Professional Documents
Culture Documents
FS Questionnaire
FS Questionnaire
Please complete and return to _________________________________within _____ days. Write NA if not applicable.
Postal Code:
Ph #: Email: Fax #:
1.4 Company Contacts: Name: Terence S. Uygongco Ph #: 09188926629
Name: Adonis G. Tan Ph #: 09088250779
Name: Mary Anne E. Ferrer Ph #: 09178158423
Name: Remington Salaya Ph #: 09989663688
Emergency Contacts: (1) QA/Technical – Carren Jane Cell #: 09175861587
Ramos
(2) Account Manager – Shiela Cell #: 09989663687
Doromal
(3) Customer Service – Jackielyn Cell #: 09178089105
De Guzman
(4) Plant/Production – Sidney Cell #: 09190605881
Delariarte
1.5 Products to be supplied to FOODCRAFTERS INC.
Product Components Lot Code Information & Format Shelf Life
Capiz Raw Sugar Sugar Cane (juice undergoes Production date and bagging Indefinite
subsequent heating, clarification, line number but best
crystallization, and separation within 2
processes with the aid of years
processing chemicals not directly
added on it)
5.12 How often are sieves/magnets checked to make sure they are free from damage/debris?
Magnets are checked during bagging every 2 hours.
FCI-QAD-A-F34
QUALITY ASSURANCE DEPARTMENT R0/01/15/19
Food Safety Questionnaire
Marilao, Bulacan Page 4 of 9
NOTE: Process flow diagrams are extremely useful for communicating processes with customers –
please provide where available.
5.13 What quality control checks are carried out before releasing products to customers?
Quality control evaluation on polarization, color, safety factor/% moisture content, % grain size, and
absence of foreign materials
5.14 Does the Company keep retained samples for the life of the product? Yes / No
5.15 Is there a procedure for controlling non-conforming product? /
5.16 Does the Company have a comprehensive product recall procedure? Yes / No
5.17 Does the Company have a fully documented traceability system in place to support
Yes / No
product recall that covers backward and forward tracing of products?
5.18 How are finished products coded for traceability? Provide lot code interpretation.
Lot code is consisting the production date, shift number, and the bagging line used
5.19 Does the Company immediately notify customers of any specification changes to
Yes / No
products being supplied to them?
5.20 Is there a written procedure for dealing with customer complaints? Yes / No
5.21 Does the Company have its own transport vehicles for product? Yes / No
5.22 Are the transport vehicles temperature controlled Yes No /
5.23 PACKAGING
Describe the type of packaging used to pack your products:
Primary Packaging – Polypropylene bags with plastic liner
Secondary Packaging – N/A
Does the Company have specifications for packing material? Yes / No
Does all food contact packaging comply with FDA/CFIA legislation for contact with
Yes / No
food?
Please provide a copy of packaging specifications and certification, or a packaging supplier statement
confirming that the packaging meets legislation requirements.
5.38 List the minimum details which will appear on the finished product label:
Product Name, Manufacturer’s Name, Manufacturing Address, Net Weight, Halal Product Registration
Number
SECTION 6: PERSONNEL
6.1 Does the Company have an orientation program for all new staff? Yes / No
6.2 Does the Company have a written hygiene policy? Yes / No
6.3 What type of food hygiene training do employees receive? In-house? Yes / No
Foundation? Yes No Intermediate? Yes No
Advanced? Yes / No Other (specify)? Yes No
6.4 Who carries out hygiene training? - QM Representative Company staff? Yes / No
External resources? Yes No / Both Yes No
6.5 Do all employees undergo periodic refresher training? Yes / No
6.6 Are training records kept for all staff members? Yes / No
6.7 Does the Company provide protective clothing for all food handlers? Yes / No
6.8 What type of clothing is issued? Hats? Yes / No
Hair nets? Yes / No Coats/pants? Yes / No
Beard covers? Yes / No Gloves? Yes / No
Footwear? Yes / No Other? Yes No
6.9 How often are uniform changes made? Uniform provision once hired and changes every 2 years
6.10 Do you use a contractor for uniform cleaning? Yes No /
6.11 If uniform cleaning contractors are used, have their premises been audited? Yes No
6.12 Are lockers available to staff to ensure no personal possessions are taken into
Yes / No
production areas?
FCI-QAD-A-F34
QUALITY ASSURANCE DEPARTMENT R0/01/15/19
Food Safety Questionnaire
Marilao, Bulacan Page 5 of 9
We at CAPIZ SUGAR CENTRAL, INC. (company name), agree to comply at all times with all current and relevant
food hygiene and food safety legislation, and will take whatever steps may be necessary to ensure that the food supplied
by this Company is of good quality, the correct substance and nature, and completely safe for human consumption. We
will undertake to notify FOODCRAFTERS INC. of any hazard or risk to food safety pertaining to our products immediately
upon becoming aware of such an issue.
