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SafetyCulture
Information
Document No.
Audit Title
Auditor
Audit Site
Auditee
Conducted on 22
Location 9
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Auditor signature required upon completion go
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Internal Auditing Procedure
Internal Inspection and Auditing Procedure
Who are the person(s) responsible for FSMS
Yes
No
N/A
e.g. Food Safety Team Leader
Who is the Approval Authority for FSMS
Cves
Tino
Ona
e.g. COO
Where is information located
Yes
No
N/A
e.g. FMS information is kept in a centralized location on the operations master server
What is the revision timing / frequency
Yes
No
N/A
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e.g. revision occurs annually or if there is a change to management, a system failure,
process change or revision in related scientific or regulatory information
What is the goal of the audit
Yes No N/A
e.g. The goal is to ensure that FSMS is working correctly and efficiently. To identify and
correct faults that may injure customer or stakeholders to the business, to verify that
training and resource is adequate and implemented effectively
Define the Scope of the FSMS
Yes No N/A
e.g. The audit and inspection is relevant to all food handling operations starting from
receiving to sale of goods. The audit may be upgraded to include suppliers of food,
chemicals, services or equipment that may impact on the safety of food
Describe the content of the FSMS
Yes No N/A
e.g. The audit program and audit plan form part of the audit procedure
What is the training requirement / criteria / frequency for FMS
Yes No N/A
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Internal Auditors and Inspectors shall be trained in food safety customer requirements
either by education or through practical hands on experience. As a minimum Internal
Auditors should be HACCP trained
Inspection and Audit Program
Describe the Audit
Yes No N/A
e.g. The audit is a quantitative measure of the standards being followed based on a
scoring system defined in this handbook. A report is emailed to senior management and
relevant managers listing corrective actions and target dates for accomplishment.
Photographs can be included in the report as supporting evidence. review of completed
corrective actions form part of the audit criteria. Full criteria is based on the clauses of
international standard ISO 22000:2005 (4: Food Safety Management System, 5:
Management Responsibility,
: Resource Management, 7: Planning & Realization of Safe
Products, 8: Validation, verification and improvement of the food safety management
system). The results of the audit are used as a verification tool for the food safety
training plan.
Inspection and Audit Plan
Auditor contact details
Yes No N/A
Auditee contact details
Yes No N/A
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Define the scope of the audit
Yes No N/A
e.g. Fresh food handling areas including receiving, storage & warehousing, processing
(Bakery / Delicatessen / Rotisserie), sale of ready-to-eat and ready-to-cook foods.
Operation teams are advised in advance when the audit will be conducted and the
scope of what will be checked and who will be required.
Define the scheduled frequency and duration of the audit, include desk audit, site audit
and delivery of final report
Yes No N/A
e.g. Audits are carried out bi-annualy, at six month intervals, and involves an announced
audit based on defined criteria, The audit may take 3 full working days: 1 day to
complete a site audit, 1 day to complete a desk audit and 1 day to complete the report.
The final report shall be issued by email within 5 working days of day 3 being
completed, NB: If changes to the audit date is needed this shall be advised to relevant
parties by email.
Date for receipt of desk audit documentation and time frame for document review
Yes No N/A
e.g. Documents shall be reviewed on site as part of the 1 day desk audit, It shall be
carried out for each relevant section. Any records can be removed from the section for
review. It should be agreed a return date no longer than 3 days.
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Define the preliminary agenda for the site audit
Yes
No
N/A
e.g. The preliminary agenda for the site audit will be issued 5 working days prior to the
audit inspection.
