21
Document Name SUPPLIER Site Assessment Status Approved HA05-01 Effective Date 22 nd January 2018 Revision No. D Print Date 22 nd January 2018 Page 1 of 21 HA05-01 Supplier Site Assessment QS 220118.docx 1 of 21 Dear Supplier, Metcash requires suppliers providing products for Metcash Private Labels and other proprietary lines, to comply with the Metcash Supplier Qualification Program. This is to ensure that our suppliers are able to demonstrate they have appropriate systems in place to manage relevant legislative food & product safety requirements and Metcash Trading Ltd standards, particularly in relation to: - Lawful practices Product safety Adequate safe food handling Quality Assurance practices and Distribution processes The scope of the Metcash Supplier Qualification Program is to ensure that each supplier’s site / branch that manufactures for, and/or distributes goods to Metcash has: - Current certification to relevant standards or programs from a recognized 3 rd party auditing body, according to the Metcash Supplier Certification Standards Matrix. (Refer to the Metcash webpage www.metcashsuppliers.com for a copy of the Metcash Supplier Certification Standard (HA05-02) – identifying the accepted Certification schemes). Adequate Public and Products Liability Insurance coverage (a minimum of $20M for each), which must be current at all times whilst supplying Metcash. Up to date contacts for business activities & effective recall / withdrawal / complaints processes. Adequate change control processes to ensure that any changes to the products supplied, are communicated in a timely manner to the Metcash Quality Services Department. Current specifications for all Metcash Private Label lines as well as any fresh proprietary lines with an intended further use in any retail fresh service department (deli, bakery, meat, produce). Any supplier to Metcash will be subject to regular review, the frequency and scope of which, is risk based. If a supplier’s existing third party certified program is not recognized, Metcash reserves the right to require a separate audit be conducted, using an approved third-party auditor, under agreement and cost to the Supplier. In areas of non-conformance, Metcash may choose to carry out an audit using internal auditors, and reserve the right to determine not to range the items until corrective action has been agreed and completed by the supplier. Following this page, is the Supplier Site Assessment, which requires an authorized officer of your company, to complete information regarding site specific process details and to provide copies of relevant certification documents. Metcash look forward to developing a culture of continuous quality improvement with your company. If you have any further enquiries, please do not hesitate to contact the Metcash Quality Services Team. Yours sincerely, Quality Services Team (Supplier Qualification Program)

SUPPLIER Site Assessment Status Approved HA05-01 … · HA05-01 Effective Date 22 ... HA05-01 Supplier Site Assessment QS 220118.docx 1 of 21 ... 4.4.1 Is your business aware of the

Embed Size (px)

Citation preview

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 1 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 1 of 21

Dear Supplier,

Metcash requires suppliers providing products for Metcash Private Labels and other proprietary lines, to comply with the Metcash Supplier Qualification Program.

This is to ensure that our suppliers are able to demonstrate they have appropriate systems in place to manage relevant legislative food & product safety requirements and Metcash Trading Ltd standards, particularly in relation to: -

• Lawful practices

• Product safety

• Adequate safe food handling

• Quality Assurance practices and

• Distribution processes

The scope of the Metcash Supplier Qualification Program is to ensure that each supplier’s site / branch that manufactures for, and/or distributes goods to Metcash has: -

• Current certification to relevant standards or programs from a recognized 3rd party auditing body, according to the Metcash Supplier Certification Standards Matrix. (Refer to the Metcash webpage www.metcashsuppliers.com for a copy of the Metcash Supplier Certification Standard (HA05-02) – identifying the accepted Certification schemes).

• Adequate Public and Products Liability Insurance coverage (a minimum of $20M for each), which must be current at all times whilst supplying Metcash.

• Up to date contacts for business activities & effective recall / withdrawal / complaints processes.

• Adequate change control processes to ensure that any changes to the products supplied, are communicated in a timely manner to the Metcash Quality Services Department.

• Current specifications for all Metcash Private Label lines as well as any fresh proprietary lines with an intended further use in any retail fresh service department (deli, bakery, meat, produce).

