Supplier Audit / Visit Report

• Site conducted

  Select

• Supplier Name

• Supplier Address

• Conducted on

  Date

• Auditor

• Auditee

• Summary

• Scoring Overview

  

CHAPTER 1 - MANAGEMENT

• Site checked ID upon arrival

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Full and comprehensive Health Questionnaire was completed and Site Rules reviewed

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Business Overview and any key changes at site over the past 12 months

• Review of Site Certifications (GFSI / SEDEX / GLAA) and reports ensuring all actions have been closed out

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• HACCP Overview - has this been reviewed and validated in the past 12 months and shared with BakeAway?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Traceability - set traceability exercise (mass balance within 2 hours and trace to Bakeaway within 4 hours along with production paperwork OR take a full overview of trace system and confirm site traceability still in place during tour

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

CHAPTER 2 - Site Tour

Tour Location 1

• Location Description

• Good Manufacturing Practices in Place?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Housekeeping and Hygiene sufficient in area?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Fabrication in good condition and well maintained?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Equipment in good condition and well maintained?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Good process and procedure control?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• PPE and Personnel Hygiene is correct

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Foreign Body Control

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Yes

  No

  N/A

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Document control is accurate and up to date

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

CHAPTER 3 Systems and Document Review

Food Safety and Quality Management System

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Allergen Management

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Calibrations

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Chemical Control

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Complaints

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Environmental Monitoring

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Health and Safety

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Internal Audits

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Machine Servicing (PPM)

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Pest Control

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Product Testing

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Returns Process / Control of Non Conforming Product / Hold and Release Process / Incident Management

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Supplier Approval

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Transport: Vehicle Hygiene, Segregation

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

Training

Notes

• Details / Observation

• Actions sufficient?

  Conforming

  Non-conforming

• Details / Observation

• NCR Grade

  Minor

  Major

  Critical

  Recommendation

• Department

  Select

• Category

  Select Allergen risk Bodily fluid incident Calibration CCP Failure Chemical contamination Coding Document Control Equipment Failure Fabrication Foreign bodies Internal Audits Line clearance Housekeeping Packaging Pest control Procedure Failure Process fail Quality Risk Assessment Security Shelf life Specification Supplier Approval / Management Traceability Training Vehicle issue Weight issue Waste

  • Allergen risk
  • Bodily fluid incident
  • Calibration
  • CCP Failure
  • Chemical contamination
  • Coding
  • Document Control
  • Equipment Failure
  • Fabrication
  • Foreign bodies
  • Internal Audits
  • Line clearance
  • Housekeeping
  • Packaging
  • Pest control
  • Procedure Failure
  • Process fail
  • Quality
  • Risk Assessment
  • Security
  • Shelf life
  • Specification
  • Supplier Approval / Management
  • Traceability
  • Training
  • Vehicle issue
  • Weight issue
  • Waste

• Root Cause

• Corrective Action Plan

• Preventative Action Plan

• Final audit score?

  Select Green (up to 13 minors, no majors) Amber (up to 2 majors and any number of minors) Red (any critical, 3 or more majors)

  • Green (up to 13 minors, no majors)
  • Amber (up to 2 majors and any number of minors)
  • Red (any critical, 3 or more majors)

• Person verified (PRINT & SIGN)

  Sign

• Job title

• Date

  Date