4.1.2a Supplier Questionnaire Template PDF

Supplier Questionnaire
New suppliers are required to complete this Supplier Questionnaire in order that your organisation can be risk
assessed and added to the Now Plastics Approved Supplier List.
Current Now Plastics suppliers are required to complete this Supplier Questionnaire every 3 years.
All suppliers need to complete Section 1 and sign the Declaration in Section 3.
Non-GFSI certified suppliers also need to complete Section 2. (For a list of Global Food Safety Initiative (GFSI)
recognised standards visit https://mygfsi.com/how-to-implement/recognition/certification-programme-owners)
All suppliers please attach the e-copies of the following documents:
A current specification for all products supplied or services supplied in the last 2 years
Certificates of Product Liability Insurance (See Section 1.2)
Third Party / External Certificates (See Section 1.5 and 2.1)
Non-GFSI Suppliers (See Section 2.1 and 2.2) please attach e-copies of the following documents:
Importer / Exporter
Manufacturer
Non-GFSI Supplier Category 
Distributor
Converter
Transport
Storage
Printer
Plan / Risk Assessment / Procedure 
Third Party / External Audit Reports
Traceability System
HACCP / HARA / HARM Plan
Product Security / Food Defence / TACCP Plan
Product Authenticity / Fraud Vulnerability Plan
Good Manufacturing / Operating Practices
Vehicle Operating Standards
Thank you for your assistance in completing this questionnaire and providing the documents requested.
We will be in touch to request any further information required for our risk assessment, and to inform you of the
outcome.
If you have any questions at all, please contact the sender of the questionnaire.
DOCUMENT REF: ISSUE No.: ISSUE DATE: Page

4.1.2a Supplier Questionnaire 01 01/09/2022 1 of 5
Section 1 – ALL SUPPLIERS
1.1. Supplier Details
Company Name
Manufacturing or Service Delivery
Site Address
Please include Postcode and Country
Company Registration Address if
different from above
Please include Postcode and Country
Company Website(s)
VAT Registration Number
1.2 Public & Product Liability
Does the supplier have current Public
& Product Liability Insurance?
Please attach an e-copy of current certificate
1.3 Contacts Product Safety & Quality Technical Sales / Commercial
Name:
Title:
Email:
Telephone:
24h Emergency No:
1.4 Supplier Category
Description of activities at
Manufacturing or Service Delivery
Site Address
Supplier Category Please tick all Please use this space to provide any additional
that apply information
Manufacturer
Storage / Distributor
Converter
Printer
Transport
Importer / Exporter
Wholesaler
Laboratory
Consultant
Packer / Consolidator
Contract Packer
Other

1.5 GFSI Recognised Third Party / External Certification
Please attach e-copies of all certificates

Certification Certificate Certification Body
Expiry Date
BRCGS: Food Safety
BRCGS: Packaging Materials
BRCGS: Agents & Brokers
BRCGS: Storage & Distribution
FSSC 22000
IFS: Food
IFS: Broker
IFS: Logistics
IFS: PACsecure
SQF: Food Safety
SQF: Storage & Distribution
SQF: Food Packaging
Other (please provide details)
For a list of Global Food Safety Initiative recognised standards visit https://mygfsi.com/how-to-
implement/recognition/certification-programme-owners
1.5 Additional Information
Please provide any other relevant
information:
Please Tick 
If the Manufacturing or Service Delivery Site is certified to a GFSI recognised standard,
please sign the declaration in Section 4 and return the completed questionnaire to the
sender.
If the Manufacturing or Service Delivery Site is NOT certified to a GFSI recognised
standard, please complete Section 2, sign the declaration in Section 3 and return the
completed questionnaire to the sender.

