APPLICATION FORM
FOOD SAFETY MANAGEMENT SYSTEM CERTIFICATION
A. APPLICATION GUIDE
The following documents will have to be submitted prior to the Stage 1 / Stage 2 audit:
  • HACCP / ISO 22000 Manual and Procedures
  • Process flow charts
  • Site layout plan
  • HACCP Plans

All documents submitted will be held in strict confidence.

Please return the completed form and accompanying documents to:
TÜV SÜD PSB Pte Ltd
Auditing Services
1 Science Park Drive Singapore 118221
Tel: (65) 6885 1628 Fax: (65) 6872 0531
Email: auditing@tuv-sud-psb.sg
Website: www.tuv-sud-psb.sg

B. ORGANISATION DETAILS
Name of Organisation:
Address:
Telephone: Fax : Website:
Business Registration No.: Ownership:
Year of Establishment: Annual turnover: Total Staff Strength:
Shift
Working Hours
No of Staff
(Full-time)
No of Staff
(Part-Time)
No of Staff
(Contract)
Normal
First
Second
Third
Name of CEO/MD/GM:
Telephone: Fax : Email:
Name of Management:
Representative 		Designation:
Telephone: Fax : Email:
Indicate whether the unit is a part of some larger organisation; if so provide the name
and address of the holding organization.
Name of Holding Organisation:
Address:
If your organization already has third party certification, please provide details.
Name of Certification Body: Standard(s):
Standard(s) for Certification:
HACCP
ISO 22000 : 2005
SAC HACCP Doc 2
ISO 9001 : 2000

Type of Request:
Initial Certification Renewal of Existing Certification Extension
Scope of Certification:
Business Category: Primary Producers / Manufacturing / Warehouse and Transportation
/ Trading / Retail & Distribution / Catering and Restaurant / Others:

Product Category:

Address of Alternate Site (Please attached list if more than 1 site)

Please indicate whether consultancy used for Management System :
Yes, please indicate name of consultant
No
           

Target Date for:
Stage 1 Audit: Stage 1 Audit:

C. FOOD SAFETY SYSTEM DETAILS
Has your organisation implemented any Food Safety Management System based on other standards? If yes, please state

Period of implementation based on HACCP / ISO 22000:2005 Standard:

How many HACCP plan(s) does your company have?
Any outsourced activities or use of 3rd Party facilities?
If yes, please state:
Yes
No
Type of Activities:
Organisation Name and Address:
Please indicate the regulatory requirements applicable to your manufacturing operations
Any export for the current finished product(s)?
If yes, please list the range of product and the country of export:
Yes
No
Are the end products meant for vulnerable groups of population?
(Example infant, patient, elderly, pregnant women)
Yes
No
Indicate your current grade under AVA / NEA factory grading system:
Please attach the following document prior to the commencement of Stage 1 audit:
  • List of applicable legal requirements / national requirements/ international requirements/code of practice
  • List of Finished product(s)
  • List of CCPs and Operational PRPs
  • Prerequisite Programmes
  • Other procedures and work instructions including recall procedures required by the organisation
The organization is required to carry out an internal audit and management review prior to the conduct of the Stage 1 audit.
D. DECLARATION BY ORGANISATION
I hereby declare that the information given herein and in any supporting documents is true, complete and accurate to the best of my knowledge and belief.



"The management understands the importance of impartiality in our certification of management systems. We will use all reasonable efforts to manage all possible conflicts of interest and ensure objectivity of our certification services".