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SF01 Food Application Form
Published: October 2017
Reviewed:

Bureau Veritas Certification


Local office address

Date: 12-4-2018
Before we can prepare an offer, we need some information about your organisation and staff. Would you please
complete the application form below (from sections A to C, including Annexes), and return it by email. All information
supplied will be treated with strict confidentiality. Your application does not commit you to using our services and no
application fee will be charged.

SECTION A – COMPANY DETAILS


Company name or head office: Iftekhar Ahmad and Co. Company registration number: Please ensure this matches
the legal name given
Company full address: Chak No. 27 NB Warraichanwala Station, Ajnala Road Sargodha.
Country: Pakistan E mail address: iackinnow@gmail.com
Desk phone number: 048-3793041-42 Mobile phone number: +92-3006060401
Spoken language of the company: English / urdu Urdu
Contact name: Dr. Asif Meraj Job title: Q.A & FS Manager
If more than 1 site, please detail each site address:
Already Certified by BVC Pakistan
VAT number: N/A
Company webpage: www.iac-fruit.com
Other: N/A
ONLY COMPLETE IF BILLING DETAILS ARE DIFFERENT
Company name or head office: Please ensure that you Company registration number: Please ensure this matches
use the correct legal name the legal name given
Company full address:

Country: E mail address:

VAT number:

AUDIT TYPE
Is it a combined audit? ☐ Yes ☐ No
If yes, for which standard(s)/ norm(s)?
Which type of audit do you request? ☐ Initial ☐ Renewal ☐ Transfer
☐ Surveillance ☐ Extension

CURRENT GFSI AND/ OR MANAGEMENT SYSTEM CERTIFICATION


Please detail and provide certificate(s)
Standard/ norm (i.e. ISO 9001, ISO 14001, ISO 22000,
BRC, IFS, FSSC 22000, etc.) FSSC 22000
For IFS only, IFS site number (COID):
For BRC only, BRC site number:
BRC grade of the last 3 previous audits:

SF01 Food application form with all Annexes– V1.0 Page 1/8 October 24, 2017
Version 1.0
SF01 Food Application Form
Published: October 2017
Reviewed:

SECTION B – AUDIT SCOPE AND COMPANY PROCESSES


AUDIT SCOPE (to be confirmed by technical review of Bureau Veritas Certification)
Note: in case of exclusion of products/ processes in the audit scope, please justify (for IFS only, please fill in the Exclusion questionnaire)

receiving, pre-washing, brushing, drying, waxing, drying, sorting, grading/ sizing, packaging , storage and dispatch of
fresh Kinnow

☐ I would like to exclude some products of the audit scope (please tick only if applicable)

PRODUCTS AND SERVICES PROVIDED (please detail the products you produce and /or the services and activities
you provide). Please provide your process flow diagram:

Fresh Kinnow. Process Flow: Reception, Pre-washing, Brushing, Drying, Waxing, Drying, Sorting, Grading/ Sizing,
Packaging & Storage.

1. INCOMING MATERIALS (please list the main ingredients and packaging materials)
Fresh Kinnow Fruit, Wax, Paper cartons.

2. PRODUCT STORAGE (please provide details of on-site product storage including in process)
Fresh and Processed Kinnow

3. OFF SITE STORAGE AND WAREHOUSING


N/A

4. BUILDING AND SITE ASPECTS (please provide any significant details, e.g., any neighbour whose activity may
affect operations, etc.)
Factory situated in green field area. Surrounding area is quite good & nothing in surrounding which may affect the
operations.
5. SUB CONTRACTED/ OUTSOURCED ACTIVITIES (e.g. maintenance, calibration, delivery, transport, etc.)
Calibration, Delivery & Transport and Labor.

6. FUNCTIONS CENTRALLY MANAGED BY A HEAD OFFICE (e.g. purchase, quality management, etc.)
Purchases are managed by head office.

