REC410-P: IFS Packaging Preliminary Questionnaire 1213 Bakers Way PO Box 3999 Manhattan, KS 66505-3999 AIB International – Certification Services Tel: 785-537-4750 Fax: 785-537-0106 e-mail: GFSI@aibonline.org The following information is required to enable us to schedule an evaluation audit against the IFS PACsecure Version #1. Please complete the questionnaire completely. If a box does not apply, please write N/A in the space. Company Name: Street Address: City: State: Zip/Post Code: Country: Telephone: Fax: e-mail: Website: COMPANY INFORMATION Parent Company (if relevant): Street Address: City: State: Zip/Post Code: Country: Telephone: Fax: e-mail: Website: Legal status (corporation, sole proprietor, etc.): VAT no./Tax ref. No.: Are you currently IFS certified? Yes No If yes, please list certificate expiry date and provide a copy of your certificate and report: Have you ever been IFS certified? Yes No Yes No If yes, please list certificate expiry date and provide a copy of your certificate and report: Do you have any formal accreditations/certifications (e.g. ISO 9000, ISO 22000)? If yes, list formal accreditations/certifications (e.g. BRC, SQF, ISO 9000, ISO 22000) including scope and expiry dates: Details of Company Membership in Trade Bodies, Research Organisations, etc.: EU/USA/Other license No. or Health Mark: REC410-P: IFS Packaging Preliminary Questionnaire CONTACT DETAILS Upon certification AIBI-CS will upload the audit report to the IFS Audit Portal. Primary Contact: Secondary Contact: Job Title: Job Title: Street Address: Street Address: City: City: State: State: Zip/Post Code: Zip/Post Code: Country: Country: Direct phone: Direct phone: Mobile/cell: Mobile/cell: e-mail: e-mail: Please indicate if you would like to receive a copy of the report: (Please note that all copies of the report will be sent by e-mail) Primary: Yes No Secondary: Please indicate if you would like to receive the final report in English If No, what language is preferred for the final report? Invoice Contact: Job Title: Street Address: City: Zip/Post Code: Direct phone: e-mail: Receive a copy of the report: Yes Yes No No State: Country: Mobile/cell: Yes No (Please note that all copies of the report will be sent by e-mail) AUDIT REQUEST Please indicate the type of audit you are Please specify preferred time frame for option(s) interested in: selected: (please note that the certification audit should ideally be (more than one may be selected) scheduled no earlier than three months after the preassessment) Pre-assessment: Pre-assessment: Certification Audit: Certification Audit Renewal Audit (Recertification Audit): (applicable Renewal Audit: if already certified with another Certification Body) REC410-P: IFS Packaging Preliminary Questionnaire Are there Multiple sites that require certification? Yes No If yes, please complete an application (REC 410-P) for each site If an approved subcontractor needs to be used for the Yes evaluation, is this acceptable? I understand that by joining the IFS scheme there may Yes be times when the auditor will need to be accompanied by other personnel for training, assessment or calibration purposes. No No CUSTOMERS List main retailers/customers: In what countries do you sell your product? Are you a supplier to McDonalds? If yes, do you require the McDonalds addendum to be completed in addition to the IFS audit (i.e. SQMS Audit)? Number of employees: Yes No Yes No FACILITY DETAILS Total: In Production: Work/Shift Pattern: Factory Size Production: Warehousing: Location (rural, urban, etc.): Number of processing lines: Number of packing lines: Number of HACCP plans: Details of any major changes or capital spending/investment in the last few years: Details of the warehousing and distribution system in place (e.g. on/off site warehouse. Warehouse and distribution vehicles company owned or contracted): SCOPE DETAILS The following information will be used to determine the scope of your certification. REC410-P: IFS Packaging Preliminary Questionnaire Scope should include the processes, products and intended user. Processes to be included in certification: Products to be included in certification: Products manufactured but excluded from the scope of the audit: Packing to be included in certification: End use to be included in certification: (e.g. retail sale, food service, bulk ingredient) Cat. No. 1 2 3 4 5 6 PRODUCT SCOPES Please mark the category(ies) that best describes your site. Refer to Annex 3 of the IFS PACsecure standard for additional guidance. If you have any questions regarding categories, please contact AIBI-CS. Packaging Description This applies to my site Flexible packaging Rigid plastic Paper Metal Glass Other natural materials (wood, clay, cork, jute, textiles, banana leaves, etc.) Please check to confirm you have read PR.3: Overview of the AIBI-CS Certification Scheme: Please check to confirm you have read PR.4: Rules for Certification: Please check to confirm you a have copy of the IFS PACsecure standard: Version #1: Please check to confirm that you have included a copy of your previous certificate, if applicable (N/A may be entered if not applicable): If any of the above are not checked, please read or obtain a copy. All audits conducted after January 1, 2013 will be audited against Version 1 of the Standard. It is essential that you have obtained a copy of the standard and have reviewed each of the clauses to make sure programs and documents required by the standard are in place and operational before the evaluation. REC410-P: IFS Packaging Preliminary Questionnaire Please complete Appendix A below Signed by: (Signatory is authorized by the company/firm to sign this application and ensure that products conform to requirements) Print name: Job Title: Company: Date: Upon receipt of this completed questionnaire AIBI-CS will calculate expected audit duration and confirm the scope applied for. Our auditors will then be notified of your request and will begin looking for available dates to offer. Our office will contact you as soon as dates are available. AIBI-CS Review Date: Name of reviewer: Signature: By signature, the Reviewer is approving the audit can be conducted and a Business Proposal (REC.415/432) can be sent to the Client for approval. REC410-P: IFS Packaging Preliminary Questionnaire Appendix A Company Profile History and Ownership: Age of Company: Years on Present Site: Number of sites (sister companies & subsidiaries): Plant information (location, purpose built, security): Product Types: Raw Materials: REC410-P: IFS Packaging Preliminary Questionnaire Exclusions Addendum and Form: All materials under the audit scope must be manufactured at the site. If you intend to exclude product or lines, please answer the following: Are there specific lines of the facility you wish to exclude?
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