Any supplier to Metcash will be subject to regular review, the frequency and scope of which, is risk based.

If a supplier’s existing third party certified program is not recognized, Metcash reserves the right to require a separate audit be conducted, using an approved third-party auditor, under agreement and cost to the Supplier.

In areas of non-conformance, Metcash may choose to carry out an audit using internal auditors, and reserve the right to determine not to range the items until corrective action has been agreed and completed by the supplier.

Following this page, is the Supplier Site Assessment, which requires an authorized officer of your company, to complete information regarding site specific process details and to provide copies of relevant certification documents.

Metcash look forward to developing a culture of continuous quality improvement with your company.

If you have any further enquiries, please do not hesitate to contact the Metcash Quality Services Team.

Yours sincerely,

Quality Services Team (Supplier Qualification Program)

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 2 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 2 of 21

How to complete this FORM.

The table below summarises the different elements of the following form which needs to be completed by each site of supply, depending on the type of product being supplied to Metcash.

All Suppliers must complete the main section of the assessment, and Suppliers of Metcash Private Label are specifically required to complete all questions in Appendix F.

Suppliers of products in specific categories are required to complete the relevant Appendix for that category.

Please ensure you return ALL pages of this form completed with declarations signed and dated.

Section All Suppliers Suppliers of Metcash

Private Label Products

1.0 Site Details Yes Yes

2.0 General Business Information Yes Yes

3.0 Information on Products Yes Yes

4.0 Regulatory Compliance & Management Yes Yes

5.0 Certification Summary Yes Yes

6.0 Supplier Management Yes Yes

7.0 Facility Management Yes Yes

8.0 Product Management Yes Yes

Appendix A - Eggs Category Specific Category Specific

Appendix B – Meat & Poultry Category Specific Category Specific

Appendix C – Seafood Category Specific Category Specific

Appendix D – Produce Category Specific Category Specific

Appendix E – Dairy Category Specific Category Specific

Appendix F – Private Label Suppliers No Yes

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 3 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 3 of 21

1.0 Supplier Site Details

Please complete the following questionnaire and submit to Metcash. Any queries, please email [email protected]

Supplier’s Company Name

Number of Sites Supplying Metcash More than one site? Ensure that a separate questionnaire is completed for EACH site of manufacture or business.

Primary Trading Name Vendor ID

Other Trading Names Vendor ID

Street Address

Postal Address

Main Business Phone Number

Who is your contact at Metcash?

National Sales Contact Quality Assurance / Technical Contact

Name Name

Phone Phone

Mobile Mobile

Email Email

If product is manufactured at a location different to that noted above, please identify the site(s) and complete a separate copy of this form for each site: -

Manufacturer’s Business Name

Manufacturer’s Full Street Address

2.0 General Business Information

2.1 Supply category to Metcash

(More than one box can be checked) Metcash Private Label Proprietary Lines Other

Briefly outline product categories to be supplied to Metcash: -

2.2 Please indicate your business type / activity.

(More than one box can be checked)

Grower Packer Manufacturer Distributor Importer

Broker or Agent (See 2.3) Other Comments: -

2.3 Brokers or Agents, please identify the scope of your activities in representation to Metcash.

(More than one box can be checked)

Sourcing Importing Factory Inspections & Reporting

Quality / Safety Review

Specifications & Artwork Development & Approvals

Initial Contact for Consumer Enquiry Recall Contact

Other

Are products physically handled / warehoused by your business Yes No

Are you a VIRTUAL broker? Yes No

Comments: -

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 4 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 4 of 21

3.0 Information on Products Supplied to Metcash (Indicate all product types supplied)

3.1 Food Provide examples of products STORAGE AFGC PIF

Available? AMBIENT CHILLED FROZEN

Bakery

Beverages

Canned Goods

Confectionery

Dairy #

Deli

Dry Goods

Eggs #

Fats & Oils

Fresh Produce – whole #

Fresh Produce – processed #

Frozen Foods

Meat #

Nuts

Pet Food

Poultry #

Ready to Eat Meals

Seafood #

Other

# These nominated categories require an APPENDIX to be completed for products made in these

categories, or contain ingredients made from these products.

