FOOD CERTIFICATION QUESTIONNAIRE

COMPANY OR ORGANISATION TO BE AUDITED

Company Name: CYNARA PERU SAC

Address:

LIMA
City CAÑETE/IMPERIAL
Region/State
Postcode: Country: PERU
Contact Name:
Erika Alcala Godoy Contact Position: Responsible de Calidad
(PCQI name – FSMA only)
Contact E-mail Address: erika@cynara.net Website: www.cynara.net
Is this site part of a
Tel No. 2848650
group?
Date the certification is Please specify the group
10/08/2020
required by? name

COMPANY TO BE INVOICED (if same as above please leave blank)

Company Name: CYNARA PERU SAC
Address:

Lima
City
Cañete/Imperial
Region/State
Postcode: Country: Lima
Contact Name: Erika Alcala Godoy Contact Position: Responsable de Calidad
Contact E-mail Address: erika@cynara.net Tel No. 989795098

STANDARD & AUDIT TYPE REQUESTED

(please complete pages 1& 2 and any additional section requested below)
☐ BRCGS Food Issue 8
(please complete section A)
☐ FSSC 22000
☒ IFS Food
(please complete section B)
☐ Initial or first time for
certification
☐ BRCGS START!
(please complete section A)
☐ ISO22000:2018
☐ IFS Logistics
(please complete section B)
☐ Renewal of existing
certification
☐ BRCGS GFCP Issue 3
(please complete section A)
☐ FSMA FSVP
(please complete section C)
☐ IFS Broker
(please complete section B)
☐ Extension to scope of
existing certification
☐
☐ FSMA VQIP
(please complete section C)
☐ IFS Wholesale/C&C
(please complete section B)
☐ Do you want the audits
selected above combined?

REMOTE AUDITING
☐ Would you like to be assessed about the suitability for your audit to be conducted remotely?
(a separate form will need to be completed)

Document: GF 0101 Issue n°: 7 Page n°: 1 of 7

FOOD CERTIFICATION QUESTIONNAIRE

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 NSF 21818 09/09/2020
FSSC
ISO2200
0
Other

SCOPE
What is the proposed scope of certification? The blanching, preparation, acidification, marinating,
(detail product/s manufactured and key processes, packaging e.g.
grilling and packing in jars and cans and pasteurising of
Processing of sliced pre-packed chilled pineapple and pineapple in
cans.)
artichokes.
Exclusions – detail any product lines/operations or product Product development / Product modification /
groups to be excluded from certification Modification of production processes
CYNARA PERU SAC not engaged in product
Justification for exclusion
development
Detail any operations included in the scope that are performed
on another site? No
What is the distance from this site?
Is any part of the process and/or product sub-contracted(out-
No
sourced)? If Yes, please detail what.
If warehousing is off site and managed by the same team as
No
the main site detail size of site and distance 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 and canned strawberry juice. (3 product types)
PRODUCT TYPE

PRODUCT FAMILY

Artichoke in brine
Artichoke Marinated
Artichoke Grilled
Number of HACCP Plans/studies 1
Plant size (metres square including storage on site) 1 hectare
Headcount (total employees including temporary workers) 250
Are any products mentioned
Please provide the number in the scope produced
2 No
of shifts outside of normal working
hours (day shift)?
Number of production FTE
Number of production lines 3
on main shift
Is the process fully automated? No
Was a consultant used in the development of the
Management System? If yes, please provide the name of No
the consultant used.

Document: GF 0101 Issue n°: 7 Page n°: 2 of 7

FOOD CERTIFICATION QUESTIONNAIRE

Section A (BRC Global Standards - BRCGS)

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.

BRCGS AUDIT OPTIONS

There will be a follow-up questionnaire if you require an unannounced audit.
☐ Announced ☐ Full Unannounced

PRODUCTION RISK ZONES

Does the site contain any of the following production risk zones?
☐ High Care ☐ High Risk ☐ Ambient High Care

BRCGS ADDITIONAL VOLUNTARY MODULES/ADDENDUM AUDITS

Please detail any modules required, refer to BRC Global Standards Website

BRCGS START! AUDIT OPTIONS

Please confirm the level of assessment required
☐ Basic ☐ Intermediate

BRCGS Gluten Free Certification Programme (GFCP) Issue 3

Please confirm the following information has been approved by BRC GS and documents provided to SGS
Schedule A has been submitted and approved by
BRC GS

Signature:
Date:

Document: GF 0101 Issue n°: 7 Page n°: 3 of 7

FOOD CERTIFICATION QUESTIONNAIRE

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, IFS Logistics, IFS Broker, IFS Wholesale/C&C

Audit language Spanish
Language of quality manual /
Yes
documents
Combined with: (tick the additional
standard to be combined with the one ☐ IFS Logistics ☐ IFS Broker
indicated on the first page)
Does your company manufacture
any products under retail brands?
☐ Unannounced Option 1 ☐ Unannounced Option 2
☒ Announced
(unannounced options are not applicable for IFS Wholesale/C&C)
There will be an additional registration form if you require an unannounced audit.

