Producer profile questionnaire

A. Producer Details
Name of producer/packer:
Telephone number:
Contact person:
Cell number:
Fax no.
Email:
Physical Address:
Postal Address:
Joburg Market Producer Code:

B. Type of Food Business Operator (FBO) : Please tick applicable box
PRIMARY PRODUCTION
OFF-FARM PACKHOUSE
COLD STORAGE FACILITY
ON-FARM PACKHOUSE
IMPORTER/DISTRIBUTOR

C. FBO CODE: Please indicate your FBO code/s under the various categories e.g. PUC : D4160
PUC:
PHC:
PROCESSOR:
COMMERCIAL COLD STORE:
OTHER:

D. List products/commodities produced, packed, stored and handled, e.g. lemons, apples, potatoes,etc:

E. Frequency of supply: Weekly/ biweekly/ monthly/seasonally - specify

F. Food Safety System/Hygiene Certifications Received to Date :
Valid Certification Certificate No. Date certified Expiry date
SA Official Food Safety and Hygiene Legislation
(Notice No. 707of 13 May 2005)(SAgap)
Globalgap
Tesco Nuture's Choice (TNC)
HACCP
British Retailer Consortium (BRC)
ISO 22000
Pick & Pay farm / packhouse certification
SQF
IFS
R918 Certificate of Acceptability
Retailer GMP standard: Woolworths, Pick n Pay, Spar,etc
Organic certification
G. Other Certifications received:
LEAF
Fairtrade

H. In the absence of a certified food safety system, can you furnish a spray program for the products supplied? Yes No
I. Is there a quality control (QC) system in place for produce grading and packing?Yes No

J. Cold chain management :
1. Are cold storage facilities available for packed or unpacked produce?Yes No
2. Are packed produce transported in refrigerated road motor transport (RRMT)?Yes No

K. Do you supply any retailers, other fresh produce markets, wholesalers and processors directly?Yes No
If Yes, please specify: