Allana PFG
CF.32.03 Version #: 5.05 Date: 27/06/2017
Supplier Approval Questionnaire
Administrative Section
T- TALIMOHMED
Company Name: __________________________________________________________________________________
Company Website: __________________________________________________________________________________
144/46 SARANG STREET
Facility Address: MUMBAI
__________________________________________________________________________________
Company Contact Information
Key Contact Name: _______________________________________________________________________________
Telephone Number: _________________________________________________________________________________
Fax Number: _________________________________________________________________________________
talimohd@gmail.com
Email: _________________________________________________________________________________
Description of Product to be supplied
FLAVORS
Product Name: _________________________________________________________________________________
Description: _________________________________________________________________________________
_________________________________________________________________________________
Other products produced NO
In the facility: _________________________________________________________________________________
_________________________________________________________________________________
Food Safety Section
Accredited HACCP or Food Safety System in Place Date of Validity: ______________________
ISO 22000 GFSI Scheme: Other Food Safety System
YES NO YES NO YES NO
QMS EMS OH&S
YES YES NO NO YES NO
Allana PFG
CF.32.03 Version #: 5.05 Date: 27/06/2017
Supplier Approval Questionnaire
Question YES NO N/A ADDITIONAL INFORMATION
Do you have a written food safety policy?
√
Has a food safety risk assessment been √
undertaken?
Do you have a food safety plan, product √
protection program, risk management plan,
HACCP, or other food safety system?
Do you have Sanitation Standard Operating √
Procedures (SSOP’s)?
Do you have an employee hygiene program? √
Are personnel trained in food hygiene and √
safety?
Do you have a pest control program? √
Are cross-contamination risks controlled? √
Do you have a recall program? √
Do you have full traceability? √
Do you have a system for handling customer √
complaints?
Do you allergens on-site (if, yes please fill in an √
Allergen Checklist)?
Do you have an allergen control program on-site? √
Do you have a supplier approval program? √
Are manufacturing instructions documented? √
Do you carry out any auditing, either internal or √
external?
Do you carry liability insurance? √
Do you have any other food safety controls in Describe:
√
place?
I hereby declare that to the best of my knowledge the answers contained within this questionnaire are true and accurate. I
understand that the information will be used in the evaluation process to assess the named organization’s suitability as a
supplier.
Form Completed By:
Name: _______ Position: _______Purchase Manager______________________
Signed: ___________________________________ Date: _________________________________
For internal use only:
QA Approval Approval: GRANTED / REJECTED
(delete as appropriate)
Name: __________________________________ Position: __________________________________
Signed: _________________________________ Date: _______________________________________
