EFM Quality Food Safety Survey rev.docx
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EFM Quality Food Safety Survey rev.docx
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EFMQualityFoodSafetySurveyrev
DearCurrentorPotentialVendor:
EncoreFruitMarketing,Inc.iscommittedtoprovidingproductsthatmeetourhighqualitystandardsandthataresafeandwholesome.Wemustensurethatsupplierscomplywithgenerallyacceptedgoodmanufacturingpracticesandmeetthehighstandardsrequiredbyourcustomers.
ThefollowingVendorQualityandFoodSafetySurveyisessentialforEncoretomaintainaproactivequalityassuranceprogramandprovidethenecessaryinformationtoourcustomers.Pleasetakethetimetocompletethisformandreturnitelectronically(ifpossible).Allinformationwillbekeptstrictlyconfidential.
PleasereturncompletedsurveyandadditionaldocumentstoVirginieRisinger@Vrisinger@.ContactVirginiewithanyquestionsatph:
559-271-0401,fax:
559-271-0391
Thankyouforyourcooperation,
EncoreFruitMarketing,Inc.
*PLEASECOMPLETEASEPARATEEVALUATIONFORMFOREACHPLANTWHEREYOUPRODUCEFORENCORE.PLACECURSERINSIDEEACHBOXANDTYPEANSWERSTOCOMPLETEFORM.
Pleaseattachthefollowingdocumentstothisform:
3rdPartyauditAllergenStatementGrowerApprovalProgram
HACCPPlanGMOStatementSpecifications
KosherCertificateGMPPolicyEmergencyContactList
CompanyName:
NingxiaRubyGojiCo.,Ltd
Date:
2008.10.6
Respondent:
Wangyu
Title:
Chairmanoftheboard
FacilityAddress:
WangyuanIndustrialPark,Buildings7&8,RenHeRoadYinchuan,Ningxia,China
Ph#:
Fax#:
SalesContact:
Ph#:
Title:
Fax#:
CellPh#:
Email:
TechnicalContact:
Ph#:
Title:
Fax#:
CellPh#:
Email:
EmergencyContact:
Ph#:
Title:
Fax#:
Home#:
Email:
CellPh#:
NameofProductsandProductCodesSuppliedtoEncore:
I.RegulatoryCompliance&3rdPartyCertifications
1.Doesa3rdpartyauditserviceconductperiodicquality,foodsafetyandsecurityauditsofyourfacility?
YES
NO
NameofAuditingService(s):
Frequency:
LastResult:
Date:
2.Isyourfacilityregulatedbyagovernmentagency?
YES
NO
NameofGovernment/RegulatoryAgency:
Frequency:
LastResult:
Date:
3.IsthisfacilityKosherCertified?
YES
NO
NameofKosherOrganization:
4.IsthisfacilityOrganicCertified?
YES
NO
NameofOrganicOrganization:
II.FoodSafety&QualitySystems
1.IsthereadocumentedHACCPPrograminplace?
**PleaseattachcopyofHACCPProgram**
YES
NO
HowoftenisyourHACCPProgramreviewed?
HowoftendoyouremployeesreceiveHACCPtraining?
2.Whattypeofforeignmaterial/safetycontrolsdoyouhaveinplace?
YES
NO
TYPE/SIZEANDLOCATION
Screens/Sieves
Filters
Magnets
MetalDetectors
Aretheseforeignmaterial/safetycontrolsinspectedanddocumented?
YES
NO
Frequency:
Howoftendoyouremployeesreceiveforeignmaterial/safetycontrolstraining?
3.Describehowyouensurethesafetyofyourwatersupply:
4.Describeyourtraceabilityprogramfromrawmaterialstofinishedproductsorattach
policy.
5.IsthereadocumentedallergencontrolprograminplaceperFDAallergenregulations?
ReferenceFDAwebsite:
http:
//www.cfsan.fda.gov/~dms/wh-alrgy.html
YES
NO
IstheallergencontrolprogramupdatedregularlywithFDAregulationchanges?
YES
NO
Doesyourfacilitymanufactureproductscontainingthefollowingproducts?
Checkallthatapply.
DairyNuts&TreeNutsSoy
Shellfish/FishEggsWheat
Others:
Howoftendoyouremployeesreceiveallergencontroltraining?
6.Isthereadocumentedrecall/recoveryprograminplace?
YES
NO
Howoftenaremockrecallsconducted?
Dateoflastmockrecall:
7.Isthereanongoingpestmanagementprograminplaceforinsectandrodentcontrol?
YES
NO
Doesalicensepestcontroladvisormaintainthisprogram?
YES
NO
8.Isthereamastersanitationschedulefollowedanddocumented?
YES
NO
Arepre-operationalinspectionsconducted?
