McCain Foods USA, Inc.
McCain Foods Canada
HACCP Questionnaire for New Suppliers and Approved Suppliers
of Packaging Materials
INSTRUCTIONS FOR SUPPLIERS:
This document is specific to each HACCP plan and each manufacturing location.
 Suppliers providing multiple items processed under the same HACCP plan with similar
hazard analysis and produced at the same manufacturing location are to complete this
document only once.
 Suppliers providing multiple items processed under different HACCP plans and/or
substantially different hazard analysis and produced at the same manufacturing location
are to complete one copy for each applicable HACCP plan and are asked to indicate what
is different in the hazard analysis sections.
 Do Not Leave Any Sections Blank. Write “Not Applicable” for sections that do not
pertain to your operation.
Name of Manufacturer
Manufacturing Address of
intended item(s)
Applicable raw material(s)
to be provided to McCain
under this HACCP plan
(attach list if required)
BIOLOGICAL
Is the intended packaging for food contact?
If YES, do you have procedures to ensure the microbiological integrity of this material?
Is the intended packaging for non-food contact application?
DOC. NO.:
NA-SC-4.01-PRO-003-F
EFFECTIVE DATE:
PREPARED BY:
Wendy Stewart
SUPERCEDES:
Nov 8, 2013
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NOTES:
1.
2.
Yes / No
Yes / No
Yes / No
Once printed this is not a controlled document. All controlled documents will exist in electronic form on the North America Quality intranet site.
To request a change, submit a Document Change Request to the Document Control Representative.
McCain Foods USA, Inc.
McCain Foods Canada
BIOLOGICAL Indicate all that apply
YOUR SUPPLIERS (pertaining to
materials used by you in items for
McCain)
Your Supplier has microbiological
programs?
Your supplier has integrated pest
control programs to ensure the food
safety of materials used to make
packaging for foods?
Your supplier has employee and
manufacturing GMPs to guard
against biological hazards?
You review Food Safety Audits of
your suppliers
Yes/No SPECIFICS
YOUR INCOMING PROCEDURES
(At your facility and pertaining to
items for McCain, do you…?)
Do you have any packaging
materials for which you require
microbiological testing?
Do you have specific incoming
checks to guard against biological
hazards?
YOUR PROCESSES (At your facility
and pertaining to items for McCain,
do you have…?)
Yes /
No
Yes /
No
SPECIFICS
Is this
a CCP?
SPECIFICS
Thermal process
Antimicrobial Agents
Verification/Validation of biological
control Steps
Other (Specify)
YOUR FACILITIES (At your facility and
pertaining to items for McCain, do you
have…?)
Yes/No
SPECIFICS
Foot Traffic Foamers
Restricted Forklift Access
Separated HVAC for raw material and
finished product areas
DOC. NO.:
NA-SC-4.01-PRO-003-F
EFFECTIVE DATE:
PREPARED BY:
Wendy Stewart
SUPERCEDES:
Nov 8, 2013
PAGE NO.:
2 of 7
REV. NO.:
1
NOTES:
1.
2.
Once printed this is not a controlled document. All controlled documents will exist in electronic form on the North America Quality intranet site.
To request a change, submit a Document Change Request to the Document Control Representative.
McCain Foods USA, Inc.
McCain Foods Canada
Raw/Fully Processed Traffic Segregation
YOUR PROCEDURES (At your facility, do
you use…?)
Yes/No
SPECIFICS
Yes/No
SPECIFICS
Employee Uniforms
Gloved Hands on Direct Food Contact
YOUR MICRO TESTING
Pathogen Environmental Testing
Finished Packaging Micro Testing
PHYSICAL Indicate all that apply
YOUR SUPPLIERS
(pertaining to materials
used by you in items for
McCain)
What physical hazards
are mitigated by your
suppliers?
How is this
accomplished?
How does your facility
verify that this is done?
YOUR EQUIPMENT (At
your facility and
pertaining to items for
McCain, do you use…?)
Manual visual
SPECIFICS
Is this a
CCP?
LIMITS
LOCATION
Automated system such
as ‘Opti-Sort’
Metal detection
Magnets
X-ray
Other physical removal
or detection (specify)
DOC. NO.:
NA-SC-4.01-PRO-003-F
EFFECTIVE DATE:
PREPARED BY:
Wendy Stewart
SUPERCEDES:
Nov 8, 2013
PAGE NO.:
3 of 7
REV. NO.:
1
NOTES:
1.
2.
Once printed this is not a controlled document. All controlled documents will exist in electronic form on the North America Quality intranet site.
To request a change, submit a Document Change Request to the Document Control Representative.
McCain Foods USA, Inc.
McCain Foods Canada
YOUR PROCEDURES
(At your facility and
pertaining to items for
McCain, do you use…?)
