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GM Supplier Questionnaire v1

The Supplier Profile Questionnaire (SPQ) is a comprehensive form designed for suppliers to provide essential information regarding their compliance with food safety standards, certifications, and operational practices. It includes sections on facility compliance, social responsibility, animal welfare, quality and food safety programs, and financial and historical risk assessments. The questionnaire aims to ensure suppliers meet necessary safety and ethical standards while facilitating the collection of critical data for supplier approval and risk management.

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kuldeep kaushik
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0% found this document useful (0 votes)
29 views9 pages

GM Supplier Questionnaire v1

The Supplier Profile Questionnaire (SPQ) is a comprehensive form designed for suppliers to provide essential information regarding their compliance with food safety standards, certifications, and operational practices. It includes sections on facility compliance, social responsibility, animal welfare, quality and food safety programs, and financial and historical risk assessments. The questionnaire aims to ensure suppliers meet necessary safety and ethical standards while facilitating the collection of critical data for supplier approval and risk management.

Uploaded by

kuldeep kaushik
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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Supplier Profile Questionnaire (SPQ)

Supplier: Enter supplier name


Location: Enter supplier location
Location Enter location mailing address
Address:
Effective Date: * Click or tap to enter a date
Expiration Date: Three (3) years after effective date

Please answer the questions below for your organization and add comments where
additional information is necessary. Required fields are indicated with a red asterisk. *

General Programs

Facility Compliance
Does your facility comply with these food safety standards?

Codex Alimentarius --Select--


Country Specific Food Safety Regulations --Select--

GFSI
Is your facility currently certified to a GFSI-recognized --Select--
certification program? *
If yes, which certified program? --Select--
What year was certification first achieved? Click to enter GFSI certification
first year
Expiration Date of Certification: Click to enter current
certification expiration date

Other Manufacturing Standards


Does your facility follow any other manufacturing --Select--
standard?
If yes, please specify Click to enter non-GFSI
standards used by your facility
Is your facility currently certified to any other --Select--
manufacturing standards?
If yes, please specify Click to enter any facility non-
GFSI certifications
Confirm your facility has a written crisis management strategy for the following:

Disaster preparedness? * --Select--


Emergency response? * --Select--
Recovery plan? * --Select--
Business continuity plan? * --Select--

Social Responsibility
Does your facility comply with existing local and federal --Select--
laws regarding slavery and human trafficking? *
Does your facility have a social, ethical and --Select--
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Supplier Profile Questionnaire (SPQ)

environmental responsibility program in place? *


List applicable certifications for these programs below:
Ethics: Click to enter ethic certifications
Environmental responsibility: Click to enter environmental
certifications
Sustainability: Click to enter sustainability
certifications
Other: Click to enter any other facility
certifications not already
mentioned
Does your facility have a workplace safety program in --Select--
place? *
Please add any additional comments here: Click to enter details not
previously mentioned

Animal Welfare
Does your facility handle live animals? * --Select--
If yes, does your facility have a written Animal --Select--
Welfare Program?
Does your facility have annual third-party --Select--
Animal Welfare audits?
Does your facility have any animal welfare --Select--
certifications?
Please add any additional comments here: Click to enter animal welfare
details not previously
mentioned

Facility and Equipment


Confirm the following are in place:
Size of Facility Click to enter details about the
facility size

Age of Facility Click to enter details about the


facility age
Source of Processing Water * Click to enter details about the
facility source for process water
Does steam come in contact with product or food --Select--
contact surfaces? *
Does forced air or compressed air come in contact with --Select--
product or food contact surfaces? *
Kosher status of facility * --Select--
Halal status of facility * --Select--
Hours and days of production Click to enter details about the
facility hours/days of operation
Are process areas climate controlled? * Click to enter climate conditions
Are 24-hour emergency contact(s) in place? (i.e. cell --Select--
phone & NOT general customer service)? *
If yes, please list emergency contact(s) name(s) Click to enter facility emergency

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Supplier Profile Questionnaire (SPQ)

and phone number(s): contact(s) and phone number(s)


Building security system and staff? * --Select--
Manufacturing and storage facilities secure? * --Select--
If yes, are they well-lit from the outside? --Select--
Is there a perimeter fence? --Select--
Are there security cameras? --Select--
Are there authorized access gates? --Select--
Automatic fire sprinklers? * --Select--
Fire alarm system? * --Select--
If yes, is it monitored by a central station? --Select--
Does your facility regularly conduct internal systems --Select--
audits? *
If yes, at what frequency do these occur? * Click to enter frequency