Proposed date for completion
Yes
No
N/A
e.g. Proposed follow up dates will be agreed on the last day of the audit and included in
the report
Outcome of the audit or inspection
Yes
No
N/A
e.g. Non-Conformance Corrective Actions or Corrections are raised verbally or formally
by email report
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4.0 Food Safety Management System (Desk Audit)
4.1 General Requirements
Is there an established FSMS
Yes No N/A
does the scope specify the products or product categories, processes and production
lines
Yes No N/A
Is there a system to identify food safety hazards
Yes No N/A
Are the means to communicate (internally & externally) pertaining to food safety
effective
Yes No N/A
B
Is the FSMS periodically reviewed
Yes No N/A
Have any outsourced processes been identified within the documented FSMS
Yes No N/A
4.2.1Documentation
Is the policy (5.2) documented
Yes No N/A
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Do objectives support
80 22000:2005 Compliance Audit - SafelyCulure
the policy
Yes No
N/A
Has the organization identified the ISO 22000:2005 minimum requirement documents
Yes No
N/A
Has the organization established documented, implemented and maintained other
procedures to ensure development, implementation and updating of the FSMS
Yes No
N/A
4.2.2 Control of Documents
Is there a documented procedure for control of documents
Yes No N/A
Approved prior to use
Yes No N/A
Review, update and re-approve
Yes No N/A
Changes are effectivel
ly identified and documented
Yes No N/A
Availability at point of use
Yes No N/A
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Legibility and readability
Yes No N/A
Control over external documents
Yes No N/A
Prevent the inadvertent use of obsolete documents and identification of obsolete
documents
Yes No N/A
4.2.3 Control of Records
Is there are document procedure for control of records
Yes No N/A
Identification
Yes No N/A
Storage
Yes No N/A
Protection
Yes No N/A
Retrieval
Yes No N/A
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Retention time and disposition of records
Yes
No
N/A
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5.0 Management Responsibility
5.1Management Commitment
Is the commitment of top management evident to the Auditor
Yes No N/A
Have top management established business objectives to support food safety
Yes No N/A
5.2 Food Safety Policy
Is the policy documented and is there a method of communication
Yes No N/A
Is it appropriate to the role of the organization in the food chain
Yes No N/A
Does it refer to both statutory and regulatory requirements and with customer food
safety requirements
Yes No N/A
Does it communicate effectively to staff and any on-site suppliers or contractors
Yes No N/A
Is there evidence of reviews
Yes No N/A
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is it supported by measurable objectives (list the objectives, measures and current
status)
Yes No N/A
5.3 Food Safety Management System Planning
Is there documented evidence that the FSMS is planned implemented, monitored and
maintained
Yes No N/A
5.4 Responsibility & Authority
Are responsibilities and authorities clearly defined and documented
Yes No N/A
5.5 Food Safety Team Leader
Has top management designated a food safety leader (name)
Yes No N/A
5.6 Communication
Are methods of communication evident and clear
Yes No N/A
x
low are top management communicating effectively, what tools or methods do they
use
Yes No N/A
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5.6.1 External Communication
Verify how communication takes place between suppliers and contractors on issues
regarding food safety
Yes No N/A
Communicati
ion with statutory and regulatory bodies
Yes No N/A
Are food safety requirements from statutory and regulatory authorities available
Yes No N/A
5.6.2 Internal Communication
Verify how communication takes place within the organisation on issues regarding food
safety
Yes No N/A
5.7 Emergency Preparedness & Response
Is there a documented procedure / process for planning and responding to emergency
situations and accidents
Yes No N/A
Has there been any need to use this process
Yes No N/A
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5.8 Management Review
Has management reviewed the FSMS
Yes No N/A
Are reviews carried out at planned intervals
Yes No N/A
Do reviews focus on the organisations policy objectives and improvements
Yes No N/A
Does it include the outcome if the other reviews
Yes No N/A
Does it include analysis from verification results
Yes No N/A
Changes affecting the FSMS
Yes No N/A
Results of corrective actions, emergencies, accidents, recalls and other similar
Yes No N/A
Review of results from system up-dates
Yes No N/A
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Evaluation of communications whether consumer, customer, regulatory bodies
Yes No N/A
Evaluation on the results of internal and external audits, inspections relating to products
and processes
Yes No N/A
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6.0 Resource Management
6.1Provision of Resource
Selection and training criteria documented for food safety team members
Yes No N/A
Where applicable criteria for selection and use of external experts, defined roles and
responsibilities
Yes No N/A
There is a process for identifying necessary competencies for personnel who impact
food safety
Yes No N/A
6.2 Human Resource
What training has been provided and / or competency been decided
Yes No N/A
What process is in place to evaluate effectiveness of selection and training process
Yes No N/A
How are personnel made aware of the relevance and importance of their individual
activities to food safety and what is the communication process
Yes No N/A
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What records are maintained to demonstrate successful training and communication of
FSMS
Yes
No
N/A
80 22000:2005 Compliance Audit - SafelyCulure
6.3 Infrastructure
How has the organization provided adequate resources for the establishment and