Glass and hard plastics
inventory and integrity
checks
Glass and hard plastics
breakage clean-up
procedures
Small tools inventory,
assignment and integrity
checks
Yes/No
SPECIFICS (state frequency and how verified)
Glove integrity checks
Use of hair coverings
Other hair controls (such
as garment brushes, lint
rollers)
Wood use inventory and
integrity checks
Maintenance tool and
parts reconciliation
Swarf mats outside
maintenance areas
Checks for metal on
metal
Other process controls
(such as special air
handling systems, sticky
mats)
Fully cover rolls of
finished packaging
materials to prevent
them from being
damaged or soiled
Fully cover pallets of
cardboard or corrugate
packaging to prevent it
from being damaged or
soiled
DOC. NO.:
NA-SC-4.01-PRO-003-F
EFFECTIVE DATE:
PREPARED BY:
Wendy Stewart
SUPERCEDES:
Nov 8, 2013
PAGE NO.:
4 of 7
REV. NO.:
1
NOTES:
1.
2.
Once printed this is not a controlled document. All controlled documents will exist in electronic form on the North America Quality intranet site.
To request a change, submit a Document Change Request to the Document Control Representative.
McCain Foods USA, Inc.
McCain Foods Canada
CHEMICAL Indicate all that apply
INCOMING MATERIALS
(pertaining to materials
used by you in items for
McCain)
Resins (legal and
appropriate for use)
Inks (legal and
appropriate for use)
Adhesives and glue (legal
and appropriate for use)
Board (legal and
appropriate for use)
Water treatment and
boiler chemicals used by
your facility are approved
for use in manufacturing
of food packaging and
within legal limits
Potable water source is
monitored for heavy
metals and chemical
residuals and is within
legal limits
YOUR PROCESSES (At
your facility and
pertaining to items for
McCain, do you have…?)
Control of inks and
adhesives on food
contact surfaces
Control of heavy metals
that may be generated
by your process
Yes/No
Yes / No
SPECIFICS (state criteria, frequency and how verified)
Is this a
CCP?
DOC. NO.:
NA-SC-4.01-PRO-003-F
EFFECTIVE DATE:
PREPARED BY:
Wendy Stewart
SUPERCEDES:
SPECIFICS
Nov 8, 2013
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5 of 7
REV. NO.:
1
NOTES:
1.
2.
Once printed this is not a controlled document. All controlled documents will exist in electronic form on the North America Quality intranet site.
To request a change, submit a Document Change Request to the Document Control Representative.
McCain Foods USA, Inc.
McCain Foods Canada
CLEANING AND
MAINTENANCE (At
your facility and
pertaining to items for
McCain, do you have…?)
Cleaning chemical
selection criteria to
ensure suitable for
intended use and food
safety
Sanitation residuals
monitored and within
food safe limits
Lubricants and oils
segregated and handled
for use on food contact
and non-food contact
materials
Yes/No
SPECIFICS (state frequency and how verified)
ALLERGENS
Please complete the McCain North America Request for Allergen form that can be found on our
website at mccainsuppliers.com.
RECALLS
Yes/No
Does your facility have
an effective recall
program?
Has your facility
experienced a product
recall within the past
3 years?
SPECIFICS
(State frequency and nature of recall exercises for materials
used in packaging manufacture and for finished product)
(State Recall Class, product type, approximate amount, issue,
corrective action)
DOC. NO.:
NA-SC-4.01-PRO-003-F
EFFECTIVE DATE:
PREPARED BY:
Wendy Stewart
SUPERCEDES:
Nov 8, 2013
PAGE NO.:
6 of 7
REV. NO.:
1
NOTES:
1.
2.
Once printed this is not a controlled document. All controlled documents will exist in electronic form on the North America Quality intranet site.
To request a change, submit a Document Change Request to the Document Control Representative.
McCain Foods USA, Inc.
McCain Foods Canada
I confirm that, to the best of my knowledge, this information provided to McCain is accurate.
Name:
______________________________
Title:
______________________________
Signature:
______________________________
Company:
______________________________
Office Address:
______________________________
Telephone:
______________________________
E-mail:
___________________________
Date:
______________________________
PLEASE RETURN COMPLETED FORM AND APPLICABLE ATTACHMENTS by email to
supplierdocuments@mccain.com.
DOC. NO.:
NA-SC-4.01-PRO-003-F
EFFECTIVE DATE:
PREPARED BY:
Wendy Stewart
SUPERCEDES:
Nov 8, 2013
PAGE NO.:
7 of 7
REV. NO.:
1
NOTES:
1.
2.
Once printed this is not a controlled document. All controlled documents will exist in electronic form on the North America Quality intranet site.
To request a change, submit a Document Change Request to the Document Control Representative.