Beruflich Dokumente
Kultur Dokumente
QUESTIONNAIRE
This questionnaire is sent to applicants to allow us to understand your business and to provide you
with the best possible service.
1. Details of applicant:
2. Sites
Please specify all sites where activities relating to the implementation of the food safety system are
carried out.
Please include site listed above if it is applicable.
a) Address :
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Activities :
b) Address :
Activities :
3. Other Information:
(a) Please give details of any system certification (eg ISO 9000, GMP) currently held and the
name of the certification :
(b) Please specify national/international regulations which your product or service has to comply
with:
(c) Please include the details of consultant (name and company) who had assisted you in the
development of the system:
________________________________________________________________________
4.2 Please list products/services to be covered by the certification with details of the processes
involved. PLEASE PROVIDE DETAILS OF PRODUCTS TO BE COVERED, THE RAW MATERIALS
USED (BY PRODUCT TYPE) AND THE RELEVANT PROCESS FLOW CHARTS CLEARLY INDICATING
THE CCPS.
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5. Equipment Details (for manufacturing companies only):
Please indicate principal plant or equipment used (if applicable). PLEASE ENCLOSE PLANT
LAYOUT WITH INDICATION OF MANUFACTURING LINES.
List any other products manufactured or services offered for which certification is not being
sought.
9. a) Please tick (b ) to indicate type(s) of Food Safety Management System certification sought:
b) *Please tick (b ) to indicate the certification scheme sought (please tick one only) :
Ministry of Health Malaysian SIRIM QAS International Ministry of Health
Certification Scheme for Food Safety System Certification Malaysian Certification
HACCP & only Scheme for HACCP only
SIRIM QAS International
Food Safety System
Certification Scheme
Good Manufacturing Practice
c) We would like to combine Food Safety System Certification with ISO 9001:2000 Certification:
Yes No
Note :
To assist our staff who may be visiting your organisation, please attach directions to your
company’s location or attach a map indicating the location and, if parking is a problem,
please advise nearest public car parking facility.
Thank you for your co-operation in completing the questionnaire. Please ensure that all information
requested have been provided in full to expedite the processing.
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