(See Appendices A – E)

See Appendix F for Metcash Private Label products………………….

References: -

https://www.afgc.org.au/about-afgc/our-business/

The PIF (Product Information Form) details:-

https://www.afgc.org.au/our-expertise/legal-and-regulatory-affairs/product-information-form-v6/

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 5 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 5 of 21

3.2 Non Food Provide examples of products

Apparel

Cosmetic

Electrical

Formulated Non Food

Hard Goods

Packaging or Paper Goods

Pharmaceutical

Soft Goods

Toys

Other

Additional Product Groups / Comments: -

3.3 Product Risk Declaration

3.3.1 Do any of the products supplied (either branded or proprietary), fall into any of these categories which are considered high risk?

Refrigerated Ready to Eat Thaw To Eat Allergen Free Claim

Nutrient Claims Heat to Serve Baby Food

Baby Products Pharmaceutical Topical Applications

Poison (Scheduled) Dangerous Goods Hazardous Goods

High Risk Non-Food Other High Risk – Describe: -

4.0 Regulatory Management & Compliance

4.1 General Compliance

4.1.1 In the last five (5) years, has your business been investigated or prosecuted for any breach of local laws and regulations regarding: Yes No

1. Labour

2. Health

3. Safety

4. Animal Welfare

5. The Environment

6. Product Fraud

4.1.2

If “YES”, describe the type of law / regulation breached: - Describe the breach: -

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 6 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 6 of 21

4.2 Labour Management

4.2.1 Briefly describe normal hours of operation.

4.2.2 How many FTE (full time equivalent) staff work on this site?

4.2.3 Can your site demonstrate compliance to local labour laws? Yes No

4.2.4 What systems are in place to demonstrate compliance?

4.2.5 Is your site registered as a SEDEX member?

Does the site hold any other registrations or certification relating to labour practices?

If ‘yes’ to any above, please provide a copy of the most current assessment for each program at the site.

Yes No

Reports Attached?

Yes No

Please Describe: -

4.3 Environmental Management

4.3.1 Does your site operate under an Environmental Management plan? Yes No

4.3.2 Does your site have any active pollution control measures in place? Yes No

If ‘yes’ provide examples: -

4.3.3 Have any risks been identified, assessed and documented for any of the following: -

Only tick the box if “YES”

Identified Risk Assessed Documented

1. Water

2. Air

3. Noise

4. Land

5. Waste

4.3.4 Under the Illegal Logging Prohibition Act 2012, it is a criminal offence to import illegally logged timber and timber products into Australia or to process domestically grown raw logs that have been illegally logged. This prohibition applies to all timber and timber

products. http://www.agriculture.gov.au/forestry/policies/illegal-logging/

a) Is your site aware of the requirements of the Illegal Logging Prohibition Act?

Yes No N/A

b) Does the site have measures in place to comply with the Act?

Yes No

c) If “Yes” to b), describe the measures in place.

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 7 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 7 of 21

4.4 Supply Chain

4.4.1 Is your business aware of the Retail Logistics Safety Code (RLSC)? Yes No N/A

4.4.2 Is your organisation a signatory / member of the RLSC? Yes No

4.4.3 Is your carrier (if outsourced) a signatory / member of the RLSC? Yes No N/A

4.4.4 Can you confirm and ensure compliance to the Chain of Responsibility (COR) requirement set out in the RLSC code?

Yes No

4.5 Product Labelling (Food)

4.5.1 Are food product labels fully compliant with ACCC Country of Origin legislation?

https://www.accc.gov.au/business/advertising-promoting-your-business/country-of-origin-claims/country-of-origin-food-labelling#more-information

Yes No N/A

Comments:-

4.5.2 If required, can you provide details to substantiate each product’s Country of Origin statement?

Yes No

Intentionally left blank

Section 5 commences next page

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 8 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 8 of 21

5.0 Certification Summary

5.1 3rd Party Audited Programs, Standards & Insurance

Please refer to the Metcash Certification Standards Matrix for minimum requirements.