Section 2 – NON-GFSI SUPPLIERS ONLY
2.1 Third Party / External Certification
Please attach e-copies of all certificates and full audit reports

Certification (Please state) Certificate Expiry Date Certification Body
2.2 Product Safety Management System

In order for Now Plastics to confirm that suppliers have completed relevant risk assessments and have
appropriate controls in place to mitigate any identified risks, please attach a e-copy of the following plans /
documents:
Plan / Risk Assessment / Procedure Attached? Comments
Yes / No
Traceability
Your system to be able to trace all raw materials / products from
suppliers / customers through all stages of processing or handling and
despatch to customers, and vice versa.
HACCP / HARA / HARM Plan

Your documented process flow diagram, and hazard analysis and risk
assessment to ensure that all hazards to product safety and legality that
could occur whilst the product is in your control are identified and
appropriate controls established.
Product Security / Food Defence / TACCP

Your product defence plan to ensure that there are systems to protect
products, premises and brands from malicious actions while under the
control of the site.
Product Authenticity / Vulnerability

Your vulnerability assessment, detailing systems in place to minimise the
risk of purchasing fraudulent products / raw materials and to ensure that
all product descriptions and claims are legal, accurate and verified.
Good Manufacturing Practice / Good Operating

Practices
Your plan to maintain basic operational conditions to minimise the risk
to product safety, legality and quality, including layout, segregation,
building fabric and equipment standards, maintenance, chemical and
physical contamination controls, hygiene and housekeeping, waste
management, and personnel hygiene.
Vehicle Operating Standards

Your plan to ensure that vehicles used to transport products are kept
clean and maintained in good repair and condition, to protect products
from contamination.

Section 3 – ALL SUPPLIERS
3.1 Declaration & Authorised Signature
The Supplier:
a. Acknowledges that Now Plastics and its' customers will rely on the accuracy of the information provided for
product safety risk assessment of the supplier, the products and / or services it supplies.
b. Agrees that it will notify Now Plastics immediately:

i) of any significant changes to the supplier’s hazard and risk management plans before the changes are
implemented;
ii) if any external third party accreditations, regulatory approvals and / or registrations are suspended,
revoked or otherwise compromised;
iii) it withdraws or recalls any products manufactured at the manufacturing site (whether or not supplied to
Now Plastics), or any of its' customers withdraw or recalls any of their finished products as a result
(suspected, proven or otherwise) of any products manufactured at the manufacturing site;
iv) any criminal or civil legal action is started against it for product safety or quality matters;
v) any other significant changes that may affect the safety, authenticity, legality or quality of a product or
service supplied to or by Now Plastics.
c. Agrees that it will notify Now Plastics immediately if it becomes aware of any changes, errors or omissions in
the information provided.
d. Agrees that it will notify Now Plastics immediately if there are concerns about actual or suspected threats to
the safety, authenticity, legality or quality of a product or service supplied to or by Now Plastics due to any
incident or emergency that occurs while Now Plastics product is in its’ control that may be directly related to
the product, such as contamination, damage, or loss of load during transport, or indirectly related, such as the
disruption of key services including power and water, or environmental influences such as fire or flood.
e. Agrees that it will notify Now Plastics immediately of any non-conforming product identified whilst the
product is in the control of the supplier, whether the non-conformance has been caused by the Supplier or a
third party, and will clearly identify non-conforming product identified on site or notified to the supplier or
service supplier by Now Plastics to prevent its release, using either stock management IT systems, physical
segregation and / or physical identification, securely store non-conforming product to prevent accidental
release, and release, despatch or destruct non-conforming product only when notified Now Plastics.
f. Agrees that the site of manufacture of products supplied will not change without advance notification to and
the agreement of Now Plastics.
Completed for and on behalf of

Supplier (Supplier Name):
Name (Person who completed this
questionnaire):
Job Title:
Electronic Signature:
Email:
Date of Completion:


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Supplier Questionnaire

All suppliers please attach the e-copies of the following documents:

Non-GFSI Supplier Category 

Vehicle Operating Standards

DOCUMENT REF: ISSUE No.: ISSUE DATE: Page

DOCUMENT REF: ISSUE No.: ISSUE DATE: Page

Please attach e-copies of all certificates

DOCUMENT REF: ISSUE No.: ISSUE DATE: Page

Please attach e-copies of all certificates and full audit reports

2.2 Product Safety Management System

HACCP / HARA / HARM Plan

Product Security / Food Defence / TACCP

Product Authenticity / Vulnerability

Good Manufacturing Practice / Good Operating

Vehicle Operating Standards

DOCUMENT REF: ISSUE No.: ISSUE DATE: Page

b. Agrees that it will notify Now Plastics immediately:

Completed for and on behalf of

DOCUMENT REF: ISSUE No.: ISSUE DATE: Page

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