maintenance of the infrastructure needed to meet FSMS requirements (IS022000:2005)
Yes
No
N/A
Work Environment
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7.0 Planning & Realization of Safe Products
7.1 General Requirements
The organization shall plan and develop the processes needed for the realization of safe
products. The organisation shall implement, operate and ensure the effectiveness of the
planned activities and any changes to those activities. this includes PRP / OPRP and
HACCP
7.2 Prerequisite Programs (PRPs)
7.2.1 Has the organization identified PRPs
Yes No
N/A
List all the PRPs id
s
tified by the organization
Yes No
N/A
PRPs relate to statutory and regulatory requirements
Yes No
N/A
approved by the food safety team
Yes No
N/A
7.2.3 Information based on CODEX (or any other)
Are documents available specifying how activities included in PRPs are managed
Yes No
N/A
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Verify that PRPs are being controlled in accordance with documentation
Yes No
N/A
Has consideration been given to construction of infrastructure
Yes No
N/A
Has consideration been given to the criticality of activities and personnel
Yes No
N/A
Has consideration been given to the supply of water, air, energy and other needs
Yes No
N/A
sewage disposal
Has consideration been given to supporting services including waste management and
Yes No
N/A
maintenance and preven
Has consideration been given to the availability of equipment relating to cleaning,
{tative maintenance
Yes No
N/A
Yes No
Has consideration been given to measures to prevent cross contamination
N/A
Yes No
Has consideration been given to cleaning, hygiene and sanitation
N/A
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Has consideration been given to the control of insects and pests
Yes No N/A
Is there evidence of verification records for the control of all the above
Yes No N/A
inary Steps to enable Hazard Analysis
inary steps to enable hazard analysis
Is the information needed for analysis recorded
Yes No N/A
What information is used
Yes No N/A
Is it updated frequently and as necessary
Yes No N/A
7.3.2 food Safety Team
Is there a food safety team
Yes No N/A
List the people in the team
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Is the team competent (6.2.2) and are there records to verify competence
Yes No N/A
7.3.3.1 Product characteristics, raw materials, ingredients and product contact
materials
Are utensils, ingredients, packaging and other contact materials described in
documents which include detailed information appropriate
Yes No N/A
Chemical, physical and biological characteristics for above are documented
Yes No N/A
Composition for products is defined
Yes No N/A
Point of origin is defined
Yes No N/A
Method of production is defined
Yes No N/A
Methods for packaging and delivery are defined
Yes No N/A
Storage conditions are defined
Yes No N/A
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Preparation and / or han
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\dling specifications before use or processing are defined
Yes No
N/A
Food safety acceptance criteria is defined
Yes No
N/A
Are legal, regulatory and
any other food safety requirements met
Yes No
N/A
7.3.3.2 Finished Product Characteristics
The hazard analysis has documented the characteristics of the finished product
Yes No
N/A
The composition of the product is considered, and includes allergens
Yes No
N/A
The name of how the product is identified is documented
Yes No
N/A
Biological, chemical and
physical characteristics relevant to the product are defined
Yes No
N/A
Concerns relating to the
addressed / defined
intent of product and storage requirements have been
Yes No
N/A
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Packaging requirements have been identified and defined
Yes No
N/A
Labeling relating to safe product handling, preparation and use (including any
warnings) have been identified and defined)
Yes No
N/A
Distribution methods have been defined
Yes No
N/A
Legal and regulatory requirements have been identified and defined
Yes No
N/A
Information
HACCP plan or PRPs
descriptive, detailed, updated and maintained inclusive to changes to the
Yes No
N/A
7.3.4 Intended use
What documents are available that address hazards relating to the products intended
use
Yes No
N/A
Have these included factors raised in hazard analysis
Yes No
N/A
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Has the organization included the concerns of any special groups i.e. children, pregnant
women, elderly
Yes No N/A
Is this information updated when there are changes to FSMS, scientific research or
regulations
Yes No N/A
7.3.5.1 Flow diagrams, process flow and control measure
Has the organization implemented flow diagrams as common practice
Yes No N/A
Have the flow diagrams been approved by the food safety team
Yes No N/A
7.3.8.2 description of process flow and measure control
Is the method used for identifying hazards effective
Yes No N/A
Are external requirements considered when analyzing hazards
Yes No N/A
Does the organization update HACCP and PRP plans
Yes No N/A
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7.4 Hazard Analysis
Are hazards and control methods determined by the food safety team
Yes No N/A
7.4.2.1 Hazard identification and determining level of acceptability
4.4.2.2 Are all hazards identified acceptably
Yes No N/A
level of control determined acceptably
Yes No N/A
7.4.3 Hazard Analysis
Has the organization demonstrated that hazard analysis focuses on eliminating and
reducing hazards and is their determination acceptable
Yes No N/A
Has the organization identified hazards to the satisfaction of legal and regulatory
expectations
Yes No N/A
Has the severity of the risk been determined
Yes No N/A
Is the methodology for determining severity of risk based on sound and acceptable
scientific and technological methods or studies
Yes No N/A
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7.4.4 Control methods, section and evaluation
