Basic Data – FSSC 22000 Version 6

1- General Information

DQS Ref. No. (if applicable)

Company Name
Address

Invoice address (if different)

Contact person for FSSC 22000
Telephone – Fax
E-Mail / Homepage
VAT ID no.
Commercial register-No.
Approval No* (if applicable)
* Issued by registration at the local food control authority (Article 6 Paragraph 2 of Regulation (EC) No. 852/2004)

COID No

This site is Headquarters including central functions and production

location (all FSCC processes on site)
Headquarters without Production
purely Production site
Number of Sites incl. HQ
If there are several locations, please fill out this basic data sheet for each individual location .
Number of off-site storage(s) or warehousing facility(s) that being handled by own Employees

Total number of employees

Number of employees in main shift incl. seasonal workers + office workers
Number of shifts
Number of HACCP Plans*
*HACCP Plan = A HACCP Study is a concept, which helps the HACCP Team to identify CCP's and critical limits, monitor procedures,
determine corrective action, create HACCP Plans and define the responsibilities. This covers the requirements of HACCP Principles.

Number of Off-Site activities**

**Off Site activity = manufacturing or service process that’s been split across more the one physical address, all locations may be covered
in one audit provided that the different addresses are part of the same legal entity, under the same FSMS and that they are the sole
receiver/ customer of each other.

What is your company language (of most employees)?

English other, which?

In which language are the essential documents (e.g. HACCP) prepared?

English other, which?
The audit report is prepared in English; do you want a report in another language?

Yes, which?

715613568.docx Version 11/DEC/2023 1

Basic Data – FSSC 22000 Version 6

2- Product / process information

The certification according to FSSC 22000 consists of the combination of standards:

ISO 22000:2018 and ISO TS 22002-1:2009 (for food and (bio)-chemicals)
ISO TS 22002-2:2013 (for catering and food service)
ISO TS 22002-4:2013 (for production of packaging material),
ISO TS 22002-5:2019 (for transport and storage)
ISO TS 22002-6:2016 (for production of feed and animal food)
BSI/ PAS 221:2013 (for retail, wholesale, e-commerce)
as well as FSSC additional requirements
Scope of the Certification

Number of product categories

Number of production lines
Is a seasonal production existing? No
(less than 6 month per year) yes, in the following months

Do you wish that the requirements of the FSSC 22000 FSMA Addendum will be audited (incl. report)?Only
applicable for Food Chain categories C0 – CIV & K.

Yes, FSSC 22000 incl. FSSC 22000 FSMA Addendum

Please list product recalls, product withdrawals or complaints from authorities since the last audit (if any):

Is the company already certified according to FSSC? Yes No

Date of last Audit: Number of onsite audit days:

Comments:

Certified Standards:

Kind of audit (initial, Re- result (Grade,

Standard Date of last audit Onsite audit-days
certification, surveillance) Level)

Note: Please make sure that there are all production processes for the planned scope in operation at
the time of the audit.

715613568.docx Version 11/DEC/2023 2

Basic Data – FSSC 22000 Version 6

3- Unannounced Audit
Setting of blackout period / non-audit days
It is mandatory to conduct one (1) unannounced surveillance audit within a three-year-cycle. You can specify a
maximum of 10 operating days on which the unannounced audit cannot be carried out (e.g. due to planned
customer visits, employee vacation, long-term planned maintenance days, etc.).
Shall the audit be unannounced audit: Yes No
Please describe reasons for the mentioned blackout period.

No. Date from Date to Reasons

1.
2.
3.
4.

5.

6.

7.

8.

9.

10.

Contact person for unannounced audit:

Name:
Function:
Phone (mobile and/or landline):
E-Mail:

I/We confirm that the basic data given in this form are true, complete and accurate.
Signature of company representative:

Name / Function:
Place:
Date:

Food Chain Categories,

Please check mark!
Pre-process handling of plant products
Applicable normative documents: ISO/TS 22002-1:2009; FSSC 22000 Additional
BIII
requirements

