Beruflich Dokumente
Kultur Dokumente
0
SF01 Food Application Form
Published: October 2017
Reviewed:
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.
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
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:
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
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
(*) 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:
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
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?
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:
☐ 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:
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
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