Supplier Self Audit Questionnaire Traceability Form Rev 00 12.03.2021
Supplier Self Audit Questionnaire Traceability Form Rev 00 12.03.2021
This questionnaire to be filled by manufacturer only, all questions to be attended, marked as Yes/No/NA and filled with description remarks OR with document numbers
and respective score data applicable. Wherever NA justification needed and the score counter. Report shall be signed and Sealed by authroised person and pdf document
shall be circulated. Based on which system will be verified during onsite audit. attachments shall be submitted wherever its asked for.
Does the company hold any quality or food safety certificate(BRC, FSSC,
ISO 22k, etc?.If so, attach valid copy of the certificates
1.2 Yes 3
1.3 Are the above audit Corrective actions implemented effectively? Yes 3
Is there a pre-requisite program established? If so please list all items
1.4 in the program Yes 3
How often effectiveness of PRP's monitored and reviewed? And is it
1.5 adequate enough for effectiness. Yes 3
Does the company have a multidisciplinary HACCP team including a
team leader to define and review the HACCP Plan? Are all the team
leaders formally trained?
1.6 Yes 3
Does the company have a written program for reviewing the HACCP
plan? (atleast annually or reverification whenever there have been
changes in processes,product or ingredient
1.7 Yes 3
Do food handlers have specific food safety training and trained in CCP’s?
1.9 Yes 3
1.10 How often is the HACCP / FSMS/ Halal certification reviewed? Yes Anually 3
Is the facility HALAL Certiified? .If so attach a copy of the HALAL
Certificate . Does food handlers are trained on halal assurance
practices?
1.11 Yes Copy attached 3
Is the HALAL assurance programme in place? Is R&D is part of halal
1.12 assurance system? Yes 3
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Are there adequate, appropriate available food safety and quality
specifications for all products,as per customer requirement and
legislation, continually reviewed?
1.13 Yes 3
Is the Hazard analysis conducted logically, adequately, considered all
possible sections of hazards and sources to arrive at CCP, OPRP or PRP
to mitigate the risk?
1.14 Yes 3
Whether risk assesment done for all food hazards, food fraud, food
defense and documented? How often the risk assessments are
reviewed?
1.15 Yes Anually 3
Total Marks 15 45
Total Applicable 15 45
Total Scored Marks 45
Is the risk asessment for RM's for Pesticide, heavy metals, Mycotoxins,
illegal dyes completed?, adequate enough for food safety, risk assessed
schedule and compliance reports available? Submit test report copy
2.13 3
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Is Microbiological testing completed inhouse or externally by an
accredited laboratory? Or inhouse lab with proficiency testing ? Does the
company have established control measures for the plant that test
pathogens?
3.3 3
4.4 3
Whether food additives, processing aids used are Halal compliant? If No,
4.5 what is the method of Handling the same? 3
Is Alcohol used in the facility, or the production process? If Yes, kindly
4.6 provide the alcoholic level limitation in the product? 3
Whether the materials free from Human blood, Carrion and parts of the
4.7 human body? 3
How often are the glass and brittle plastics audited? Found effective?
5.3 3
Total Marks 3 9
Total Applicable 3 9
Total Scored Marks 9
Are all food handling staff trained on basic GMP & Personal Hygiene
Practices, Food Safety, HACCP, Site security and other relevant SOP's
at a predetermined risk based frequency
6.2 3
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Are there records of personnel training available and how the
6.6 effectiveness of trainings are reviewed? 3
Total Marks 6 18
Total Applicable 6 18
Total Scored Marks 18
Whether the cleaning and sanitation chemicals are approved for use in
food facilty , adequately labelled, properly stored and MSDS maintained?
8.4 3
Is waste stored off site away from production areas & removed on a
regular basis, Cleaning chemicals are approved and maintained to
prevent chemical contamination?
8.5 3
Total Marks 5 15
Total Applicable 5 15
Total Scored Marks 15
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Is eating, drinking and smoking only permitted in designated areas on
9.8 site? 3
9.9 Do you have a jewellery policy and what does this allow? 3
9.10 Is there PPE policy available? And effective? 3
Are there any windows / doors in the production areas which open directly
10.6 to the outside? 3
10.7 Is adequate ventilation provided to work areas? 3
10.8 Is lighting level adequate for all work activities? Is It monitored? 3
Are all the products supplied to us manufactured at this site? (If no
10.9 please give details of all of the manufacturing sites) 3
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Does the company have a documented program for a traceability which
includes one backward and forward traceability for all food products,
primary packaging,semi processed product, rework, processing aid and
non conforming produc and mass balanced?
12.1 3
12.2 Is there a documented Product Recall/ Withdrawal Policy? 3
12.3 Does this include emergency contact information? 3
12.4 Can this successfully be completed in two hour time frame? 3
13 FOOD FRAUD, FOOD DEFENSE & FOOD SAFETY CULTURE YES/NO/NA COMMENTS SCORE
Does the company have a documented procedure for food defense and
13.1 food fraud prevention? 3
Total Marks 8 24
Total Applicable 8 24
Total Scored Marks 24
Does the company have a segregated area for rejected raw materials?
14.7 3
Is any part of the manufacturing process contracted out or undertaken at
14.8 a different site? 3
14.9 Are current copies of specifications maintained? 3
Total Marks 9 27
Total Applicable 9 27
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Total Scored Marks 27
Do you have internal audit system with well trained, competent team, with
risk assessed schedule to improve food safety, quality, legality?
17.1 3
Does the summary of audit findings available, trended? Is the
management review conducted frequently to drive continuous
improvement in food safety, quality, customer satisfaction?
17.2 3
Are Internal Audits non conformities effectively implemented within a
timely manner?Records maintaned? Is the audit schedule is risk
assessed to drive continuous improvement?
17.3 3
Total Marks 3 9
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Total Applicable 3 9
Total Scored Marks 9
Authorised By (from Supplier Side) Signature and Date Authorised By (from Griffith Side) Signature and Date
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