Title Page
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Business Name
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Conducted on
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Prepared by
- Ingredient / Raw Material
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Name of Ingredient / Raw Material
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Source is from approved supplier
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Name of Supplier
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Take or attach photo of ingredient / material
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Comments / observation upon inspection
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Food Fraud Findings (if any)
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Rate its consequence
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Document corrective actions taken (if any)
Completion
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Signature of Personnel in Charge (PIC)