
2.12.2 Vendors provide a means Does the facility require all incoming goods, including bulk, to be coded by vendors? <<Guidance: This question is
of traceability for incoming asking about what the facility asks its vendors to do.
goods and materials. Was a recently received material shipment handled according to the procedure which permits traceability?
<<Guidance: DESCRIBE issues found, if any.
Does the facility have a policy regarding multiple lot codes on incoming pallets or shipments? <<Guidance:
DESCRIBE policy, if it exists.
2.12.3 Inbound materials are Does the facility assign its own internal identification code for received materials? <<Guidance: Even if the vendor has
coded by the facility when coded its product, does this facility apply further coding?
received.
2.12.4 Raw materials are traceable DESCRIBE finished product control and tracking systems and the basic techniques used. <<Guidance: Include
into finished products. information regarding the use of unique bar codes or pallet tag numbers applied to finished product, whether tracked
Finished goods are by computerized inventory system from production to the first level of distribution, etc.
traceable through ** CONFIRM and provide observations that the facility has the ability to trace raw materials into finished product.
distribution to the first
customer. Does the facility have the capability to maintain full traceability where one lot is commingled with others; e.g., bulk
storage, common fields and/or collection sites, etc? <<Guidance: DESCRIBE situation, how much and type of product
that may be at risk, and whether there are any mitigating factors.
Is the process for traceability of reworked and/or repacked products documented and practiced?
Can rework/repack be traced back to the original production lot?
DESCRIBE the finished product lot-coding scheme. <<Guidance: If relatively easy to describe, explain how to
interpret the code. Otherwise, explain the type of code used (Julian, open dating, encrypted, etc.) How are codes
applied (video jet, stamp, sticker, embossed/debossed, laser imprint, etc.)
Are codes for raw materials and finished products correct, accurate and legible? <<Guidance: DESCRIBE issues, if
any.
4.3.2 Finished goods records are DESCRIBE which product inspection records are maintained by the facility.
available to show evidence
DESCRIBE through a review of product inspection records whether procedures are followed, AND whether results are
of inspection and test
reviewed and properly archived. <<Guidance: State specifically that finished goods inspection records were reviewed,
results.
and report findings.
4.3.3 Finished goods records are Does the facility execute a positive release system for products? <<Guidance: Describe criteria, if any.
reviewed before product Indicate whether inspection records are reviewed before products are released for sale. <<Guidance: IDENTIFY who
release to customers. (title/position) is authorized to review and release products.
4.4 CONTROL OF NONCONFORMING MATERIALS
4.4.1 Non-conforming product is ** Does the facility have product non-conformance ("Hold") procedures? <<Guidance: Provide a brief description of
segregated and controlled the facility's "Hold" procedures; i.e. who (title/position) can place product on hold, who (title/position) can release
against inadvertent product back for sales, whether held product is isolated (physically or electronically), whether special tags or markings
shipment. are applied to held product, etc.
Are product non-conformance procedures documented?
Do product non-conformance procedures apply to raw materials, work-in-progress, AND finished products?
** Do procedures exist to communicate information to customers regarding non-conforming finished goods prior to
shipment?
How does the facility communicate product non-conformance issues to appropriate personnel?
Report observations from employee interviews regarding their understanding of product non-conformance procedures.
<<Guidance: State specifically who (title/position) was interviewed, and report findings.
DESCRIBE any observations from the audit regarding whether non-conforming materials are inadvertently released to
production or shipped to customers/consumers.
Indicate whether the disposition of product for release or destruction is done by only the employees who are
authorized to perform this function. <<Guidance: IDENTIFY who (title/position) has this authority, if anyone.