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: [email protected]
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?