NUMBER OF EMPLOYEES
Site 1 Site 2 Site 3 Site 4 Site 5 Site 6 Site 7 Site 8 Site 9 Site 10
Name Name Name Name Name Name Name Name Name Name
IAC-
Kinnow

1. Administration/office 7
2. 4
Production/processing
3. Maintenance/service 3
4. Logistics 6
Subcontracted: N/A
Seasonal: 100
Temporary: N/A
TOTAL 120
For BRC only:
Percentage of employees involved in food activities production:
Labour-intensity of processes:

SF01 Food application form with all Annexes– V1.0 Page 2/8 October 24, 2017
Version 1.0
SF01 Food Application Form
Published: October 2017
Reviewed:

WORK PATTERN
Employees shift Shift times (i.e. days, nights, Activities Number of
6am-2pm , 2-10pm) employees per
shift
1
2 (Day:08am -4 pm) (Night 4 Fresh Kinnow Processing 60
pm-12am)
3
4
PREMISES, LOCATION & PRODUCTION LINES
Please state the size of the production facilities (in sq. metres) 975
Please state the number of production lines 01
Please state the size of any warehouse facilities on site (in sq. metres) 225
Please state location of facilities i.e. industrial estate N/A
If any part of the site is sub-let or under different management, N/A
please give details
Has any consultancy relating to the product/ management system to be ☐ Yes ☐ No
certified been provided? If yes, by whom? No
For BRC only: age of the site impacting the material flow
For BRC only: please state the percentage of the total manufacturing and
storage facility site used as production or storage space
TYPICAL FOOD-RELATED LEGAL, STATUTORY OR REGULATORY FRAMEWORK AND/OR ANY SECTOR-
SPECIFIC REQUIREMENTS APPLICABLE FOR THE PROPOSED SCOPE OF CERTIFICATION

Punjab Food Authority Act 2017


Punjab Pure Food Rules 2010
PSQCA Specifications

HACCP PLAN (*)


Please provide details on number of HACCP plans and any identified CCP’s
HACCP Plan 1 Fresh Kinnow Processing, CCP: Storage.
HACCP Plan 2
HACCP Plan 3
HACCP Plan 4
HACCP Plan 5
HACCP Plan 6
Do you have documented PRP’s in place (please detail) HACCP Plan, OPRP Plan, PRP Plan(Pest Control,
Hygiene and House Keeping, Purchasing, Storage,
Dispatch etc.

(*) A HACCP plan corresponds to a family of products with similar hazards and similar production technology

SF01 Food application form with all Annexes– V1.0 Page 3/8 October 24, 2017
Version 1.0
SF01 Food Application Form
Published: October 2017
Reviewed:

SECTION C – CERTIFICATION NEEDED (please select product category(ies) in Annex)


☐ ISO 22000 (N/A)
BRC (N/A)
☐ BRC Food ☐ Announced ☐ Unannounced option 1 ☐ Unannounced option 2
☐ BRC Packaging High Hygiene ☐ Announced ☐ Unannounced option 1 ☐ Unannounced option 2
☐ BRC Packaging Basic Hygiene ☐ Announced ☐ Unannounced option 1 ☐ Unannounced option 2
☐ BRC Agents & Brokers
☐ BRC Storage & Distribution
BRC Modules: BRC Modules:
☐ BRC AVM 08_ Traded goods ☐ BRC AVM 12_ AOECS_ Gluten Free
☐ BRC AVM 09_ Food Materials for Animal Feed ☐ BRC AVM 15_ FSMA
☐ BRC AVM 10_ GlobalGap Chain of Custody ☐ BRC ASDA AA module
☐ BRC AVM 11_ Meat Supply Chain ☐ BRC ASDA FF (Freefrom) module

IFS (N/A)
☐ IFS Food ☐ Announced ☐ Unannounced option 1 ☐ Unannounced option 2
☐ IFS Broker
☐ IFS Logistics

FSSC 22000
 ☐ FSSC Food Manufacturing
☐ FSSC Packaging and Packaging Materials
☐ FSSC Catering
☐ FSSC Feed
☐ FSSC Quality

TARGET DATE FOR AUDIT


15 May 2018
For unannounced audits, please state dates when the site will not be operating (e.g. Saturday & Sunday, plant
maintenance, break weeks - don’t indicate bank holidays)
Sunday

