AUS-QUAL Received
AUS-QUAL ORGANIC PROGRAM
CHANGE OF SCOPE APPLICATION
Initial: Date:
For any major changes to the Operation, this application needs to be submitted, and then reviewed and approved by
AUS-QUAL Pty Ltd prior to implementation of changes. Example of changes include addition of product or processing activity, addition or removal of land, changes in management personnel etc. A major change is one in which the changes to the system could potentially affect the integrity of the organic product. Please note that an additional Audit may be required depending on the change. Please refer to Fact Sheet #4 prior to completing this application.
SECTION 1 – CLIENT DETAILS
Enterprise Name:
Trading Name:
Organisation Representative’s Name:
Email:
Location Address:
Certification No (if appl):
Phone:
SECTION 2 – FOR ADDITION OF LAND TO EXISTING CERTIFIED ORGANIC OPERATION
1.
Is this additional land on the same title as the land in your existing Certification? Yes ☐ No ☐
ha 2.
If yes, how many hectares are to be added to your current Organic Certification?
3.
If no, please detail the following:
Physical Address:
Distance from existing land: Hectares to be certified:
4.
When do you want the new land to be added to your certification:
Outside normal audit cycle ☐ At the next due Organic audit
5.
If outside of normal audit cycle, what is the intended date for this addition:
6.
Has this additional land been under Organic Certification in previous years:
7.
If yes, please provide previous Certification details:
8.
Please provide a detailed map of the new land, as per our map checklist. Applications with inadequate maps will not be accepted
9.
Please provide an updated OMP to reflect the new addition of land, and include input records (e.g. sprays, fertilizers etc.)
10.
Please provide a Risk Assessment for the new land
RA attached ha
☐
Yes ☐ No ☐
Map attached ☐
OMP attached ☐
☐
SECTION 3 – FOR REMOVAL OF LAND FROM ORGANIC CERTIFICATION
1.
Address and details of land to be removed from Organic Certification:
Physical Address:
Block/s Name (if more
than 1 block then please
list them separately with
each size):
Hectares to be removed:
2.
Please provide a detailed map, as per our map checklist, indicating what land has been removed. Applications with inadequate maps will not be accepted
3.
Please provide an updated OMP to reflect the removal of the land
4.
Intended date land is to be removed from Organic Certification:
ha
Map attached ☐
OMP attached ☐
Form AQT973 – Organic – Change of Scope Application
Issue 3 – 18/02/2015 Page 1 of 3

AUS-QUAL ORGANIC PROGRAM
CHANGE OF SCOPE APPLICATION
SECTION 4 – FOR ADDITION OF CROPS AND/OR LIVESTOCK
1.
List the crops and/or livestock under your current Certification Organic scope:
2.
List the crops and/or livestock you wish to add to your current Certification Organic scope:
AUS-QUAL Received
Initial: Date:
3.
Please provide a detailed map, as per our map checklist, indicating where the new crops and/or livestock will be located. Applications with inadequate maps will not be accepted
4.
Please provide an updated OMP to reflect the new addition of crops and/or livestock and include and spray and input records
5.
Intended date for crops and/or livestock to be added to Organic Certification:
Map attached ☐
OMP attached ☐
SECTION 5 – FOR REMOVAL OF CROPS AND/OR LIVESTOCK
1.
List the crops and/or livestock that you wish to remove from your Organic Certification:
2.
Please provide a reason why they are being removed:
3.
Please provide an updated OMP to reflect the removal of crops and/or livestock OMP attached ☐
SECTION 6 – FOR ADDITION OF PROCESSING ACTIVITIES
1.
List the process/processes under your current
Certification Organic scope:
2.
List the process/processes you wish to add to your current Certification Organic scope:
3.
Please provide a detailed site plan, as per our map checklist. Applications with inadequate plans will not be accepted
4.
Please provide an updated or new OHP to reflect the processing activities. Please ensure you identify organic control points and how the integrity of the organic product will be maintained at each point; an organic process flow; cleaning/sanitation and pest control practices and any other relevant information
5.
Please provide additional OPIR’s for any additional processes
6.
Intended date for process/processes to be added to Organic Certification:
Map attached ☐
OHP attached ☐
OPIRs attached ☐
SECTION 7 – FOR REMOVAL OF PROCESS/PROCESSES
1.
List the process/processes that you wish to remove from your Organic Certification:
2.
Please provide a reason why they are being removed:
3.
Please provide an updated OHP to reflect the removal of the process/processes
4.
Intended date process/processes to be removed from Organic Certification:
OMP attached ☐
Form AQT973 – Organic – Change of Scope Application
Issue 3 – 18/02/2015 Page 2 of 3

AUS-QUAL ORGANIC PROGRAM
CHANGE OF SCOPE APPLICATION
AUS-QUAL Received
Initial: Date:
SECTION 8 – FOR CHANGES TO OPERATOR DETAILS OR PERSONNEL
CURRENT DETAILS: DETAILS TO BE UPDATED:
Enterprise Name:
Trading Name:
ABN Number:
Representative’s Name:
Location Address:
Enterprise Name:
Trading Name:
ABN Number:
Representative’s Name:
Location Address:
Postal Address: Postal Address:
Phone Number:
Fax Number:
Email:
Mobile Number:
Additional Information:
Phone Number:
Fax Number:
Email:
Mobile Number:
SECTION 9 – FOR ADDITION OF ANY OTHER CHANGES TO FARMING PRACTICES
Please detail any other changes to your Operation:
SECTION 10 – APPLICANT’S SIGNATURE
Signature of Applicant:
Full Name of Applicant:
Position:
Company:
Date:
OFFICE USE ONLY
Review Completed by:
Change of Scope Approved:
Approved by Name:
Additional Comments:
Yes
Form AQT973 – Organic – Change of Scope Application
Issue 3 – 18/02/2015
No
Signature:
Date:
Date:
Page 3 of 3