VALIDATION SUMMARY – ALLERGEN CONTROL PROGRAM

PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Reduction in the number of discrepancies related to the
Trend analysis of FSMS internal audit
Allergen Control Program as compared to the previous
findings
period
Reduction in the number of complaints related to the
Trend analysis of complaints logged in
Allergen Control Program as compared to the previous
the Discrepancy Management Tracker
period Quarterly
Reduction in the number of discrepancies related to the
Trend analysis of third-party audit
Allergen Control Program as compared to the previous
reports
period
Trend analysis of regulatory agency
ZERO violations due to the Allergen Control Program
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to the Allergen Control Program this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the Allergen Control Program reported this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the ___ this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.1 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – CLEANING PROGRAM
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Trend analysis of FSMS internal audit Reduction in the number of Cleaning Program-related
findings discrepancies as compared to the previous period
Trend analysis of complaints logged in Reduction in the number of Cleaning Program-related
the Discrepancy Management Tracker complaints as compared to the previous period
Quarterly
Trend analysis of third-party audit Reduction in the number of Cleaning Program-related
reports discrepancies as compared to the previous period
Trend analysis of regulatory agency
ZERO violations related to the Cleaning Program
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to the Cleaning Program this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the Cleaning Program reported this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the Cleaning Program
this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.2 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – FACILITY TRAINING SYSTEM
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Reduction in the number of discrepancies attributable to
Trend analysis of FSMS internal audit
faulty employee training as compared to the previous
findings
period
Reduction in the number of complaints attributable to
Trend analysis of complaints logged in
faulty employee training as compared to the previous
the Discrepancy Management Tracker
period Quarterly
Reduction in the number of discrepancies attributable to
Trend analysis of third-party audit
faulty employee training as compared to the previous
reports
period
Trend analysis of regulatory agency
ZERO violations due to faulty employee training
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to the Facility Training System this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the Facility Training System this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the Facility Training
System this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.3 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – EQUIPMENT CALIBRATION PROGRAM
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Reduction in the number of out-of-calibration (“OOC”)
observations as compared to the previous period.
Trend analysis of calibration logs
Reduction in the average magnitude of out-of calibration
Quarterly
observations as compared to the previous period.
Trend analysis of third-party audit Reduction in the number of discrepancies related to
reports equipment calibration as compared to the previous period

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
OOC observations –
Reduction from the previous period PASS / FAIL
Quantity
OOC observations –
Reduction from the previous period PASS / FAIL
Average magnitude
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the calibration log records, there were _____ out-of-calibration observations this quarter versus _____
last quarter.

There were zero (0) third-party audit discrepancies related to the Equipment Calibration Program this quarter and
zero (0) last quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.4 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – FOOD SAFETY
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Trend analysis of FSMS internal audit Reduction in the number of HACCP Program-related
findings discrepancies as compared to the previous period
Trend analysis of complaints logged in Reduction in the number of HACCP Program-related
the Discrepancy Management Tracker complaints as compared to the previous period
Quarterly
Trend analysis of regulatory agency Reduction in the number of HACCP Program-related
visit reports discrepancies as compared to the previous period
Trend analysis of third-party audit
ZERO violations due to the HACCP Program
reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulator
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to food safety this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
food safety this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to food safety this
quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.5 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – MAINTENANCE PROGRAM
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH  N/A

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Trend analysis of FSMS internal audit Reduction in the number of Maintenance Program-related
findings discrepancies as compared to the previous period
Trend analysis of preventive Reduction in the number of overdue PM tasks as
maintenance (“PM”) records compared to the previous period
Trend analysis of corrective action Reduction in the rate of equipment-related corrective
Quarterly
records (work orders) actions as compared to the previous period
Trend analysis of third-party audit Reduction in the number of Maintenance Program-related
reports discrepancies as compared to the previous period
Trend analysis of regulatory agency
ZERO violations due to the Maintenance Program
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Overdue
Reduction from the previous period PASS / FAIL
PM tasks
Corrective
Reduction from the previous period PASS / FAIL
actions
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were _____ internal audit discrepancies
related to the Maintenance Program this quarter versus _____ last quarter.

According to the XXXX system, there were _____ overdue preventive maintenance tasks this quarter versus _____
last quarter and _____ corrective action requests (i.e., submitted work orders) this quarter versus _____ last quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the Maintenance
Program this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.6 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – PERSONNEL PRACTICES
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Trend analysis of FSMS internal audit Reduction in the number of discrepancies related to
findings personnel practices as compared to the previous period
Trend analysis of complaints logged in Reduction in the number of complaints related to
the Discrepancy Management Tracker personnel practices as compared to the previous period
Quarterly
Trend analysis of third-party audit Reduction in the number of discrepancies related to
reports personnel practices as compared to the previous period
Trend analysis of regulatory agency
ZERO violations due to personnel practices
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to personnel practices this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the personnel practices this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the ___ this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.7 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – PEST CONTROL PROGRAM
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Trend analysis of FSMS internal audit Reduction in the number of Pest Control Program-related
findings discrepancies as compared to the previous period
Trend analysis of complaints logged in Reduction in the number of Pest Control Program-related
the Discrepancy Management Tracker complaints as compared to the previous period
Trend analysis of pest control service Reduction in pest activity as indicated in interior pest
Quarterly
provider’s summaries control stations as compared to the previous period
Trend analysis of third-party audit Reduction in the number of Pest Control Program-related
reports discrepancies as compared to the previous period
Trend analysis of regulatory agency
ZERO violations related to the Pest Control Program
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Reported
Reduction from the previous period PASS / FAIL
complaints
Incidents
Reduction from the previous period PASS / FAIL
of pest activity
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to the Pest Control Program this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the Pest Control Program this quarter.