TRANSFER OF CERTIFICATION
For ISO 22000 or FSSC 22000 only:
When is the transfer planned? ☐ Within the current certification cycle
☐ At re-certification
What are the reasons of the transfer?
Please provide certificate and audit report from
previous audit (including evidences of outstanding
non-conformities)
For IFS only: In case your next audit is performed
with Bureau Veritas, please release the access of
your data in the IFS database
ADDITIONAL REQUESTS FOR THE AUDIT
Is there a need of translator during the audit? ☐ Yes ☒ No
Have some processes already been audited during a head-office audit (e.g. ☐ Yes ☒ No
purchasing, quality insurance, etc.)?
Does a head office representative plan to attend the audit at the ☐ Yes ☒ No
manufacturing site?

NAME OF THE PERSON WHO FILLED IN THIS FORM:


Name: Position: Dr. Asif Meraj Manager Q.A & FS

Date:
14-04-2018
SF01 Food application form with all Annexes– V1.0 Page 4/8 October 24, 2017
Version 1.0
SF01 Food Application Form
Published: October 2017
Reviewed:

ISO 22000 ANNEX

Please tick Category ISO 22000 Food chain subcategory

AI Farming of Animals for Meat/ Milk/ Eggs/ Honey



A Farming of unaccredited
Animals AII Farming of Fish and Seafood

unaccredited
BI Farming of plants (other than grain and pulses)

B Farming of unaccredited
plants BII Farming of grains and pulses

unaccredited
☐ CI Processing of perishable animal products

 ☐ CII Processing of perishable plant products


C Food
manufacturing
☐ CIII Processing of perishable animal and plant products (mixed products)

☐ CIV Processing of ambient stable products

☐ D1 Production of Feed
D Animal Feed
Production D2 Production of Pet Food

unaccredited
☐ E Catering E Catering
FI Retail/ Wholesale

unaccredited
F Distribution
FII Food broking/ trading

unaccredited
G Provision of
☐ GI Provision of Transport and Storage Services for perishable food and feed
Transport and
Storage
☐ GII Provision of Transport and Storage Services for Ambient Stable Food and Feed
Services
H Services

unaccredited
Auxiliary
☐ I Production of Food Packaging and Packaging Material
services
J Equipment manufacturing

unaccredited
☐ Biochemichals K Production of (bio)chemicals

SF01 Food application form with all Annexes– V1.0 Page 5/8 October 24, 2017
Version 1.0
SF01 Food Application Form
Published: October 2017
Reviewed:

FSSC 22000 ANNEX

FSSC Food Manufacturing

Please tick FSSC category

☐ CI Processing of perishable animal products

 ☐ CII Processing of perishable plant products

☐ CIII Processing of perishable animal and plant products (mixed products)

☐ CIV Processing of ambient stable products

☐ D2 Production of Pet Food (dogs and cats only)

K Production of (bio)chemicals (limited to food, feed additives, vitamins, minerals,



bioculturesflavorings, enzymes and processing aids)

SF01 Food application form with all Annexes– V1.0 Page 6/8 October 24, 2017
Version 1.0
SF01 Food Application Form
Published: October 2017
Reviewed:

BRC ANNEX

Please tick the category(ies) related to your activity and to the audit scope (these will be reviewed by Bureau
Veritas technical team).

BRC Food
Please tick BRC Food product category Please tick BRC Food product category
☐ ☐ 10. Ready meals and sandwiches, ready-
1. Raw red meat
to-eat desserts
☐ 2. Raw poultry ☐ 11. Low/ high acid in cans/ glass
☐ 3. Raw prepared products (meat and ☐
12. Beverages
vegetarian)
☐ ☐ 13. Alcoholic drinks and fermented/
4. Raw fish products and preparations
brewed products
☐ 5. Fruit, vegetables and nuts ☐ 14. Bakery
☐ 6. Prepared fruit, vegetables and nuts ☐ 15. Dried foods and ingredients
☐ 7. Dairy, liquid egg ☐ 16. Confectionery
☐ 8. Cooked meat/ fish products ☐ 17. Cereals and snacks
☐ 9. Raw cured and/ or fermented meat and ☐
18. Oils and fats
fish