715613568.docx Version 11/DEC/2023 3

Basic Data – FSSC 22000 Version 6

Food Chain Categories,

Please check mark!
Activities on harvested plants that do not transform the product from original whole form, including horticultural products and
hydrophytes for food. These include cleaning, washing, rinsing, fluming, sorting, grading, trimming, bundling, cooling, hydro-
cooling, waxing, drenching, aeration, preparing for storage or processing, packing, repacking, staging, storing and loading
Animal – Primary conversion
Applicable normative documents: ISO/TS 22002-1:2009; FSSC 22000 Additional C0
requirements
Conversion of animal carcasses intended for further processing including lairage, slaughter, evisceration, bulk chilling, bulk
freezing, bulk storage of animals and game gutting, bulk freezing of fish and storage of game
Processing of perishable animal products
Applicable normative documents: ISO/TS 22002-1:2009; FSSC 22000 Additional CI
requirements
Processing and packaging including fish, fish products, seafood, meat, eggs and dairy requiring chilled or frozen temperature
control. Processing pet food from animal products only
Processing of perishable plant products
CII
Applicable normative documents: ISO/TS 22002-1:2009; FSSC 22000 Additional
requirements
Processing and packaging including fruits and fresh juices, vegetables, grains, nuts, pulses, frozen water-based products (e.
g. ice), plant-based meat and dairy substitutes. Processing pet food from plant products only
Processing of perishable animal and plant products (mixed products)
Applicable normative documents: ISO/TS 22002-1:2009; FSSC 22000 Additional CIII
requirements
Processing and packaging including pizza, lasagne, sandwiches, dumplings and ready-to-eat meals. Includes off-site catering
kitchens. Includes products of industrial kitchens not offered for immediate consumption. Processing perishable pet food from
mixed products
Processing of ambient stable products
Applicable normative documents: ISO/TS 22002-1:2009; FSSC 22000 Additional CIV
requirements
Processing and packaging of products stored and sold at ambient temperature including canned foods, biscuits, snacks, oil,
drinking water, beverages, pasta, flour, sugar and food-grade salt. Processing ambient stable pet food

Processing of feed and animal food

Applicable normative documents: ISO/TS 22002-6:2016; FSSC 22000 Additional D
requirements
Processing feed material intended for food and non-food producing animals not kept in households, e. g. meal from grain,
oilseeds, by-products of food production. Processing feed mixtures with or without additives, intended for food-producing
animals, e . g. premixes, medicated feed, compound feeds
Catering / food service
Applicable normative documents: ISO/TS 22002-2:2013; FSSC 22000 Additional E
requirements
Open exposed food activities such as cooking, mixing and blending, preparation of components and products for on-site
direct consumer consumption or take away. Examples include restaurants, hotel, food trucks, institutions, workplaces (school
or factory cafeteria) including retail with on-site preparation (e. g. rotisserie chicken). Includes reheating of food, event
catering, coffee shops and pubs
Retail / Wholesale / E-commerce
Applicable normative documents: BSI/PAS 221:2013; FSSC 22000 Additional requirements FI
Storage and provision of finished products to customers and consumers (retail outlets, shops, wholesalers). Includes minor
processing activities, e. g. slicing, portioning, reheating

Brokering / Trading / E-commerce

Applicable normative documents: FSSC 22000 Additional requirements FII
Buying and selling products on its own account without physical handling or as an agent for others of any item that enters the
food chain

Transport and storage services

Applicable normative documents: ISO/TS 22002-5:2019; FSSC 22000 Additional G
requirements
Storage facilties and distribution vehicles for perishable food and feed where temperature integrity shall be maintained.
Storage facilities and distribution vehicles for ambient stable food and feed. Relabelling/repackaging excluding open exposed
product materials. Storage facilities and distribution vehicles for food packaging material

715613568.docx Version 11/DEC/2023 4

Basic Data – FSSC 22000 Version 6

Production of packaging material Plastics (I1)

Applicable normative documents: ISO/TS 22002-4:2013; FSSC 22000 Additional
Paper and board (I2)
requirements
Metal (I3)

Glass and ceramics (I4)

Wood (I5)

Other materials (I6)

(e. g. textile etc.)
Production of packaging material in contact with food, feed and animal food. May include packaging produced on-site for use
in processing.
Production of Bio/chemicals
K
Production of bio/chemicals: food and feed processing aids, additives (e. g. flavorings, vitamins), gases and minerals; bio-
cultures and enzymes

715613568.docx Version 11/DEC/2023 5