According to the pest control service provider’s records, there were _____ incidents of pest activity at Building X and
_____ incidents of pest activity at Building X this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the Pest Control
Program this quarter.

PROPOSED ACTION(S)

DOCUMENT #8.8 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 2 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.8 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 2 OF 2 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – RECEIVING PROGRAM
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Reduction in the number of receiving document errors as
Trend analysis of receiving records
compared to the previous period
Trend analysis of complaints logged in Reduction in the number of Receiving Program-related
the Discrepancy Management Tracker complaints as compared to the previous period
Quarterly
Trend analysis of third-party audit Reduction in the number of Receiving Program-related
reports discrepancies as compared to the previous period
Trend analysis of regulatory agency
ZERO violations due to the Receiving Program
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Receiving document
Reduction from the previous period PASS / FAIL
errors
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Receiving Document Errors document, there were _____ receiving document errors detected this
quarter.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to the Receiving Program this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the Receiving Program this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the Receiving
Program this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.9 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – SHIPPING PROGRAM
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Reduction in the number of shipping document errors as
Trend analysis of shipping records
compared to the previous period
Trend analysis of complaints logged in Reduction in the number of Shipping Program-related
the Discrepancy Management Tracker complaints as compared to the previous period
Quarterly
Trend analysis of third-party audit Reduction in the number of Shipping Program-related
reports discrepancies as compared to the previous period
Trend analysis of regulatory agency
ZERO violations related to the Shipping Program
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Shipping document
Reduction from the previous period PASS / FAIL
errors
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Shipping Document Errors document, there were _____ shipping document errors detected this
quarter.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to the Shipping Program this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the Shipping Program this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the Shipping Program
this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.10 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – WASTE MANAGEMENT PROGRAM
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Reduction in the number of Waste Management
Trend analysis of FSMS internal audit
Program-related discrepancies as compared to the
findings
previous period
Reduction in the number of Waste Management
Trend analysis of complaints logged in
Program-related complaints as compared to the previous
the Discrepancy Management Tracker
period Quarterly
Reduction in the number of Waste Management
Trend analysis of third-party audit
Program-related discrepancies as compared to the
reports
previous period
Trend analysis of regulatory agency
ZERO Waste Management Program-related violations
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to the Waste Management Program this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the Waste Management Program this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the Waste
Management Program this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.11 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.14.2014 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – CONTROL OF PHYSICAL CONTAMINANTS
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Reduction in the number of discrepancies related to the
Trend analysis of FSMS internal audit
Foreign Matter Control Policy as compared to the
findings
previous period
Trend analysis of GCBP Breakage Reduction in the number of glass breakage occurrences
Log as compared to the previous period
Quarterly
Reduction in the number of discrepancies related to the
Trend analysis of third-party audit
Foreign Matter Control Policy as compared to the
reports
previous period
Trend analysis of regulatory agency ZERO violations related to the Foreign Matter Control
visit reports Policy

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Breakage
Reduction from the previous period PASS / FAIL
occurrences
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to the control of physical contaminants this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
the control of physical contaminants this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to the control of physical
contaminants this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.12 REVISION #: THREE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS
VALIDATION SUMMARY – SITE SECURITY AND FOOD DEFENSE
PERIOD YEAR: QUARTER:  1ST  2ND  3RD  4TH

FREQUENCY
VALIDATION METHOD PROGRAM EFFECTIVENESS METRICS OF VALIDATION
Reduction in the number of discrepancies related to site
Trend analysis of FSMS internal audit
security and/or food defense as compared to the previous
findings
period
Reduction in the number of complaints related to site
Trend analysis of complaints logged in
security and/or food defense as compared to the previous
the Discrepancy Management Tracker
period Quarterly
Reduction in the number of discrepancies related to site
Trend analysis of third-party audit
security and/or food defense as compared to the previous
reports
period
Trend analysis of regulatory agency
ZERO violations related to site security or food defense
visit reports

CURRENT PREVIOUS
METRIC PERIOD PERIOD TARGET RESULT
Internal audit
Reduction from the previous period PASS / FAIL
discrepancies
Reported
Reduction from the previous period PASS / FAIL
complaints
Third-party audit
Reduction from the previous period PASS / FAIL
discrepancies
Regulatory
ZERO violations PASS / FAIL
violations

SUMMARY OF VALIDATION RESULTS

Program VALIDATED as effective. Nothing observed to indicate an “off-track” trend.

According to the Discrepancy Summary Tally Sheet for this quarter, there were zero (0) internal audit discrepancies
related to site security and food defense this quarter.

According to the Discrepancy Management Tracker complaint worksheet, there were zero (0) complaints related to
site security and food defense this quarter.

There were zero (0) third-party audit discrepancies and zero (0) regulatory violations related to site security and food
defense this quarter.

PROPOSED ACTION(S)

SQF PRACTITIONER
SIGNATURE: DATE:

MANAGEMENT APPROVAL
SIGNATURE: TITLE: DATE:

DOCUMENT #8.13 REVISION #: ONE PREPARED BY: X SECTION: SQF SYSTEM VERIFICATION
XXXXXXXXXXXX PAGE 1 OF 1 REVISION DATE: 4.22.2015 APPROVED BY: X SUB-SECTION: VALIDATION & EFFECTIVENESS