BRC Packaging
Please tick and list key processes
Please tick BRC Packaging manufacturing Examples of key processes Identify the key
category processes undertaken
One glass furnace into one or multiple IS machines,
☐ 1. Glass manufacture and forming blow-moulding of ampoules
Pulping and papermaking, corrugating board,
☐ 2. Papermaking and conversion conversion of board without any print process
Manufacture of a beverage can, pressing of
☐ 3. Metal forming aluminium foil containers
Injection moulding of caps and closures, injection
☐ 4. Rigid plastics forming moulding/production of in-mould labelled containers,
stretch Blow Moulding PET Preform, extrusion Blow
Mould HDPE Milk jug
Extrusion of flexible film, lamination of multi-layer
☐ 5. Flexible plastics manufacture materials, slitting of film reels
Manufacture of hessian sacking, assembly of wooden
☐ 6. Other manufacturing pallets

Print and conversion of one material type (e.g.


☐ 7. Print processes paperboard), where the print and conversion of a
flexible film constitutes an additional process
Manufacture of ink, of glue
☐ 8. Chemical processes

BRC Agents & Brokers


Type of products managed by the agent/ broker:
☐ 1.Chilled and frozen food products ☐ 2. Ambient food products
☐ 3. Packaging ☐ 4. Consumer products
Number of suppliers used:
Location of satellite offices:

BRC Storage and distribution


Type of products managed:
☐ 1.Chilled and frozen food products ☐ 2. Ambient food products
☐ 3. Packaging ☐ 4. Consumer products
Exclusion of distribution from the scope of a storage site (please tick in case of exclusion): ☐
Sites applying only for distribution: ☐
Number of suppliers used:
Need to witness the unloading of vehicles or to accompany drivers: ☐

SF01 Food application form with all Annexes– V1.0 Page 7/8 October 24, 2017
Version 1.0
SF01 Food Application Form
Published: October 2017
Reviewed:

IFS ANNEX

Please tick the scope(s) related to your activity and to the audit scope (these will be reviewed by Bureau Veritas
technical team).

IFS Food
Please tick IFS Food product scope Please tick IFS Food product scope
☐ 1. Red and white meat, poultry and meat ☐
7. Combined products
productsRaw red meat
☐ 2. Fish and fish products ☐ 8. Beverages
☐ 3. Egg and egg products ☐ 9. Oils and fats
☐ ☐ 10. Dry goods, other ingredients and
4. Dairy products
supplements
☐ 5. Fruit and vegetables ☐ 11. Pet food
☐ 6. Grain products, cereals, industrial
bakery and pastry, confectionary,
snacks

Please IFS Food technology scope Please IFS Food technology scope
tick tick
☐ A P1 Sterilisation ☐ P8 Packing MAP, under vacuum
☐ P9 Processes to prevent product contamination,
P2 Thermal pasteurisation, UHT/ by means of hygiene control and/ or specific
B ☐ E
aseptic filling, hot filling infrastructure during handling, treatment and/ or
processing
☐ P10 Specific separation techniques, e.g. filtration
P3 Irradiation of food ☐
like reverseosmose, active charcoal
☐ P4 Preserving, fermentation, P11 Cooking, baking, bottling, brewing,

acidification fermentation, frying, frying, roastong, extrusion
C
☐ P12 Coating, breading, battering, cutting, slicing,
P5 Evaporation/ dehydration,
dicing, mixing, stuffing, slaughtering, sorting,
vaccum filtration, freeze drying, ☐ F
storage under controlled conditions (except
microfiltration
temperature)
☐ P6 Freezing including storage,

P13 Distillation, purification, steaming, damping,
cooling, chilling processes hydrogenating, milling
D
☐ P7 Antimicrobiol dipping/ spraying,
fumigation

IFS Broker
Type of products managed by the agent/ broker:
☐ Food products ☐ Household and Personal Care products
☐ Packaging materials ☐ Combination of product types

IFS Logistics
Type of products and activities:
☐ 1.Storage ☐ 2. Transport
☐ a. Food products ☐ b. Non-food products

SF01 Food application form with all Annexes– V1.0 Page 8/8 October 24, 2017

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