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Supplier Qualification Form v2019.02.20

This document is a supplier qualification form requesting information from suppliers. It requests company information, quality manager details, product details, inspection and audit results, food safety documentation including HACCP and SSOP plans, traceability, lab testing results, product specifications, and compliance history including recalls. The purpose is to evaluate suppliers on food safety requirements.

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Alfred Rangel
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325 views2 pages

Supplier Qualification Form v2019.02.20

This document is a supplier qualification form requesting information from suppliers. It requests company information, quality manager details, product details, inspection and audit results, food safety documentation including HACCP and SSOP plans, traceability, lab testing results, product specifications, and compliance history including recalls. The purpose is to evaluate suppliers on food safety requirements.

Uploaded by

Alfred Rangel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PRODUCT(S):

PLANT NAME: ISSUE DATE


ADDRESS: SUPERSEDES

Supplier Qualification Form


Please complete the following supplier qualification document and attach all relevant documents.

COMPANY INFORMATION

Company Name

Company Contact

Phone Number

Address

Country

QUALITY MANAGER

Name

Email

Phone Number

PRODUCTS DETAIL

1.1 Do you manufacture a low acid food stored in a hermetically sealed Yes ▢ No ▢
container (aka “low acid canned food”)

1.2 Do you manufacture a fish / fishery (i.e.seafood) product? Yes ▢ No ▢

1.3 Do you manufacture a product that is or contains fruit/vegetable Yes ▢ No ▢


juice?

INSPECTIONS / AUDIT RESULTS

2.1 Is your company GFSI Certified? Yes ▢ No ▢

2.1.1 Please specify the certification

2.1.2 Date of last audit

2.2 Do you have a 3rd party audit result from the last 12 months? Yes ▢ No ▢

2.3 Do you have an inspection report from the last 12 months? Yes ▢ No ▢

FOOD SAFETY DOCUMENTATION

3.1 Please indicate whether you can provide the following food safety documentation (attach documents)

FDAreader.com
v2019.02.20
PRODUCT(S):
PLANT NAME: ISSUE DATE
ADDRESS: SUPERSEDES

Supplier Qualification Form


3.1.1 Food Safety Plan / HACCP Plan Yes ▢ No ▢

3.1.2 Hazard Analysis Yes ▢ No ▢

3.1.3 Standard Operating Procedures (SOPs) Yes ▢ No ▢

3.1.4 Sanitation Standard Operating Procedures (SSOPs) Yes ▢ No ▢

3.1.5 Quality Assurance program Yes ▢ No ▢

3.1.6 Recall plan Yes ▢ No ▢

3.1.7 Environmental monitoring program Yes ▢ No ▢

3.2 Is there complete traceability? Yes ▢ No ▢

3.3 Certificate of analysis or lab-testing results Yes ▢ No ▢

3.4 Product specification sheets for all products supplied Yes ▢ No ▢

OTHER

4.1 Have you ever received an FDA warning letter, import alert, or other Yes ▢ No ▢
FDA compliance action related to food safety? (If so, please describe
and include any letters received or documentation)

4.2 Have you ever initiated a product recall? If so, please explain in the Yes ▢ No ▢
comments section

FDAreader.com
v2019.02.20

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