Program Type Name of Program or Scheme Number of NCR’s From Last Audit

Last Audit Date

Certificates Attached

Critical Major Minor

Food Safety

Quality Management System

Business Registration & Regulators #

Safety (WHS / OHS)

Retailer Programs

Environmental

Sustainability

Social Responsibility

Ethical (attach Report if available)

Product Testing

Other **

No 3rd Party Programs in place ^

Please summarise any Critical or Major NCR’s raised in ANY of the audits listed above: -

# For any food business in Australia which handles Dairy, Meat, Poultry, Seafood or Produce, a State Regulator’s licence or relevant Business Registration licence to operate is required, and must be supplied. (E.g. AQIS [DAWR/DAFF], Approved Arrangements etc.)

** Other Programs – Please describe: -

^ If no third party audited program for Food Safety and / Quality is currently in place, please describe proposed program and confirm expected date for completion / certification: -

5.2 Please provide a copy of your Public & Products Liability Certificate of Insurance.

All suppliers must ensure that they attach full copies of insurance policies listing both the policy details, expiry dates and amounts in Australian Dollars (AUD). As a minimum, all suppliers must have in place both public liability and product liability insurances, which must display a minimum insured value of $20 million (AUD) for each policy. Failure to supply details at the time of form completion, may result in the delay of supply commencement to Metcash. Failure to supply appropriate insurance details, policies or minimum insured values may result in the termination of supply, of which Metcash reserves the right.

Certificate Attached

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 9 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 9 of 21

6.0 Supplier Management

6.1 Do you outsource or subcontract activities? (E.g. Grow / manufacture / pack / store /transport etc.)?

If “Yes” do all of these companies have a third party audited system for product safety or quality?

Yes No N/A

Yes No

Please describe: -

6.2 Do you have a documented process in place to approve and review your suppliers?

Yes No

Please describe: -

6.3 Are records of supplier approval kept and maintained by your business?

Yes No

6.4 Do you have a process in place to address corrective action requests with your suppliers?

Yes No

7.0 Facility Management

7.1 GMP (Good Manufacturing Practices) / Hygiene

7.1.1 Do you have a GMP/ hygiene program in place?

Yes No

7.1.2 If programs are on a regular schedule, what is the time frame for the inspections?

Hourly Per Shift Daily Product Change

Weekly Monthly Yearly

Comments: -

7.1.3 Are results reviewed on a regular basis? Yes No

How often are reviews conducted?

7.1.4 Are records of GMP/ hygiene activities documented & maintained?

Yes No

Describe the type of information recorded: -

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 10 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 10 of 21

7.2 Pest Control

7.2.1 Do you have a documented pest control program in place?

Yes No N/A

7.2.2 Is the pest control program managed internally, or by an external provider?

Internal Program External provider

Name of External Provider:

7.2.3 Please indicate all of the areas covered by the program: -

Rodents Crawling Insects Flying Insects Other

Comments: -

7.2.4 Is the Pest Controller Licensed?

Has the Pest Controller’s Licence been sighted?

Yes No

Yes No

7.2.5 Have you sighted the Pest Controller’s Insurance Certificate?

Yes No

7.2.6 How frequently is the pest program monitored?

Frequency of monitoring: -

Comments: -

7.3 Microbiological Review

7.3.1 Do you have a schedule for the microbial evaluation of: -

Frequency of Testing:-

1. Products Yes No N/A

2. Product contact surfaces Yes No N/A

3. Factory environment – e.g. walls, air, floors, drains, vents, refrigeration, etc.

Yes No N/A

4. Any other microbial testing? Yes No N/A

Comments: -

7.3.2 Please list any organisms of concern within your manufacturing environment (e.g. organism levels that are monitored)

7.3.3 Do you use a NATA (or ILAC equivalent) accredited laboratory for testing?

If “YES”, please list name/s of laboratories used.

