BRC Packaging Application - AIBI-CS

REC.10-P:
BRC Packaging
Preliminary Questionnaire
1213 Bakers Way
PO Box 3999
Manhattan, KS 66505-3999
AIB International –
Certification Services
Tel: 785-537-4750
Fax: 785-537-0106
e-mail: GFSI@aibonline.org
The following information is required to enable us to schedule an evaluation audit against the
BRC Global Standard for Packaging & Packing Materials, Issue 4.
Please complete the questionnaire completely. If a box does not apply, please write N/A in the space.
Company
Name:
Street
Address:
City:
State:
Zip/Post Code:
Country:
Telephone:
Fax:
e-mail:
Website:
COMPANY INFORMATION
Parent Company
(if relevant):
Street Address:
City:
State:
Zip/Post Code:
Country:
Telephone:
Fax:
e-mail:
Website:
Legal status
(Corporation, sole proprietor, etc.):
VAT no./Tax ref. No.:
Are you currently BRC certified?
If yes, please list BRC site code number, certificate
expiry date and provide a copy of your certificate
and report:
Do you have any formal certifications (e.g. ISO
9000, ISO 22000)?
If yes, list formal certifications (e.g. ISO 9000, ISO
22000) including scope and expiry dates:
Details of Company Membership in Trade Bodies,
Research Organisations, etc.:
EU/USA/Other license No. or Health Mark:
Yes
No
Yes
No
BRC Packaging
Preliminary Questionnaire
REC.10-P:
CONTACT DETAILS
Upon certification AIBI-CS will upload the audit report to the BRC Directory. The BRC Directory
will automatically send an email to the primary contact listed in the system when new audit
details are validated.
Please list the name and e-mail
Name:
E-mail:
address of the person to be the BRC
Directory contact:
Primary Contact:
Secondary Contact:
Job Title:
Job Title:
Street Address:
Street Address:
City:
City:
State:
State:
Zip/Post Code:
Zip/Post Code:
Country:
Country:
Direct phone:
Direct phone:
Mobile/cell:
Mobile/cell:
E-mail:
E-mail:
Please indicate if you would like to receive a copy of the report:
(Please note that all copies of the report will be sent by e-mail)
Primary:
Yes
Invoice Contact:
Job Title:
Street Address:
City:
Zip/Post Code:
Direct phone:
e-mail:
Receive a copy of the report:
No
Secondary:
Yes
No
State:
Country:
Mobile/cell:
Yes
No
(Please note that all copies of
the report will be sent by e-mail)
AUDIT REQUEST
Please indicate the type of audit you are Please specify preferred time frame for option(s)
interested in:
selected: (please note that the certification audit should
ideally be scheduled no earlier than three months after the
(more than one may be selected)
pre-assessment)
Pre-assessment:
Pre-assessment:
Certification Audit:
Certification Audit
Re-certification Audit:
Re-certification Audit:
(applicable if already certified
with another Certification Body)
Are there Multiple sites that require certification?
If yes, please complete an application (REC 10-P) for
each site
Yes
No
REC.10-P:
BRC Packaging
Preliminary Questionnaire
If an approved subcontractor needs to be used for the
evaluation, is this acceptable?
I understand that by joining the BRC scheme there may
be times when the auditor will need to be accompanied
by other personnel for training, assessment or
calibration purposes. Note: The BRC states “This
process forms an essential part of the program and
sites are obliged to permit witnessed audits as part of
the conditions for certification.”
CUSTOMERS
List main retailers/customers:
In what countries do you sell
your product?
Total number of employees
FACILITY DETAILS
Total:
In Production:
Number of Employees per main shift
Work/Shift Pattern
Facility Size
Production:
Warehousing:
Location (rural, urban, etc.)
Number of Hazard and Risk
Management Systems in place
Annual Tonnage or volume handled
Number of product lines
Details of any major changes or capital
spending/investment in the last few years
Details of the warehousing and distribution system
in place (e.g. on/off site warehouse. Warehouse
and distribution vehicles company owned or
contracted)
Do you use any outsourced processes that will
affect conformity to requirements?
