有机食品认证调查表

1、有机产品认证调查表QuestionnaireforOrganicProductCertification(有机产品加工)(OrganicProductProcessing)申请单位：Applicationunit:法人代表(签字、盖章人Legalrepresentative(signatureorseal):申请日期：年月日Applicationdate(YY/MM/DD)中绿华夏有机产品认证中心ChinaOrganicFoodCertificationCenter地址：邮编：100081Address:No.59XueyuanSouthRoad.HaidianDistrict,Beijing

2、Postcode:100081E-mail:Tel:Fax:E-mail:注意事项Notes1. 本表无法人（负责人）签字、盖章及内部检查员签字无效。Thequestionnaireisnotvalidwithoutthelegalrepresentative,（ortheresponsibleperson's）andtheinternalinspectors9signatureandseal.2. 本表复制后无法人（负责人）签字、盖章及内部检查员签字无效。Thequestionnaireisnotvalidwithoutsignatureandsealofthelegalrepres

3、entativeortheinternalinspectorsaftercopying.3. 本表涂改后无确认章（签字）无效。Thequestionnaireisnotvalidwithoutsignatureandsealofthelegalrepresentativeforaffirmationafteranyrewritten.4. 本表应打印或用黑墨水正楷填写，否则不予受理。Thequestionnaireshouldbeprintedorwritteninregularscriptbyblackink,otherwiseisnotaccepted?5. 本表交付后不再受理补充修改说明

4、材料。Anysupplementoralterationmaterialisnotacceptedafterthequestionnaireissubmitted.6. 所有表格的栏目不得空缺，不填写的须说明理由。Thequestionnairemustbeprintedorwrittenwithoutanyemptytermwiththeexceptionoftheexplainedreason.第一部分基本情况Part1GeneralInformation1、力口工企业名称与永久地址NameandPermanentAddressofProcessingEnterprise加工厂名称Name

5、经济类型Ownership国有口集体口私营口个体口股份制其它NationalcolIectiveDprivateindivistockBtljeiint地址/邮编Address&postcode负责人Responsiblepersons电话/手机Tel./Mobile联系人Contactperson电话/手机Tel./Mobile电子信箱E-Mail传JLFax2、有机产品生产历史ProductionHistoryofOrganicProduct除了申请的产品外，同一单元内是否还生产其它的常规产品或按有机方式种植但不申请认证的产品：如是，填写该类产品的需称、规模。Doestheente

6、rpriseproduceconventionalproductsorotherorganicproductswithoutorganiccertificateinsameproductionunit?Ifyes,filltheirnamesandscale.本企业何时开始有机产品生产？Whendidtheenterprisebegintoproducetheorganicproduct?此前何时通过英他认证机构的有机认证？如是，提供"证书”和“检查报告”的复印件等证明材料。Hastheenterprisebeencertifiedasorganicbyanyothercertifi

7、cationbody?Ifyes,pleaseprovidethecopyofcertificationandinspectionreportetc此前是否被拒绝通过认证？哪家认证机构？何种认证？被拒绝的原因？Hastheenterprisebeendeniedbyanycertificationbody?Pleaseindicatethenamandreason?目前在其他认证机构的认证情况？Brieflyindicatecertificationsbyothercertificationbodycurrently?3、其他应补充说明的重要问题(包括项目历史、企业构架、开展的业务及生产历史情

8、况等)Otherimportantissueshouldbeadditionalremarks(includinghistoryofprogram,stiuctureoftheenterprise,business,historyofproductionandsoon)4、生产单元环境ProductionBaseEnvironment(1)厂区环境FactoryEnvironment厂区面积(m2)Area(m2)其中露地而积(iM)Areaofopenfield(m2)围栏类型Typeoffence围栏高度(m)Heightoffence(m)锅炉吨位Tonnageofboiler燃料类型l

9、peoffuel除尘器类型Typeofdustcleaner烟囱高度(m)Stackheight(2)生产车间环境WorkshopEnvironment车间名称NameofWorkshop使用面积(nP)Area(m2)更衣室数量Amountofchangingroom盥洗室数量Amountofwashroom工休室数量Amountofrestroom消毒设施Sterilizingfacilities消毒池Sterilizingpool紫外灯Ultravioletlamp无菌充气Sterileaeration其它Others地面Ground材质Material坡度Slope地漏数量Amount

10、ofgroundleakage墙壁Wall墙裙材质Dadomaterial墙卸材质Wallspacematerial天花板材质Ceilingmaterial门窗材质Doorandwindowmaterial防蝇防虫设施Fliesandpestcontrolfacilities有无内窗台Haveinnerwindowsillornot照明灯Lightinglamp数量Quantity有无防护罩Haveshieldornot温控设备类型及数量Typeandquantityoftemperaturecontrolequipment通风设备类型及数量Typeandamountofventilation