Yes No

Laboratory name: -

7.3.4 Do you have your own laboratory performing product testing?

Yes No

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 11 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 11 of 21

8.0 Product Management

8.1 Allergen Management

8.1.1

(FOOD

ONLY)

Please indicate all of the allergens present or handled on your site: -

Gluten Soya Milk Egg Peanut

Tree Nuts Sesame Fish Shellfish Lupin

Sulphites Other Food Allergen (please identify in comments)

Other ingredients with known sensitivities (please identify in comments)

Comments: -

8.1.2 Do your products contain any known NON-FOOD allergens / sensitisers?

Yes Describe: -

No

8.1.3 Do you have an Allergen Management System?

Yes Describe: -

No

8.1.4 What type of control measures have been implemented on site for allergen segregations and handling?

Describe: -

8.1.5 Describe what testing is conducted on your product/s to verify the presence or absence of allergens (or other sensitizing materials) and nominate the frequency of scheduled testing.

Describe: -

8.1.6

(FOOD

ONLY)

Do you use the VITAL [Voluntary Incidental Trace Allergen Labelling] system as an allergen assessment tool?

If so, is the person using this system formally trained in its proper use?

Can reports be made available for review?

Yes No N/A

Yes No

Yes No

8.1.7

(FOOD

ONLY)

If VITAL has not been used for food allergen risk assessment, have the risks have been assessed?

Yes No

Describe: -

8.1.8 When are allergen assessments/reviews conducted?

Changes to: -

Product Formulation

Ingredients or packaging

Ingredient/packaging supplier/s

Programmed Schedules

Equipment

Process flow

Other? Describe: -

Or

Programmed regular reviews?

Frequency?

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 12 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 12 of 21

8.2 Other Product Testing

8.2.1 Do your products undergo any other product safety or compliance testing?

If “Yes”, please describe the products and the tests conducted.

Yes No

8.2.2

(Non-Food)

Can you provide evidence that non-food products supplied by your company to Metcash, are not tested on animals?

Yes No N/A

Comments: -

8.2.3 Do you have an MRL testing program in place?

Are reports available for review?

Yes No N/A

Yes No

8.3 Product Fraud Management

8.3.1 Has an assessment of your system been conducted which considers product fraud across your supply chain?

Yes No N/A

Comments: -

8.3.2

Have these types of product fraud been included in your risk assessments?

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Dilution - Mixing a liquid ingredient of high value with a liquid of lower

value

Substitution – Replacing an ingredient or part of the product, of high

value with another ingredient or part of the product, of lower value.

Concealment – Hiding the low quality of ingredients or product.

Mislabelling – Placing false claims on packaging for economic gain.

Unapproved enhancement – Adding unknown and undeclared

materials to products to enhance the quality attributes

Counterfeiting – copying the brand name, packaging concept, recipe,

processing method of products for economic gain.

Grey market production / theft / diversion – Sales of excess

unreported product.

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 13 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 13 of 21

8.4 Rework / Reject Product

8.4.1 Do you use rework product in production?

Yes No N/A

8.4.2 For all product returned to your process, either through rework or rejects, is it traceable through to the end products?

Yes No

Comments: -

8.4.3 Is rejected finished product ever returned to production?

Yes No

Please explain specific circumstances: -

8.4.4 If “Yes” to any of 8.4.1, 8.4.2 or 8.4.3, have all of the risks associated with cross contamination and allergens been considered and documented?

Please describe briefly how this is done: -

8.5 Recall & Crisis Management

8.5.1 Do you have a documented Crisis Management plan in place?

Yes No

Actual Incident or Mock Incident

Date of last Review: -

Please outline briefly: -

8.5.2 Do you have a documented Recall protocol or procedure in place?

Yes No

Actual Recall or Mock Recall

Date of last test: -

8.5.3 Is your recall protocol aligned with FSANZ, GS1, ACCC or other system?

Yes No

Comments: -

8.5.4 Does your business have a documented Business Continuity Plan?

Yes No

8.5.5 Has the Business Continuity Plan been tested?

Yes No

If “Yes”, when was the latest test undertaken?

