Allana PFG
CF.32.03 Version #: 5.05 Date: 27/06/2017
Supplier Approval Questionnaire
Administrative Section
VISION PACKAGING
Company Name: __________________________________________________________________________________
Company Website: __________________________________________________________________________________
PLOT NO.36, UDYOG MITRA CO-OP INDUSTRIAL ESTATE
PAITHAN ROAD AURANGABAD
Facility Address: __________________________________________________________________________________
Company Contact Information
Key Contact Name: ___________________MR. SHARMA__________________________________________________
9130099505
Telephone Number: _________________________________________________________________________________
Fax Number: _________________________________________________________________________________
Visionpack2007@gmail.com
Email: _________________________________________________________________________________
Description of Product to be supplied
PACKAGING
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: ____________________________________
Signed: ___________________________________ Date: _________________________________
For internal use only:
QA Approval Approval: GRANTED / REJECTED
(delete as appropriate)
Name: __________________________________ Position: __________________________________
Signed: _________________________________ Date: _______________________________________
