LOCAL GROWERS SUPPLIER APPROVAL CHECKLIST

Supplier Name:______

Done / STEP 1. Minimum for Consideration / Requirements / Date
Water Test Report / Irrigation Water Test for generic E.coli.
3rd Party Food Safety Audit (High Risk Only) / Provide copy of full audit report and certification.
SKIP STEP 3 if 3rd Party Food Safety Audit is available.
Done / STEP 2. Preparation for Pre-approval Audit / Requirements / Date
Provide Raley’s Local Growers Reference Documents to Assist Potential Supplier / Document is available on Raley’s Local Growers Webpage for potential supplier to prepare for pre-approval audit.
Done / STEP 3. Pre-approval Audit / Requirements / Date
Perform Local Growers Food Safety Audit - Part 1 (The 5 Essentials) / Grower must meet all 5 ESSENTIALS before continuing to Part 2. Otherwise, STOP HERE.
Perform Local Growers Food Safety Audit - Part 2 (Questionnaire) / If grower has any CRITICAL finding(s), STOP HERE UNTIL correction has been made for approval.
If grower has any MAJOR OR MINOR finding(s), corrective action plan must be in placed before moving to STEP 4.
Grower must have the following WRITTEN PROGRAMS in place: / Inspector shall compare written programs and associated documentations to actual practices.
a. Good Agricultural Practices (GAP) Program / Refer to the "Raley's Local Growers Food Safety Reference Document".
b. Recall Program / Review supplier's action plan for product recall.
c. Map of Water Movement & Delivery System / Review map.
d. Employee Health and Personal Hygiene Training Program / Supplier should read and sign the "Basic Food Safety Training" and "Foodborne Illness Training_Supervisor" documents.
e. Food Safety Program / Supplier should read and sign the "Basic Food Safety Training" and "Foodborne Illness Training_Supervisor" documents.
f. Process Flowchart for Soil Prep to Shipping / Supplier should fill out the template document.
h. Standard Operation Procedures (SOPs) / Documented procedures for daily operations. Refer to the "Raley's Local Growers Food Safety Reference Document".
i. Sanitation Standard Operation Procedures (SSOPs) and Cleaning Schedules / Documented procedures and schedule for cleaning and sanitizing. Refer to the "Raley's Local Growers Food Safety Reference Document".
j. Pest Control Program / Documented Program for pest control (area of application and dosage of pesticides)
Done / STEP 4. Post Audit / Requirements / Date
Supplier Information Form (SIF_Food) / Supplier to complete and sign the SIF_Food.
Document Submission: email to / Completed SIF, Local Growers Food Safety Audit, Water Report, and Third Party Audit (High Risk Only)
Done / STEP 5. Supplier Approval Decision / Requirements / Date
Receive Approval/Rejection Confirmation from QA Dept / QA to communicate Supplier Approval Decision to Produce Dept.
Done / STEP 6. iCiX Document Uploading / Requirements / Date
Upload all required documents on iCiX within 30 days of supplier approval / QA to review all iCiX documents uploaded by grower to verify compliance

Raley’s ConfidentialPage 1 of 1

Form QA 012b (07/2013)