8.5.6 How do you measure the success of your recall & crisis management plans?

(E.g. Mass balance, time frames response times, alternate supply engagement etc.)

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 14 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 14 of 21

A APPENDIX – Eggs

A1 Shell Eggs & Egg Products

A1.1 What best describes your egg product or product purchased for use in further processing?

Shell Eggs

Manufactured product: -

Fresh Egg Pulp - Whole Pulp White Yolk

Egg Powder - Whole Egg White Yolk

A1.2 For manufactured egg products, do you have any visibility from the egg supplier as to the Poultry Housing Systems in use?

Yes No

A1.3 If egg products are sourced from outside of Australia, please indicate country of origin and the approximate percentage of egg in the finished product.

A1.4

For Shell Eggs, (or if known for manufactured products), please indicate the poultry housing system used, and nominate the approximate percentage of total birds housed under each system and the stocking densities for each system.

Poultry Housing Systems

Total Bird numbers

%age of Total Birds on Farm

Stocking Density

Cage

Barn Laid

Free Range

Other

A1.5 Are eggs or egg products produced under any specific manufacturing codes, licenses or certification?

(E.g. Organic, RSPCA, Egg Standards Australia, FREPA, Model Code of Practice for the Welfare of Animals – Domestic Poultry etc. or an overseas equivalent)

Yes No

List of Certification in place: -

Please attach copies of relevant certification

A1.6 Are egg products traceable from the source through to your final product?

Yes No

If “Yes”, please describe briefly how product is traceable.

If “No” please explain why product is not traceable

derreli
Cross-Out

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 15 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 15 of 21

B APPENDIX – Meat & Poultry

B1 Beef

B1.1 Do you supply fresh beef products or products that contain fresh beef?

Yes No

B1.2 If “YES”, then: -

Can you demonstrate evidence where these fresh beef products processed?

An Export Accredited Processing Plant

An Australian Domestic Accredited Plant

Yes No

Yes No

Yes No

B2 Pork or Products Containing Pork or Pork By-Products as an Ingredient

B2.1 Do you supply pork products or products that contain pork?

Yes No

B2.2 If “YES”, then: -

Can you demonstrate evidence that all fresh pork and pork products supplied to Metcash is produced under sow stall free production methods?

(Less than 10% of the gestational period allowed in stalls)

Yes No

B2.3 Can you demonstrate evidence that all non-fresh pork and pork products where pork is a defined visible ingredient, including processed ham and bacon produced in both Australia and overseas, supplied to Metcash is produced under sow stall free production methods?

Yes No

Describe: -

B3 Poultry Meat

B3.1 Do you supply fresh poultry products or products that contain poultry?

Yes No

B3.2 Can you provide evidence for any fresh or non-fresh poultry meat products (including products where poultry is listed as a characterising ingredient) to confirm that the poultry is produced under any specific manufacturing codes, licenses or certification?

(E.g. Organic, RSPCA, free range, etc.)

Yes No

List of Certification in place: -

Please attach copies of relevant evidence and/or copies of certification

B3.3 Are all products made with poultry meats traceable from the source through to your final product?

(That is throughout processing / manufacturing to finished goods - either manufactured products, pre-packed fresh or frozen products or bulk loose pack.)

Yes No

If “Yes”, please describe briefly how product is traceable.

If “No” please explain why product is NOT traceable

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 16 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 16 of 21

C APPENDIX - Seafood

C1 Seafood

C1.1 Do you supply Wild Caught tuna for canned, fresh or frozen Seafood products?

Yes No

C1.2 If “YES” to D1.1, then: -

Can you demonstrate evidence that all wild caught fresh & frozen seafood has been legally and sustainably sourced?

(That is, not sourced from trans-shipments, blacklisted vessels and or their owner/operators, or from existing marine reserves).

