Allergens

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Please answer the questions below for the ingredient/item populated on this document. Add comments where additional information is necessary. Required fields indicated with a red asterisk.
 
Allergen Control Program
Do you have a validated allergen control program to prevent cross-contact?
Is this item a raw agricultural commodity (RAC)?

A RAC is an unprocessed, natural agricultural product derived directly from plants or animals.

 
Global Allergen Profile
Allergen
Product/Line/Plant
Ingredient Name Containing Allergen
Instruction:
  • For the purposes of this form, "Same Manufacturing Plant" refers to all buildings, storage areas, and distribution facilities located on the same site or under the same operational management.
  • Enter RBD Oils in the Non-Allergenic RBD Oils section near the bottom of the form, not in the Global Allergen Profile section.
Egg
Fish
Gluten

Gluten from barley, oat, rye, triticale and/or wheat.

Wheat
Milk
Mustard
Peanut
Sesame
Shellfish (Crustaceans)
Shellfish (Mollusks)
Soy & Soy Derivatives
Sulfites
Tree Nuts
Celery
Lupin
Latex (Natural Rubber)
Buckwheat
Bee Pollen/Propolis
Mango
Royal Jelly
Peach
Pork
Tomato
Beef
Chicken
 
Sensitizing Agents
Sensitizing Agent
In Product
Ingredient Name Containing Sensitizing Agent
Animal Derived
Artificial Colors
Other Added Coloring
Artificial Flavors
Artificial Sweeteners
Cinnamon
Corn
Diacetyl
Garlic
Monosodium Glutamate
Onion
Preservatives
Seeds
Yeast/Hydrolyzed Protein/Hydrolyzed Vegetable Protein
 
Non-Allergenic Refined, Bleached & Deodorized (RBD) Oils
RBD Oil
In Product
Ingredient Name Containing RBD Oil
Corn
Fish
Mustard
Peanut
Seed
Soy
Tree Nut
 
Ingredient Declaration
*Enter COMPLETE Ingredient Declaration as shown on item's label.
Are any processing aids used in the production of this item that are not declared on the item's label?
Is precautionary allergen labelling (PAL) used on this item's label?

Ex: "May contain x", "Not suitable for y", Processed on same line/facility", etc.

 
Comments
Additional Comments

NOTE: This information is privileged, confidential and subject to change. Any reproduction and/or distribution of this document or its contents are strictly prohibited
Version: TG-Allergens-35.00 Form ID: 22