Word File

REC.34:
Supplier Recall Evaluation Record
Client Instructions:
Date Raised:
Please fill out the entire form and contact us if you have
questions or concerns. Please ask for the certification
body at 1-800-633-5137 or [email protected] .
Please note: the last 4 cells are to be filled in by the
Certification Body Personnel.
Raised by:
Facility Contact(s):
Date of Recall:
Products affected:
Factory where affected
products produced/Name
of Facility:
Address of the facility
Facility Number(s):
How was CB informed?
(provide a brief summary):
Reason for the recall:
Explain how regulators &
customers were notified?
Any reported illness or
injury due to this recall?
(Y/N, explain if Y)
Did a regulatory visit occur
due to this recall?
(Y/N, explain if Y)
Was regulatory action
taken against the
company? (Y/N, explain if
Y)
Quantity produced:
Dates:
Volume:
Raised by
Loree Allen – Manager, Quality System Certifications
Approval
Carol E. Smith – Manager, BRC
Areas Shipped:
Date
Rev. No.
File Name
Page
7 May 14
8
REC34
1 of 3
PRINTED VERSION OF THIS DOCUMENT MAY NOT BE CURRENT. VERIFY AGAINST ONLINE VERSION.
REC.34:
Supplier Recall Evaluation Record
Summary of recall
effectiveness, percent
recovered. Explain if any
product remains in the
marketplace.
Attach regulatory
response letter?
(Y/N)
Root Cause explanation of
the recall:
List immediate corrective
actions taken:
List any long-term
corrective/preventative
action taken:
For Office Use Only
Was the CB contacted by
the supplier?
For Office Use Only
Y
N The supplier failed to notify AIBI-CB of the recall.
If ‘N’ a Major non-conformity shall be raised at the
subsequent audit.
Was our CB contacted in
the required timeline for
the applicable scheme,
BRC, SQF, FSSC, IFS?
Y
N Notification of recall was not within the timeline
specified by the scheme holder.
If ‘N’ is marked a Minor non-conformity shall be raised
Raised by
Loree Allen – Manager, Quality System Certifications
Approval
Carol E. Smith – Manager, BRC
Date
Rev. No.
File Name
Page
7 May 14
8
REC34
2 of 3
PRINTED VERSION OF THIS DOCUMENT MAY NOT BE CURRENT. VERIFY AGAINST ONLINE VERSION.
REC.34:
Supplier Recall Evaluation Record
at the subsequent audit.
Was the corrective action
submitted adequate?
(Y/N, explain if N)
Y
N The CA was appropriate (no site visit
required
Y
N The CA was adequate as verified through a
site visit
Is suspension required at
this point? (Y/N)
Y
Action taken:
(Certification Managers or Head of
Certification will record the final
determination.
Completed by:
Name:
Title:
Date:
At the next audit, was the CA
sustained
N Explain:
(Y/N and explain)
Tick the boxes which apply:
No further action needed
Y
N
Suspend Certificate
Y
N
Special Audit(to verify CA)
List other CB personnel completing this form if
applicable:
Y
N The CA was adequate and
implemented. Describe observations.
Note: This section will not be completed until
the next re-certification or special audit.
Completed by:
Date:
Raised by
Loree Allen – Manager, Quality System Certifications
Approval
Carol E. Smith – Manager, BRC
Date
Rev. No.
File Name
Page
7 May 14
8
REC34
3 of 3
PRINTED VERSION OF THIS DOCUMENT MAY NOT BE CURRENT. VERIFY AGAINST ONLINE VERSION.