YES
NO
Isthereadesignatedsanitationcreworsetofemployees?
YES
NO
Howoftendoyoursanitationemployeesreceivetrainingonpropersanitationprocedures?
9.IsthereaGMP(GoodManufacturingPractices)Policyinplace?
YES
NO
AreinternalGMPauditsconductedregularlyforeffectiveness?
YES
NO
Howoftenaretheyconducted?
HowoftendoyouremployeesreceiveGMPtraining?
10.Areallanalyticaltestsoffinishedproductsperformedinhouse?
YES
NO
Ifnot,pleaselistnameof3rdpartylaboratoryused?
11.Areallmicrotestsoffinishedproductsperformedinhouse?
YES
NO
Ifnot,pleaselistnameof3rdpartylaboratoryused?
Isthelabaccreditedand/orcertified?
YES
NO
12.Aretheredocumentedcontrolproceduresinplacetomonitorproduction?
YES
NO
13.Isthereacalibrationprograminplaceforplantequipment,scales,laboratory
equipmentandothertestingequipment?
YES
NO
14.Doproceduresexisttoidentifyoutofspecmaterialandhowtoaddressthematerial,includingquarantine,correctiveactionanddocumentation?
YES
NO
15.Isthereacustomercomplaintprograminplace?
YES
NO
16.Doyouuseanyrawmaterialsand/orprocessingaidsthatcontainorwerederivedfromgeneticallymodifiedorganisms?
YES
NO
17.Doyouuseanyrawmaterialand/orprocessingaidsthathavebeenirradiated?
YES
NO
18.Isthereanenvironmentaltestingprograminplace?
**Ifsopleaseattachpolicy**
YES
NO
19.Arefinishedproductstestedforpesticides?
YES
NO
Howoftenispesticidetestingconducted?
Isthetestingdoneinhouseorbya3rdpartylaboratory?
Pleasename3rdpartylaboratoryifused.
ArepesticidetestresultscomparedtoEPAand/orFDAapprovedlimits?
YES
NO
20.Arefinishedproductstestedforheavymetals?
YES
NO
Howoftenisheavymetaltestingconducted?
Isthetestingdoneinhouseorbya3rdpartylaboratory?
Pleasename3rdpartylaboratoryifused.
AreheavymetaltestresultscomparedtoEPAand/orFDAapprovedlimits?
YES
NO
21.Arefinishedproductstestedforauthenticity?
YES
NO
Howoftenisauthenticitytestingconducted?
Nameof3rdpartylaboratory:
22.IsthereaPositiveReleaseSysteminplacetoassurefinishedproductmeetsallspecifications,includingpesticides,heavymetals,authenticityand/orspecificlabelingrequirementsaremetpriortoshipment?
YES
NO
23.Doesyourpackagingincludetamperevidenceseals?
YES
NO
III.Grower/SupplierComplianceRequirements
1.IsthereaGrower/SupplierApprovalPrograminplace?
YES
NO
PleasedescribeorattachyourGrower/SupplierApprovalProgram:
2.AreGrowers/Suppliersauditedand/ormonitoredbyyourfieldstaff?
YES
NO
3.AreyourGrower/Suppliersrequiredtoprovideyouwiththeirpesticideapplication
records?
YES
NO
4.DoyourGrowers/SuppliersadheretoUSDAGAPorEuroGAPstandards
(GoodAgriculturalPractices)?
YES
NO
5.AreyourGrowers/SuppliersauditedandcertifiedforGAPcompliancebya3rdpartyagency?
YES
NO
Ifso,pleasenameagency:
6.Arerawmaterialsinspectedforqualityfactorssuchasvisualdefects,mold,spoilage,color,texture(asapplicabletothefinishedproduct)?
YES
NO
7.Arerawmaterialsinspectedforforeignmaterials?
YES
NO
8.Arerawmaterialsanalyzedforheavymetalsandpesticides?
YES
NO
9.Arerawmaterialsanalyzedforheavymetalsandpesticides?
YES
NO
10.Doesyourfacilitypurchaseothersupplier’sjuices,pureesorconcentratesforblending
and/orre-processing?
YES
NO
Ifyes,pleasedescribesupplierapprovalprocessincludingtestingrequirementssuchasauthenticitytestingorattachpolicy.
IV.OrderingandPackagingInformation
1.MinimumOrderQuantity:
2.PackSize(s):
NetWeight:
GrossWeight:
3.RecommendedStorageTemperature:
4.ShelfLifeatRecommendStorageTemperature:
Respondent:
Title:
Signature:
Date:
Insigningthisquestionnaire,youareauthorizedtosignonbehalfofabovereferencedcompanyandconfirmthatallinformationprovidedistruetothebestofyourknowledge.
ForEFMuseonly:
Reviewedby:
Date:
Approvedby:
Date:
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