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首页 Supplier Questionnare - Section D Allergen (2)

Supplier Questionnare - Section D Allergen (2).doc

Supplier Questionnare - Section…

放羊的老虎
2018-09-10 0人阅读 举报 0 0 0 暂无简介

简介:本文档为《Supplier Questionnare - Section D Allergen (2)doc》,可适用于医药卫生领域

SupplierQualityQuestionnaireSupplierQuestionnareSectionDAllergendocPageofDAllergenesIncasethequestionnairecoversmorethanoneproduct,pleaseuseaseparateformDforeachproductMaterialBrandNameChemicalName(ifapplicable)ProductCode               AllergenDoestheproductcontain:CerealscontainingglutenandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXCrustaceansandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXEggsandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXFishandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXPeanutsandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXSoybeansandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXMilkanddairyproducts(includinglactose)YesFORMCHECKBOXNoFORMCHECKBOXNutsandnutproductsYesFORMCHECKBOXNoFORMCHECKBOXCeleryandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXMustardandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXSesameseedsandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXSulphurdioxideandsulphitesatconcentrationsofmorethanmgkgormgliterexpressedasSOYesFORMCHECKBOXNoFORMCHECKBOXLupineYesFORMCHECKBOXNoFORMCHECKBOXMolluscs(gastropods,bivalves,cephalopods)YesFORMCHECKBOXNoFORMCHECKBOXMaizeandproductsthereofYesFORMCHECKBOXNoFORMCHECKBOXSugar(sucrose)YesFORMCHECKBOXNoFORMCHECKBOXBenzoatesYesFORMCHECKBOXNoFORMCHECKBOXBHABHTYesFORMCHECKBOXNoFORMCHECKBOXCinnamon,Cocoa,Vanilla,Chicken,Yeast,Legumes(otherthanPeanut),Pulses,Coriander,Umbellifereae,Flavour(anyartificialnatural),Glutamate(ifnaturallyoccurring),CarrotYesFORMCHECKBOXNoFORMCHECKBOXHACCP–AllergenRiskInPlace(crosscontamination)Areprocessingaidscontainingsubstancescausinghypersensitivitylistedinsection,usedduringthemanufacturingprocessYesFORMCHECKBOXNoFORMCHECKBOXIfyes,whichone(s)(pleaseindicateppmlevel,whereapplicable)     Unintendedpresenceofsubstancescausinghypersensitivity(egcarryovercrosscontact)Canyouexcludethatthematerialcontainsanyofthesubstanceslistedinsectionduetounintendedpresence(egcrosscontactinthemanufacturingsiteorduringtransportation,crosscontactcarryoverduetosharedproductionlines,rework,dust,packaging,etc)YesFORMCHECKBOXNoFORMCHECKBOXIfyes,pleasegivedetails(egusedrawmaterialsareundercontrol–audits,supplier’squestionnaires–,efficientvalidatedwetcleaning,systembasedonHACCPwhichexcludesunintendedpresence,etc):     Ifno,pleasespecifythereasonsandforwhichsubstance(s)unintendedpresenceispossible(pleaseindicateppmlevel,whereapplicable)     PleaseprovideusaManufacturingProcessFlowRef:     PleasedetailhereundertheexactQuantitativeProductCompositionRef:     

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