Yes No

C1.3 Can you demonstrate evidence that wild caught seafood supplied is not of any species listed as: -

• “Endangered or Critically Endangered”,

• “Vulnerable” or “Near Threatened” or

• On the IUCN Redlist of Threatened Species?

Yes No

Yes No

Yes No

C1.4 Can you demonstrate evidence: -

• that wild caught seafood supplied is not from stocks described by the regional fisheries management organisation (RFMO) as overfished (<BMSY or equivalent) and

• that stocks described as undergoing overfishing (>FMSY or equivalent) are avoided, unless no other choice exists?

Yes No

Yes No

C1.5 Can you demonstrate evidence that by-catch reducing fishing methods are in use that result in: -

• less than 25% by weight of fish/ cephalopods being discarded; and

• less than 25% by weight of juveniles/non-marketable fish being landed?

Yes No

Yes No

C1.6 Can you demonstrate evidence that you have a specific statement of support for the proposed Pacific Common Marine Reserves, and that you agree not to source from proposed marine reserves?

Yes No

C1.7 Can you demonstrate evidence that you are working towards improving equitable sourcing by increasing the % of wild caught seafood that is caught by: -

• vessels known to be locally owned,

• foreign owned vessels with a minimum of 20% local crews,

• vessels operating under Intl Labour Org core conventions, and

• vessels from countries that have ratified the Maritime Labour Convention ?

Yes No

Yes No

Yes No

Yes No

References: -

Marine Stewardship Council

Aquaculture Stewardship Council

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 17 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 17 of 21

D APPENDIX – Produce

D1 Produce Sector

D1.1 Are you a Produce Grower, supplying direct to Metcash?

Are you aware of the Horticulture Code of Conduct (April 2017)?

Yes No

Yes No

D1.2 Is your business operating under the Harmonised Australian Retailer Produce Scheme (HARPS)?

Yes No

D1.3 Do you employ or engage overseas workers?

Yes No

D1.4 Does a policy exist for Employment or Engagement of Overseas Workers?

Yes No N/A

D1.5 Are processes for Verification of Packaging-Coding and Labelling in place and documented?

Yes No

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 18 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 18 of 21

E APPENDIX – Dairy

E1 Dairy

E1.1 Are all dairy products (either as finished goods or as an ingredient) of 100% Australian origin?

If not 100% Australian, please indicate Country/Countries of Origin.

Yes No Not Known

E1.2 Dairy products supplied to Metcash, either as a finished product or a major ingredient (i.e. > 20%) of another product: -

1. comply with FSANZ requirements 2. Imported lines, comply with the DAWR requirements for

dairy products, including the requirements around antibiotics.

http://www.agriculture.gov.au/ag-farm-food/meat-wool-dairy/dairy

http://www.agriculture.gov.au/import/goods/food

http://www.agriculture.gov.au/import/online-services/bicon

Yes No Not Known

Yes No Not Known

Declaration:-

I/We confirm that all information supplied is true & correct.

Print Name:

Signature:

Position Held:

Date Completed:

Metcash Food & Grocery reserves the right at all times to verify the information provided in this document via requests for supporting documentation or by conducting a site visit. It is expected that all suppliers’ food safety programs shall meet FSANZ guidelines.

Final Check:-

All 3rd Party Audit Program Certificates are attached.

Supporting evidence documents attached (as required).

Public & Products Liability Insurance Certificates are attached.

Product specific appendix has been completed if applicable.

REMINDER: - More than one manufacturing site? You need to complete a separate form for each

site.

If manufacturing / supplying Metcash Private Label products, proceed to

Appendix F for completion.

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 19 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 19 of 21

Appendix F

Metcash Private Label Additional Product Information Requirements

Please complete the following question in relation to ANY Metcash Private Label products supplied.

F Specific Ingredients, Additives & Conditions / Packaging Materials

F1 Genetic Modification (Food Only)

F1.1 Do any of the Metcash Private Label food products being supplied, (including their ingredients) contain any genetically modified (GM) material?