Completed by (print):
We at CAPIZ SUGAR CENTRAL, INC (company name), states that each delivery is guaranteed to be Not
adulterated or misbranded within the meaning of any state or local laws, regulations, or ordinances on adulteration and
misbranding provisions on Food Safety Act of 2013 (REPUBLIC ACT NO. 10611 of the Phils.). We ensure that the correct
substance and true nature of our products and / or ingredients of our products are declared to Foodcrafters Inc., and
completely safe for human consumption.
Completed by (print):
Product Name: Capiz Raw Sugar Source: Sugarcane Country of Origin: Philippines
Manufacturer’s Name: Capiz Sugar Central, Inc.
Manufacturer’s Address: Brgy. Poblacion, President Roxas, Capiz
Issued by: Engr. Remington B. Salaya Position Title: Operational Excellence Manager
Date Issued: July 1, 2019
1) Listed ALLERGENS and other sensitive ingredients below and its derivatives, are present in the product as
food ingredient or intentionally added to form part of the finished product:
Yes No Yes No
Peanuts Celery
Tree Nuts (COCONUTS) Mustard
Eggs and Egg Products Sesame seeds
Soy and Soya Products Sulfites
Fish and Fish Products MSG
Wheat and Wheat Products F&C Yellow Color No. 5
Milk and Milk Products Gelatin
Crustaceans Hydrolyzed Proteins
2) Listed ALLERGENS and other sensitive ingredients below and its derivatives, are present in the product
because these were used by other products that were ran within the SAME equipment.
Yes No Yes No
Peanuts Celery
Tree Nuts (COCONUTS) Mustard
Eggs and Egg Products Sesame seeds
Soy and Soya Products Sulfites
Fish and Fish Products MSG
Wheat and Wheat Products F&C Yellow Color No. 5
Milk and Milk Products Gelatin
Crustaceans Hydrolyzed Proteins
3) Listed ALLERGENS and other sensitive ingredients below and its derivatives, are present within the
processing plant or storage areas of our plant:
Yes No Yes No
Peanuts Celery
Tree Nuts Mustard
Eggs and Egg Products Sesame seeds
Soy and Soya Products Sulfites
Fish and Fish Products MSG
Wheat and Wheat Products F&C Yellow Color No. 5
Milk and Milk Products Gelatin
Crustaceans Hydrolyzed Proteins
We agree to notify FCI of any changes to the allergen status of the ingredients we supply prior to any changes.
The above information was duly verified for its correctness by: ______________________________
Sign over Printed Name
FCI-QAD-A-F34
QUALITY ASSURANCE DEPARTMENT R0/01/15/19
Food Safety Questionnaire
Marilao, Bulacan Page 9 of 9
1. Recognizing that no one set requirements can cover all materials or situations, please attach a list of any
changes to or waivers from Food Crafters Inc. requirements or specifications that you feel need to be
implemented in order for provide reliable supply’s/products to Food Crafters Inc. Please include an explanation
as to why these modifications are needed. Any changes or waivers must be approved by Food Crafters Inc. as
part of the vendor approval process.
2. Vendor has received and reviewed the Food Crafters Inc. Vendor Packet. Vendor agrees to comply with Food
Crafters Inc. requirement and specifications and any agreed upon changes or waivers.
3. All deliveries, Materials and workmanship shall be of good quality and the material(s) shall be prepared, stored,
and shipped in accordance with Good Manufacturing Practices regulations under sanitary conditions to
minimize the potential for product contamination during manufacturing, storage, and/or shipment.
4. Initial acceptance is based upon products ability to comply with requirements and specifications. Changes in
formulation or method of manufacture, which could conceivably affect ingredient characteristics, and/or
performance in Food Crafters Inc. products, must have re-approval (lot specific sample to be submitted for
approval). Requirement or specification changes or waivers become effective only after agreed to in writing by
Food Crafters Inc.
5. Food Crafters Inc. reserves the right to receive and use out of specification product without compromising
requirements or specifications. Any out of specification material may be considered in vendor quality ratings.
6. Vendor shall individually identify each material packaged delivered to Food Crafters Inc. with the following
information:
a. Material Name; Traceable Production Lot Number; Net Weight; List of Ingredients (if multiple ingredients);
Expiration Date; Product or System certification Symbols; Country of Origin; Manufacturing Facility Address.
Vendor shall provide COA specific to each lot shipped or other relevant documents; seal number on all
documents for each container delivered.
7. Vendor shall not store product under conditions whereby the material may become contaminated and/or
spoiled, to include temporary storage and/or transit in shipping containers.
Having reviewed Food Crafters Inc. vendor requirements and specifications, we agree to comply with those requirements
and specifications and any mutually agreed upon changes or waivers.