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City: BOGOTÁ
Region/State:CUNDINAMARCA
Postcode: 110821 Country: COLOMBIA
Contact Name: MANUEL ERNESTO
Contact Position: GERENTE GENERAL
(PCQI name – FSMA only) MONTOYA HENAO
Contact E-mail Address: Chorillano2122@yahoo.com
Tel No. 6952553 Website:
Is this site part of a group? NO Please specify the group name
COMPANY TO BE INVOICED
(if same as above please leave blank)
Company Name:
Address:
City:
Region/State:
Postcode: Country:
Contact Name: Contact Position:
Contact E-mail Address:
Tel No.
STANDARD REQUIRED
☐ BRCGS Food Issue 8 ☐ BRCGS START! ☐ BRCGS GFCP Issue 3 ☐ FSSC 22000
(please complete section A) (please complete section A) (please complete section A)
☐ ISO22000:2005 ☒ ISO22000:2018 ☐ FSMA FSVP ☐ FSMA VQIP
(Until 31 December 2019) (please complete section C) (please complete section C)
☐ IFS Food ☐ IFS Logistics ☐ IFS Broker ☐ IFS C&C/Wholesale
(please complete section B) (please complete section B) (please complete section B) (please complete section B)
☐ Initial/First Certification
☐ Renewal of existing
☐ Extension to scope of existing certification
certification
☐ Do you want the audits selected above combined? Date the certification is
required by?
CURRENT CERTIFICATION
(Please indicate any third-party certification you already have. Please provide a copy of latest certificate and report)
CERTIFICATION BODY SCHEME ID#
SCHEME EXPIRY DATE
(e.g. SGS) (e.g. BRC Site code/IFS COID)
BRC
IFS
FSSC
ISO2200
0
Other
SCOPE
Aplicable a las líneas de proceso de los productos
What is the proposed scope of certification? cárnicos; embuttidos (chorizos, salchichas,
(detail product/s manufactured and key processes, packaging jamones) Tumbleados (tocinetas, costillas y pollo
e.g. Processing of sliced pre-packed chilled pineapple and desmechado), hamburguesas, topping de carnes
pineapple in cans.) procesadas de la empresa Comercializadora JMGS
SAS.
Exclusions – detail any product lines/operations to be
Ninguna
excluded from certification
Justification for exclusion No aplica
Detail any operations included in the scope that are Almacenamiento
performed on another site? Procesados de topping de carnes
What is the distance from this site? 100 metros
Is any part of the process and/or product sub-
No
contracted(out-sourced)? If Yes, please detail what.
If warehousing is off site and managed by the same
team as the main site detail size of site and distance No
from the main site
COMPANY DETAILS
(please complete fully this section as it determines the audit time)
Please list below each product family(ies) and product types (A product family sharing common process or
technology)
Exp. of product family: production of canned fruit juices and frozen fruit juices (2 product families)
Exp. of product types: canned mango juice, canned pineapple juice, canned guava juice and canned strawberry juice. (4
product types)
PRODUCT FAMILY
PRODUCT TYPE
Topping carnes
Embutidos Tumbleados Hamburguesas
procesadas
Chorizos Pollo Tocineta Res
Salchichas Res Costillas Cerdo
Jamones Cerdo Pollo desmechado Pollo
Multi-sites and Head Office functions can be audited – however please make it clear on this form so we can
give specific advice
NB - Traded Goods is now incorporated into the Issue 8 standard but is still voluntary.
Section B (IFS)
Multi-location and Head Office functions can be audited – however please make it clear on this form so we
can give specific advice
IFS Food
Audit language Español
Language of quality manual /
Español
documents
To be combined with other IFS
☐ IFS Broker ☐ IFS Logistics
standards?
Does your company manufacture
Si
any products under retail brands?
☒ Announced ☐ Unannounced Option 1 ☐ Unannounced Option 2
There will be an additional registration form if you require an unannounced audit.
Product Scope(s)
Red and white meat, Fish and fish
1☒ 2☐ 3☐ Egg and egg products
poultry and meat products products
Grain products, cereals, industrial
Fruits and
4☐ Dairy products 5☐ 6☐ bakery and pastry, confectionary,
vegetables
snacks
7☐ Combined products 8☐ Beverages 9☐ Oils and fats
Dry goods, food additives
10 ☐ 11 ☐ Pet food
and supplements
For Logistics
☒ Storage ☐ Transport ☒ Cross Docking
Technology Scope(s)
Technology oriented classification
IFS tech IFS processing step – including
which takes also into consideration
scope processing/treating/manipulation/ storing
product risks
Sterilisation (in final packaging) with the
purpose to destroy pathogens
A ☐ P1 Sterilisation (e.g. cans)
Sterilised (e.g. autoclaved) products in
final packaging.
Thermal pasteurisation, UHT/aseptic filling; Pasteurisation / other heat treatment or
hot filling; Other pasteurisation techniques other technology applied with the purpose
B ☐ P2
e.g. high pressure pasteurisation, to reduce food safety hazards (and UHT
microwave process)
☐ P3 Irradiation of food Processed products: Treatment with
Preserving: Salting, marinating, sugaring, purpose to modify product and/or extend
☐ P4 acidifying/pickling, curing, smoking, etc. the shelf life and/or reduce food safety
Fermentation/acidification hazards by preservation techniques and
C
other processing techniques Note
Evaporation/dehydration, vacuum filtration,
-exception: Irradiation is attributed to this
☐ P5 freeze drying, microfiltration (less than 10ì
category although aimed at the destruction
mesh size)
of microorganisms.
D ☐ P6 Freezing (at least -18°C) including storage Systems, treatments to maintain product
Quick freezing, Cooling, chilling processes integrity and or safety: Treatment with
and respective cool storing purpose to maintain the quality and/or
Section C (FSMA)
17 M A N 99
Within the past 2 years, has the facility issued a food safety recall? Yes X No
Does the facility have any pending/recent FDA compliance actions? Yes X No
Is this a supplier audit required by a US importer? Yes X No
If yes, please specify US importer name (if available):
Is the facility a Low Acid Canned Food facility? Yes X No
Does the facility manufacture or process seafood products for sale to the US? Yes X No
Does the facility manufacture or process juice for sale to the US? Yes X No
Does the facility manufacture dietary supplements for sale in the US? Yes X No
Please provide the following information. To be verified prior to onsite audit:
Does the certification applicant confirm all ingredients/raw materials are approved or allowed for
use in the US? X Yes No
Does any of the following apply to the product(s) listed in the certification scope?
o Categorized as GRAS?X Yes No
o A petition for approval has been submitted? Yes X No
o Subject to prior sanctions? Yes X No
o On the banned substances list? Yes X No