Yes
No
Yes
No
REC.10-P:
BRC Packaging
Preliminary Questionnaire
SCOPE DETAILS
The following information will be used to determine the scope of your certification.
The scope of the audit and subsequent certificate shall cover the agreed products or product
groups, and shall normally be expected to include all products manufactured at the site within the
product category certificated.
Processes to be included in certification
Products to be included in certification
Products manufactured but excluded from
the scope of the audit:
The certification of products must include
audit of the entire process from raw
materials to shipping of end product
Packing to be included in certification
PRODUCT CATEGORY
Please mark the category(ies) that best describes your site.
Refer to Appendix 4 of the BRC Global Standard for Packaging and Packaging Materials
If you have any questions regarding categories, please contact AIBI-CS.
Cat.
Packaging Field Typical packaging components/materials/articles
This applies
No.
to my site
1
Glass
Glass bottles, jars and decanters
Ceramic bottles, jars and decanters
2
Paper
Paper bags, paper sacks, paper labels, tags, and neck
collars, Board cartons, Board sleeves, Particle board
cartons and layer pads, Corrugated cases and trays,
Corrugated fitments
3
Metals
Cans, Aerosol containers, Tubes, Closures, Aluminum
foil, Foil trays
4
Plastics
Bottles and jars. Caps and Closures, Thermoformed
trays, Tubs and pots, Adhesives, Buckets and pails,
Bulk Containers, Plastic film, including vacuum
metalized films, and labels, Multiply laminates of
combinations of paper, plastics and aluminium foil,
Flexible intermediate bulk Containers
5
Wood and other Pallets, Boxes and crates, Decorative wooden boxes,
Materials
Natural cork, Wood for food and cosmetic use, Hessian
sacks, Wooden utensils
REC.10-P:
High hygiene risk
Low hygiene risk
BRC Packaging
Preliminary Questionnaire
Risk Category (check all the apply)
Packaging that comes into direct contact with food
products (or other designated hygiene-sensitive
products*). Primary packaging used for food or other
hygiene-sensitive products where there is no absolute
barrier in place.
* Those products intended for human consumption or
which come into contact with the body, such as application
to the skin.
Packaging for consumer products and the secondary and
tertiary packaging for all uses
It is recognized that many manufactures or suppliers may produce packaging in both categories. In these circumstances
they may either choose to use one category for the entire factory or separate them by areas. It is not envisages that more
than one category would apply to the same area.
Please check to confirm you have read PR.3-P: Overview of the AIBI-CS Certification
Scheme:
Please check to confirm you have read PR.4: Rules for Certification:
Please check to confirm you a have copy of the BRC Global Standard for Packaging &
Packing Materials, Issue 4
Please check to confirm that you have included a copy of your previous certificate and, if
applicable (N/A may be entered if not applicable):
Please complete Appendix A below
Signed by:
(Signatory is authorized by the company/firm to sign this application and ensure that
products conform to requirements)
Print name:
Job Title:
Company:
Date:
Upon receipt of this completed questionnaire AIBI-CS will calculate expected audit duration and
confirm the scope applied for. Our auditors will then be notified of your request and will begin
looking for available dates to offer. Our office will contact you as soon as dates are available.
AIBI-CS Review
Date:
Name of reviewer:
Signature:
By signature, the Reviewer is approving the audit can be conducted and a Business Proposal (REC.15-P/32-P) can
be sent to the Client for approval.
REC.10-P:
BRC Packaging
Preliminary Questionnaire
Appendix A
Company Profile
History and Ownership:
Age of Company:
Years on Present Site:
Number of sites (sister companies & subsidiaries):
Plant information (location, purpose built, security):
Are there multiple building addresses on site that will need to be included on the certificate? If
YES, please list each building address below:
Product Types:
Product Distribution: