Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
PRODUCT INFORMATION
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Product name
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Batch Code
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Production Date
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Use by/ best before date
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Quantities produced
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Quantities requested by the customer/ restaurants
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Dispatched Date
CUSTOMER INFORMATION
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Name of customer or Restaurant
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Address of customer or Restaurant
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Number of cases or quantity affected
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Quantities accepted by customer/restaurant
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Quantities returned
REASON FOR RETURN
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Date return/withdraw/ recall was initiated
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Reason for Return
- Damaged
- Expired
- Quality Issue
- Labeling Issue
- Foreign Body
- Packaging Issue
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Please include a brief explanation of the issue or reason for return
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Condition of the returned product
QUALITY ASSURANCE/QUALITY CONTROL
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Date and time when the product was returned
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Delivery Temperature
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Product Quality
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Return/ Withdraw/ Recall necessary?
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lndicate what action was taken after the return?
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Recommendation and Follow Up Actions if required
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Name
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Signature