Quality and Food Safety Programs

Food Safety Culture


Does the facility have a clearly communicated food --Select--
safety policy that states the facility’s intention to meet
obligations to produce safe and legal products? *
Are leadership and employees aware of the food safety --Select--
policy? *
Are food safety performance metrics (e.g. --Select--
environmental analysis, microbiological analysis,
pathogen testing, customer complaints) in place and
reviewed with appropriate staff at a predetermined
frequency? *
Does your facility have dedicated food safety/quality --Select--
manager(s)? *
Does your facility have a risk management team? * --Select--
Does your facility have a food defense team? * --Select--

Food Safety Systems


Confirm the following food safety systems are in place:
Biological hazard process controls:
Lethal Treatment (Heat, Irradiation, Ionizing, --Select--
Fumigation, HPP)? *
Cooling Time/Temperature (Refrigeration, Freezing, --Select--
Heat-Exchanger)? *
Time/Temperature (Refrigeration, Freezing)? * --Select--
Formulation (Water activity, Acidity/Acidification, --Select--

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Supplier Profile Questionnaire (SPQ)

Adding Preservatives)? *
Dehydration/Drying (Air Drying, Freeze Drying, Spray --Select--
Drying)? *
Other: Click to enter biological hazard
controls not already mentioned
Chemical hazard process controls:
Recipe Management (Food or Color Additive in excess --Select--
of a maximum use level)? *
Storage Conditions (Mycotoxin Prevention)? * --Select--
Physical Sorting (Mycotoxin Prevention)? * --Select--

Physical hazard process controls:


Do you have validated sanitation controls to address --Select--
cleaning of food-contact surfaces? *
Physical Separation (Magnets, sieves, screens, or --Select--
floatation tanks)? *
Detection (Metal, X-Ray)? * --Select--
Manual Sorting? * --Select--
Electronic Sorting (Camera, Laser, X-Ray, IR)? * --Select--
Equipment Inspection? * --Select--
Describe any other relevant controls not previously Click to enter physical hazard
mentioned: controls not already mentioned
Do you have supply-chain controls to address the following potential hazards?
Pesticides? * --Select--
Drug residues? * --Select--
Heavy Metals? * --Select--
Mycotoxins? * --Select--

Supplier Approval
Do you have a documented supplier approval program? --Select--
*
If yes, do you have an approved suppliers list? --Select--
Does your program include a supplier’s risk --Select--
assessment?
Does your program include an individual --Select--
ingredient risk assessment?
Does your program include assessment of food --Select--
security?
Does your program include economic --Select--
adulteration?
Does your supplier approval program allow --Select--
insight to every manufacturing facility providing
ingredients?

If yes, does your supplier approval program also encompass:


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Supplier Profile Questionnaire (SPQ)

Food contact packaging suppliers? --Select--


Non-food contact packaging suppliers? --Select--
Is it an automated system (e.g. TraceGains)? --Select--
If yes, which automated system? Click to enter name of
automated supplier approval
system
Approximately how many ingredient supplier facilities --Select--
do you utilize?
Approximately how many food contact packaging --Select--
supplier facilities do you utilize?
Approximately how many of your suppliers are not GFSI --Select--
certified?
What total percentage of non-GFSI certified supplier Click to enter non-GFSI facility %
facilities are visited and audited by your company? visited and audited
Do you collect third-party audit information for all --Select--
suppliers not audited by your company?
Do you evaluate and perform a risk assessment of your --Select--
supplier’s facility documentation prior to the onset of
purchases?
Do you evaluate and perform a risk assessment of your --Select--
supplier’s ingredient documentation prior to the onset
of purchases?
Does your company inspect your supplier’s facility prior --Select--
to the onset of purchases? *
If yes, select % of the time the supplier’s facility --Select--
is Inspected prior to purchase:

Incoming Materials
Are ingredients used on a First In – First Out (FIFO) --Select--
basis? *
If no, which system is used? Click to enter ingredient use
method if not FIFO

Are raw materials code dated? * --Select--


Are Certificate of Analysis (COA) collected and --Select--
reviewed? *
Do you have written specifications for all raw --Select--
materials? *
Do you perform and document vehicle inspections, --Select--
assuring sanitation and security? *
Do you perform microbiological testing on incoming --Select--
raw materials? *

HACCP
Does your facility operate under a validated HACCP --Select--
program(s)? *
If yes, does your HACCP plan implement a --Select--
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Supplier Profile Questionnaire (SPQ)

critical control point for each product shipped?