Do the selected measures prevent, eliminate or minimize the hazard to an acceptable
level
Yes
No
N/A
Hazard analysis is effective for HACCP and PRPs through the scope of the FSMS
Yes
No
N/A
Hazard analysis refers
to the hazard and the magnitude of the severity
Yes
No
N/A
There are documented methods to measure, monitor and control all identified hazards
Yes
No
N/A
The control
2
point and
measure for controlling is accurate and adequate, it considered
ther control points in combination
Yes
No
N/A
It addresses the possibility of failure preventing the inclusion of the hazard affecting the
process or the food
Yes No N/A
Are all the above adequate and effective
Yes No N/A
Has the synergy of other control measure points been considered
Yes
No
N/A
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Are the above addressed in the HACCP / PRP
Yes No N/A
Are the above expressed through documents, records, procedures, instructions,
manuals, handbooks or other wise
Yes No N/A
7.5 Establishing the Operational Prerequisite Programs (OPRPs)
Have OPRPs documented and implemented
Yes No N/A
OPRPs address (please list)
Yes No N/A
OPRP hazards are identified as Biological, Chemical and Physical and are controlled
Yes No N/A
OPRP documents reference the control measures to be applied
Yes No N/A
OPRP control methods are effectively implemented
Yes No N/A
OPRPs are adequate and effective to trigger corrections
Yes No N/A
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Responsibilities and authorities are determined for actions or corrections
Yes No N/A
Supported by records
Yes No N/A
7.6 Establishing the HACCP Plan
7.6.1HACCP Plan
Is the HACCP Plan documented
Yes No N/A
How many HACCP plans are there
Yes No N/A
Does the plan address the hazard point of control
Yes No N/A
Does the plan address the reaction or action needed to be taken in the event of a
deviation or fault
Yes No N/A
The CCPs and respective Critical Limits are identified
Yes No N/A
ing CCPs are documented
Procedures for controll
Yes No N/A
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Record for monitoring CCPs are available for checking
Yes No N/A
7.6.2 Identifying critical control points
Is the identification of CCPs effective
Yes No N/A
Is there a CL for each CCP
Yes No N/A
Is each CL measurable
Yes No N/A
The scientific means to justify each CL is adequate and effective
Yes No N/A
7.8.4 Monitoring systems
Is there a monitoring system in place (briefly describe)
7.6.5 Are there any actions or any monitoring non-conformance resulting from
monitoring CL
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7.7 Updating of preliminary information and documents specifying the PRPs and the
HACCP Plan
Is there documented evidence to support and necessary update with reference to
product characteristics, intended use, flow diagrams, process steps or control methods
Yes No N/A
7.8 Verification Planning
Does verification planning define and document activity & purpose, method, frequency
and responsibilities
Yes No N/A
What other procedures have been developed and implemented as a result of
verification planning
Yes No N/A
Relating to verification, are the preparation methods and planning activities compatible
Yes No N/A
7.9 Traceability System
Is there a documented system for traceability
Yes No N/A
Have there been any internal traceability audits or mock exercises
Yes No N/A
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7.10 Control of Non-Conformity
7.10.2 Is there a documented procedure to address corrective actions
Yes No N/A
7.0.3.1 Handling potentially unsafe products: Are the controls and responses for
handling potentially unsafe products documented
Yes No N/A
7.10.3.2 There is a documented procedure and defined criteria of evaluation for the
release of non-conforming product
Yes No N/A
7.10.3.3 There is a documented procedure for the disposition of non-conforming
products
Yes No N/A
7.10.4 There is a documented procedure for product withdrawal or recall that addresses
all relevant points
Yes No N/A
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8.0 Validation, Verification and Improvement of the Food Safety Management System
8.1 General Requirements
Is there documented evidence of validations, verification and continual improvements
Yes No N/A
8.2 Validation of control measure combinations
Is there any documented or observed evidence of validation of control method
combinations
Yes No N/A
8.3 Control of monitoring and measuring
Do records for monitoring and measuring demonstrate good practice i.e. all CCPs are
within the defined CL, and any CAs are documented
Yes No N/A
8.4 Food Safety Management System verification
Is there a documented procedure addressing internal audits
Yes No N/A
Is there any audit program auditing within the scope of the FSMS
Yes No N/A
Do audits focus on adequacy, effectiveness and providing evidence of sustaining
improvements in relation to the organizations food safety objectives
Yes No N/A
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Are auditors competent
Yes No N/A
After identifying the need for action are they promptly taken by the process owner
Yes No N/A
3 How are the results of verification activities analysed
Yes No N/A
8.5 Improvement
8.5.1 Is there any evidence that improvements to the FSMS are directed to top
management
Yes No N/A
ny evidence that the FSMS is updated as part of continual improvements
Yes No N/A
‘The templates avalable in our Public Library have been created by our customers and employees to help get you started using SafetyCutture's
solutions, The templates ae intended to be used as hypothetical examples only and should not be used asa substitute fr professional advice.
You should seek your own professional advice to determine if the se ofa template is permissible in your workplace or jurisdiction. You should
independently determine whether the templates suitable for your circumstances.
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