11、equipment维修工具集中放置否？口是口否Doestherepairkitsputtogether?YON消防器材合理放置否？口是口否Doesthefire-fightingequipmentreasonableplace?YN废弃物谷器集中放置否？口是口否Doesthecontainersofwastesputtogether?Y危险品集中放卷否？口是口否ONesthehazardousarticleputtogether?YON生产用水水源Sourceofprocesswater净化设施名称及数量Nameandquantityofpurificationequipments非生产用水水

12、源Sourceofnon-processwater废水排放方式Wastewatertreatment注：如生产车间较多，请另附表格。Note:Addedformispermittedincaseofmoreworkshops.第二部分力口工原料Part2ProcessingRawMaterials原料RawMaterials名称Name生产厂家Manufacturer用量比例()Proportionofconsumption年用量(吨)Annualconsuniption(t)所获有机产品证书号Certificationnumberoforganicfood食品添加剂、加工助剂和营养强化剂等F

13、oodadditives,processingaidandnutritionenhancer,etc名称Name生产厂家Manufacturer用量比例(%)Proportionofconsumption年用量(吨)Annualconsumption(t)产品标准号Standardoftheproduct加工用水检测"(GB5749)Testingreportofprocessingwater(drinkingwaterstandard)根据有机产品认i正文件资料清单第二部分“质量管理体系文件”的“生产.加工、经营操作规程”对：“原料要求”提供相关文件。列出文件目录According

14、totheinstnictionsaboutproducing,processingandmanagementproceduresofthequalitymanagementsystemdocumentationwhichbelongtothesecondpartofdocumentsubmissionchecklistfororganiccertification,providingtherelevantdocumentsaboutthematerialsrequirements.Listthefilecatalog.注：如原料品种较多，请另附表格。Note:Addedformispermi

15、ttedincaseofmorekindsofrawmaterials.注：如食品添加剂、加工助剂和营养强化剂等品种较多，请另附表格。Note:Acessingaid.nutritionandenhanceretc?第三部分生产加工Part3ProductionandProcessing1、工艺流程及工艺条件ProcessingFlow-chartandConditions详细的各产品的加工工艺流程图（能体现所有涉及到的环IF,包括所用原料、添加剂、助剂等），弁描述各步骤所需生产条件（

16、温度、适度、反应时间等）：Showthedetailedprocessingflow-chartofeachproduct,whichcanreflectalloflinksincludingrawmaterials,additives,processingaidthebaseused,anddescribingtherequiredproducingconditionsofeachstepincludingtemperature,humidityandreactiontimeetc.以上各工艺环节中产品出成率Theoutputrateofeveryprocessinglinkabove.注：

17、如涉及多个产品，请另附表格。Note:Addedformispermittedincaseofmoreproducts.2、工艺设备ProcessingEquipment序号No.设备名称Nameofequipment台数Quantity加工能力Processingcapacity加工产品名称Nameofprocessproducts吨/小时t/liour吨/年t/year3、力口工运行ProcessingandOperation详述加工过程及生产原理Pleasedetailthecourseofprocessingandtheprincipleofproducing.加工过程中所需使用的清洗

18、、消毒方法及物质Washinganddisinfectingmethodsandusedsubstancesofequipmentbeforeprocessing:加工过程或储藏场所有害生物的控制方法Thewaytocontrolharmfulorganismsinprocessingorinthestorehouse.4、投入、产出统计StatisticsofInput-output成品名Nameoffinalproducts有机配料(包括主料、辅料、食品添加剂等所有投入物质)Organicingredients(includingmajoringredient,minoringredien

19、t,foodadditive,etc.)出成率(%)Rateoffinalproducts(%)成品量(吨)Amountoffinalproducts(t)品名Name比例Proportion用量(吨)Consumption(t)5、污水排放和加工废弃物处理方法MethodsofPollutedWaterandWasteTreatment第四部分包装、贮藏、运输等Part4Packing,StorageandTransportation1%包装Packing包装材料(来源、材质)、包装充填剂Packingmaterial(thesourceandthematerial),packagefill

20、er包装车间、容器消毒杀菌的方式、方法Themethodandwaytosterilizationanddisinfectionforthepackinghouseandequipments.2、产品贮存Storage贮存库数量、容积及类型(常温、冷藏或气调等)Amount,capacityandtype(normaltemperature/refrigeration/airconditioner,etc.)ofstorage如中报产品与常规食品同库贮存，阐明区分方法Iforganicproductsappliedwerekeptinthesamewarehousewithotherconve

21、ntionalproducts,pleaseindicatedivisivemethods:贮存库卫生清扫管理方法Cleaningmanagementmethodsofstorage贮存库菌、虫、鼠防治措施，所用设备及药品的名称、生产厂家、使用方法、用量等Thecontrollingmeasureofgerm,pestandratinthewarehouse?Theequipments,nameofdrug,manufacturer,methods,dosagewhichwereuse?是否在企业外借用贮存库？如是，请提供英名称、地址、电话及库容等Didtheenterpriseneedborrowthestorehousefromothercompany?Ifyes,pleaseprov