Is there at least one person in your facility certified by --Select--
a 3rd party organization in HACCP principles? *

Allergens
Does your facility have a documented Allergen Control --Select--
Plan? *
Does your facility perform an internal risk assessment --Select--
on allergens? *
Do you have validated allergen change-over cleaning --Select--
procedures? *

Microbiological
Do all products shipped go through a validated --Select--
microbiological kill step? *
Is your facility able to provide a COA indicating --Select--
microbiological results including pathogenic results? *
Is any microbiological testing performed on-site? * --Select--
Are any finished products tested for pathogens or --Select--
indicator organisms? *
If yes, is a positive release hold program in --Select--
place? *
Does your facility have a documented pathogen --Select--
environmental monitoring program? *
If yes, what is the frequency and number of Click to enter frequency and
swabs tested? * number of swabs used
If yes, does it include air and water to be tested --Select--
as part of the program? *
Sanitation
Does your facility have a Master Sanitation Schedule --Select--
(MSS) in place with a master plan, records and
tracking? *
If yes, is cleaning conducted by in-house --Select--
associates or an outside service? *
If yes, are there documented Standard --Select--
Sanitation Operating Procedures (SSOP’s) in
place? *
Are pre-operational inspections performed PRIOR to --Select--
commencing operation after cleaning? *
If yes, are ATP or microbiological swabs used? --Select--

Preventive Maintenance
Does your facility have a Preventive Maintenance (PM) --Select--
program in place with a master plan, records and
tracking? *
Is the processing area effectively isolated during --Select--
maintenance work? *
Prior to installation and use, is new/repaired equipment --Select--
validated for proper sanitary design? *

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Supplier Profile Questionnaire (SPQ)

Is there a documented program to review and clean --Select--


repaired equipment prior to its return to use? *

Pest Control
Is the facility serviced by a certified pest control --Select--
operator? *
Is pest management conducted by an in-house --Select--
associate or an outside service? *
Are pesticides stored on-site? * --Select--
Is bait used inside the facility (indoors)? * --Select--

Traceability & Recall


Does your facility have a Recall Team? * --Select--
Does your facility have a written recall plan? * --Select--
Does your facility conduct mock recalls and traceability --Select--
exercises? *
If yes, what is your finished Product Mock Recall --Select--
frequency?
Ingredients Mock Recall frequency? --Select--
Contact packaging Mock Recall frequency? --Select--

Confirm your facility can trace:


The source identity of all the ingredients (one down)? * --Select--
Into each step of processing? * --Select--
Into the finished product? * --Select--
To shipping (one up)? * --Select--
Fully documented within (select one): * --Select--
Does your facility retain samples from every --Select--
manufacturing lot? *
Does your facility require suppliers of (or who use) food --Select--
contact packaging to provide evidence of its approval
to use with food? *

Transportation, Storage, Distribution


Do storage and transportation programs include all the following:
Proper storage? * --Select--
Are raw materials segregated from finished product? * --Select--
Are perishables stored under proper environmental --Select--
conditions (cooler, freezer, etc.)? *
Transportation has appropriate seals and locks? * --Select--
If your storage and transportation programs do not Click to describe why your
include all the above listed requirements, please storage/transportation programs
explain: does not include all previously
listed elements
Are all raw materials and finished products stored on --Select--
site? *

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Supplier Profile Questionnaire (SPQ)

If not on site, is it under your control or third- --Select--


party control?
If under third-party control, is the third-party --Select--
GFSI audited?

Financial Risk

How many years has your company been in business? Click to enter total number of
* years in business

Confirm if your facility has the following insurance policy coverages:


General Liability? --Select--
Product Liability? --Select--
Professional Liability? --Select--
Commercial Property? --Select--
Business Crime? --Select--
Transportation and Cargo? --Select--
Please add any additional comments here: Click to list other applicable
liability coverage

Historical Risk

Has your facility been cited for any regulatory non- --Select--
compliance issues or received any warning letters in
the past three years? *
If yes, please provide details: Click to describe non-
compliance and/or warning
letter issues from the last three
years
Has your facility experienced any government driven --Select--
recoveries or recalls in the last three years? *
If yes, how many? Click to enter number from the
last three years
If yes, select class: --Select--
Has your facility experienced any customer driven --Select--
recoveries or recalls in the last three years? *
If yes, how many? Click to enter number from the
last three years
If yes, select class: --Select--
Has your facility experienced any voluntary recoveries --Select--
or recalls in the last three years? *
If yes, how many? Click to enter number from the
last three years
If yes, select class: --Select--
Has your facility failed a GFSI audit in the last three --Select--
years? *
Has your company been involved in any major, --Select--
negative stories in the media in the last three years? *
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Supplier Profile Questionnaire (SPQ)

Please add any additional comments here: Click to describe any other
relevant risk details

Electronically sign your submission


(Complete all the below fields prior to submitting this form)

By: Click to enter submitter name

Email: Click to enter submitter email address

Title: Click to enter submitter work title

Phone Click to enter submitter phone number


:

NOTE: This information is privileged, confidential and subject to change. Any reproduction
and/or distribution of this document or its contents are strictly prohibited.

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