Yes No

Comments: -

F1.2 Are you able to confirm that all products and ingredients used, comply with Australian Food Laws in respect of Genetic Modification?

Yes No N/A

F1.3 How is compliance demonstrated?

F2 Artificial Colours & Flavours (Food Only)

F2.1 Do you currently supply ANY products with NAFNAC-type claims?

Do the claims affect either: -

Artificial Colours

Artificial Flavours

Yes No

Yes No

Yes No

F2.2 For any products supplied under a Metcash Private Label which make (or may make) any “no artificial colours” or “no artificial flavours” (NAFNAC) claims, can you provide documented evidence to substantiate the claim?

Yes No N/A

If “YES”, please describe how claims are substantiated: -

F3 Palm Oil

F3.1 Is your company a member of RSPO?

Note: Metcash has a target of 100% Certified Sustainable Palm Oil (CSPO) across its supply chain and we expect our suppliers to source and utilise only 100% CSPO in products supplied to Metcash.

Failure to do so, may result in the termination of supply to Metcash.

Yes No

If “Yes”, ensure you have provided a copy of any relevant certification as per Q.2.

F3.2 Do any Metcash Private Label products you supply, contain Palm Oil in any form?

Yes No

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 20 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 20 of 21

F3.3 Please indicate the types of Palm Oil used in production, and the relevant supply chain model in use for each.

(More than one box can be checked)

IDE

NT

ITY

P

RE

SE

RV

ED

SE

GR

EG

AT

ION

MA

SS

B

AL

AN

CE

BO

OK

& C

LA

IM

UN

KN

OW

N

NO

NE

Crude

Palm Kernel

Derivatives

Fractions

Comments: -

F4 Inclusions in Non-Food Products

F4.1 Do any of your products contain any of the following: - YES NO Product Types Affected

Microbeads

Nanoparticles

Phosphates

Comments: -

F5 Packaging – Products & Materials

NOTE: - Metcash is a signatory to the Australian Packaging Covenant (APC) and therefore expects all suppliers who supply packaged goods (or packaging materials under the Metcash Private Label brands), to consider the environmental impact of ALL packaging.

F5.1 Is your business a signatory to the Australian Packaging Covenant?

Yes No

F5.2 Does your business take into consideration the Australian Packaging Covenant’s Sustainable Packaging Guidelines: -

1. During product design

2. For finished packaging

3. When reviewing pack changes

Supporting documents attached?

Yes No

Yes No

Yes No

Yes No

If “YES”, please attach an example to demonstrate consideration of the APC expectations and goals for all packaging / packaged goods supplied to Metcash or for sale under Metcash brands If “NO”, please submit a detailed plan to demonstrate your intent to assess any environmental considerations showing proposed plans & dates for implementation, for packaged goods supplied to Metcash.

Document Name SUPPLIER Site Assessment Status Approved

HA05-01 Effective Date 22nd January 2018 Revision No. D

Print Date 22nd January 2018 Page 21 of 21

HA05-01 Supplier Site Assessment QS 220118.docx 21 of 21

F5.3 Do you supply any of the following goods which are made from timber: -

1. Products made for retail sale, e.g. printing paper, paper plates, wrap, wooden handles etc.

2. Packaging used as part of finished goods.

Yes No

Yes No

F5.4 If “Yes” to A5.3 then: -

Can you demonstrate evidence that all products and packaging derived from timber that are to be supplied under Metcash Private Labels, are: -

1. Legally and not controversially sourced, and

2. Certified by the Forest Stewardship Council or an equivalent (e.g. PEFC)?

Metcash requires all timber derived products to be certified by 1st January 2020.

Yes No N/A

Yes No N/A

Comments: -

Declaration – Appendix F: -

I/We confirm that all information supplied is true & correct.

Print Name:

Signature:

Position Held:

Date Completed:

Metcash Food & Grocery reserves the right at all times to verify the information provided in this document via requests for supporting documentation or by conducting a site visit. It is expected that all suppliers’ food safety programs shall meet FSANZ guidelines.