Food Product Scope(s) for IFS Food, IFS Logistics, IFS Broker, IFS Wholesale/C&C
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

Non-Food Product Scope(s) for IFS Logistics, IFS Broker, IFS Wholesale/C&C
Household and personal Other non-food products
☐ ☐ Packaging materials ☐
care products (applicable for IFS Logistics only)
If your company deals with such non-food products but does not want them certified,
please indicate theseproducts as ‘Exclusion’ on the 2nd page of this questionnaire

Logistic services for IFS Logistics

☐ Storage – ambient ☐ Transport – ambient
☐ Storage – temperature controlled ☐ Transport – temperature controlled
☐ Cross-docking

Modules for IFS Wholeale/C&C

☐ Wholesale Classic – no treatment / processing (e.g. labelling, sorting, washing, packaging, etc.)
☐ Cash & Carry Classic – no treatment / processing (e.g. labelling, cutting, packaging, etc.)
☐ Wholesale Plus – with treatment / processing (e.g. labelling, sorting, washing, packaging, etc)
☐ Cash & Carry Plus – with treatment / processing (e.g. labelling, cutting, packaging, etc.)
Please tick which most applicable to your company’s activity

Document: GF 0101 Issue n°: 7 Page n°: 4 of 7

FOOD CERTIFICATION QUESTIONNAIRE

Technology Scope(s) for IFS Food, IFS Wholesale Plus, IFS C&C Plus
IFS tech IFS processing step – including
scope processing/treating/manipulation/ storing
A ☐ P1 Sterilisation (e.g. cans)
Thermal pasteurisation, UHT/aseptic filling; hot filling;
B ☒ P2 Other pasteurisation techniques e.g. high pressure
pasteurisation, microwave
☐ P3 Irradiation of food
Preserving: Salting, marinating, sugaring,
☐ P4 acidifying/pickling, curing, smoking, etc.
C Fermentation/acidification
Evaporation/dehydration, vacuum filtration, freeze
☐ P5
drying, microfiltration (less than 10ì mesh size)
Freezing (at least -18°C) including storage Quick
☐ P6 freezing, Cooling, chilling processes and respective
D cool storing
☐ P7 Antimicrobial dipping/spraying, fumigation
☐ P8 Packing MAP, Packing under vacuum
Processes to prevent product contamination esp.
microbiological contamination, by means of high
hygiene control and/or specific infrastructure during
handling, treatment and/or processing e.g. clean
☐ P9
room technology, „white room“, (controlled working
E
room temperature for food safety purpose,
disinfection after cleaning, positive air pressure
systems (like filtration below 10 μ).
Specific separation techniques: e.g. filtration like
☐ P10
reverse osmoses, use of active charcoal
Cooking, baking, bottling, filling of viscous products,
☐ P11 brewing, fermentation (e.g. wine), drying, frying,
roasting, extrusion, churning
Coating, breading, battering, cutting, slicing, dicing,
dismembering, mixing/blending, stuffing,
F
☐ P12 slaughtering, sorting, manipulation, packaging,
storing under controlled conditions (atmosphere)
except temperature
Distillation, purification, steaming, damping,
☐ P13
hydrogenating, milling
Technology oriented classification which
takes also into consideration product risks
Sterilisation (in final packaging) with the
purpose to destroy pathogens
Sterilised (e.g. autoclaved) products in final
packaging.
Pasteurisation / other heat treatment or other
technology applied with the purpose to reduce
food safety hazards (and UHT process)
Processed products: Treatment with purpose to
modify product and/or extend the shelf life
and/or reduce food safety hazards by
preservation techniques and other processing
techniques Note -exception: Irradiation is
attributed to this category although aimed at
the destruction of microorganisms.
Systems, treatments to maintain product
integrity and or safety: Treatment with purpose
to maintain the quality and/or integrity of the
products including treatments to remove
contamination and/or prevent contamination
Systems, treatments to prevent product
contamination Processes to prevent product
contamination especially microbiological
contamination, by means of high hygiene
control and/or specific infrastructure during
handling, treatment and/or processing and or
packaging (e.g. MAP)
Not limited to the examples given, also
techniques like centrifugation in oil
manufacturing etc. need to be considered
Any other manipulation, treatment, processing
not being listed in A,B,C,D,E

Signature:

Date:

Document: GF 0101 Issue n°: 7 Page n°: 5 of 7

FOOD CERTIFICATION QUESTIONNAIRE

Section C (FSMA)

Which FSMA scope applies to the facility?

FSMA Human Food
FSMA Seafood
FSMA Juices
FSMA Dietary supplements
FSMA Other:
What type of Audit/Certification is requested?
FSMA VQIP Consultative audit
FSMA VQIP Regulatory audit
FSMA FSVP Certification
Gap assessment
Other:
Products covered by the audit/certification Scope:
(Also attach a list of ingredients for each product)

FDA product code(s): (https://www.accessdata.fda.gov/scripts/ora/pcb/index.cfm?action=main.pcb)

What are the US FDA regulations that apply to the product(s)?

(Applicable regulations will be verified prior to onsite audit)

Is the facility Registered with FDA? Yes No

Within the past 2 years, has the facility issued a food safety recall? Yes No
Does the facility have any pending/recent FDA compliance actions? Yes No
Is this a supplier audit required by a US importer? Yes No
If yes, please specify US importer name (if available):      
Is the facility a Low Acid Canned Food facility? Yes No
Does the facility manufacture or process seafood products for sale to the US? Yes No
Does the facility manufacture or process juice for sale to the US? Yes No
Does the facility manufacture dietary supplements for sale in the US? Yes 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? Yes No
 Does any of the following apply to the product(s) listed in the certification scope?
o Categorized as GRAS? Yes No
o A petition for approval has been submitted? Yes No
o Subject to prior sanctions? Yes No
o On the banned substances list? Yes No

All Standards – Please provide any further relevant information

Document: GF 0101 Issue n°: 7 Page n°: 6 of 7

FOOD CERTIFICATION QUESTIONNAIRE

Document: GF 0101 Issue n°: 7 Page n°: 7 of 7